European Journal of Pediatric Surgery Reports最新文献

Pulmonary Inflammatory Myofibroblastic Tumor: A Case Report. 肺部炎性肌纤维母细胞瘤：病例报告

IF 0.6

European Journal of Pediatric Surgery Reports Pub Date : 2024-11-04 eCollection Date: 2024-01-01 DOI: 10.1055/a-2430-0053

Lotte Bruyninckx, Paul De Leyn, Dirk Van Raemdonck, Yanina Jansen, Katrien Coppens, Francois Vermeulen, Birgit Weynand, Christopher Gieraerts, Herbert Decaluwé

{"title":"Pulmonary Inflammatory Myofibroblastic Tumor: A Case Report.","authors":"Lotte Bruyninckx, Paul De Leyn, Dirk Van Raemdonck, Yanina Jansen, Katrien Coppens, Francois Vermeulen, Birgit Weynand, Christopher Gieraerts, Herbert Decaluwé","doi":"10.1055/a-2430-0053","DOIUrl":"10.1055/a-2430-0053","url":null,"abstract":"An inflammatory myofibroblastic tumor (IMT) is a rare mesenchymal tumor that occurs predominantly in children and young adults. Etiology remains unclear. But based on the frequent detection of chromosomic alterations, especially near the anaplastic lymphoma kinase (ALK) gene, IMT is now considered to be a true neoplasm. In addition, the possible aggressive behavior, and the ability to metastasize suggest at least an intermediate malignant potential. Surgery remains the treatment of choice, but the use of chemotherapy, nonsteroidal anti-inflammatory drugs, immunotherapy, and targeted therapy are reported. We describe a case of a pulmonary IMT in a 6-year-old boy with an incidental finding of a lesion in the right upper lobe. A video-assisted thoracoscopic right upper lobectomy with lymph node resection was performed. Microscopic examination confirmed the diagnosis of IMT with the nodule showing spindle cells in a background of plasma cells. ALK immunohistochemical expression was negative.","PeriodicalId":43204,"journal":{"name":"European Journal of Pediatric Surgery Reports","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2024-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11534498/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142576982","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Choledochal Cyst and Right Congenital Diaphragmatic Hernia: When to Intervene? 胆总管囊肿和右侧先天性膈疝：何时干预？

IF 0.6

European Journal of Pediatric Surgery Reports Pub Date : 2024-10-28 eCollection Date: 2024-01-01 DOI: 10.1055/s-0044-1791813

Émilie Kate Landry, Annie Le-Nguyen, Elissa K Butler, Sarah Bouchard, Josée Dubois, Caroline P Lemoine

{"title":"Choledochal Cyst and Right Congenital Diaphragmatic Hernia: When to Intervene?","authors":"Émilie Kate Landry, Annie Le-Nguyen, Elissa K Butler, Sarah Bouchard, Josée Dubois, Caroline P Lemoine","doi":"10.1055/s-0044-1791813","DOIUrl":"https://doi.org/10.1055/s-0044-1791813","url":null,"abstract":"Patients with congenital diaphragmatic hernia (CDH) can present with other congenital anomalies, but an associated choledochal cyst (CC) has rarely been described. The simultaneous diagnosis of both anomalies complicates patient management. There is no consensus on the ideal timing for CC excision. Unrepaired CC is associated with risks of developing biliary sludge, choledocholithiasis, and cholangitis. After a CDH repair with mesh, secondary bacterial translocation caused by a delayed CC repair could lead to mesh superinfection. Conversely, early CC surgical management could cause mesh displacement and lead to CDH recurrence, requiring reintervention. We present the rare case of a CC occurring in a neonate with a prenatally diagnosed right CDH. One month after an uncomplicated CDH repair with mesh, while the patient was still hospitalized for pulmonary hypertension, she developed progressive cholestasis and acholic stools. Investigations revealed a nonpreviously suspected CC. Conservative treatment was attempted, but CC perforation with secondary biliary peritonitis occurred. Open CC excision with a Roux-en-Y hepaticojejunostomy was therefore performed on day of life (DOL) 41. Having suffered no short-term surgical complications, the patient was discharged on DOL 83 because of prolonged ventilatory support due to pulmonary hypertension. Now 12 months after surgery, she is doing well with normal liver function tests and imaging studies. In summary, CC should be considered in the differential diagnosis of progressive cholestasis in patients with CDH. Surgical repair of a symptomatic CC should not be delayed even in the presence of mesh given the risks of CC complications.","PeriodicalId":43204,"journal":{"name":"European Journal of Pediatric Surgery Reports","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2024-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11518628/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142548166","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A Modification of the Newborn Operation for Cloacal Exstrophy: Leaving the Cecal Plate Untouched. 修改新生儿泄殖腔手术：不触动盲肠板

IF 0.6

European Journal of Pediatric Surgery Reports Pub Date : 2024-10-21 eCollection Date: 2024-01-01 DOI: 10.1055/s-0044-1791814

Elizaveta Bokova, Shimon E Jacobs, Laura Tiusaba, Christina P Ho, Briony K Varda, Hans G Pohl, Christina Feng, Victoria A Lane, Caitlin A Smith, Andrea T Badillo, Richard J Wood, Marc A Levitt

{"title":"A Modification of the Newborn Operation for Cloacal Exstrophy: Leaving the Cecal Plate Untouched.","authors":"Elizaveta Bokova, Shimon E Jacobs, Laura Tiusaba, Christina P Ho, Briony K Varda, Hans G Pohl, Christina Feng, Victoria A Lane, Caitlin A Smith, Andrea T Badillo, Richard J Wood, Marc A Levitt","doi":"10.1055/s-0044-1791814","DOIUrl":"10.1055/s-0044-1791814","url":null,"abstract":"The conventional approach to managing a newborn with cloacal exstrophy typically includes separating the cecal plate from between the two hemibladders, tubularizing it to be included in the fecal stream, creating an end colostomy, and bringing the two bladder halves together. This study introduces an alternative approach wherein the cecal plate is retained in its original position and designated for future use as an autoaugment of the bladder. Four cases of cloacal exstrophy cases managed between November 2019 and February 2024 are described, with surgical approach and postoperative outcomes reported. Two patients who underwent traditional reconstruction experienced bacterial overgrowth attributed to stasis in the cecal plate, which manifested in increased ostomy output and feeding intolerance. Treatment in these two cases was to remove the cecum from the fecal stream and use it instead for a bladder augment. Learning from these cases, the third and fourth newborn's approach involved retaining the cecum in situ for autoaugmentation of the bladder and performing an ileal to hindgut anastomosis. No postoperative acidosis occurred in these patients. The alternative approach to the newborn management of cloacal exstrophy whereby the cecal plate is left in situ can decrease stasis and postoperative bacterial overgrowth. It allows for an autoaugmentation of the bladder and is technically easier than the traditional rescue of the cecal plate from within the two hemibladders.","PeriodicalId":43204,"journal":{"name":"European Journal of Pediatric Surgery Reports","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2024-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11493485/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142477148","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Middle-Preserving Pancreatectomy for Multicentric Solid Pseudopapillary Neoplasm in a 10-Year-Old Female. 为一名10岁女性实施的多中心实性假乳头状肿瘤保中胰切除术

IF 0.6

European Journal of Pediatric Surgery Reports Pub Date : 2024-10-17 eCollection Date: 2024-01-01 DOI: 10.1055/s-0044-1791812

Grace Marshall, Matthew Byrne, Korry Wirth, Xiaoyan Liao, David C Linehan, Nicole A Wilson

引用次数: 0

Video of the Month: Pulsating Umbilicus in a Neonate with Left Ventricular Diverticulum. 本月视频：患有左心室憩室的新生儿脐部脉动。

IF 0.6

European Journal of Pediatric Surgery Reports Pub Date : 2024-10-03 eCollection Date: 2024-01-01 DOI: 10.1055/s-0044-1791569

M Moormann, M Vollroth, M Lacher, H Stepan, D Gräfe, U Thome, S Rützel, M Weidenbach, I Martynov, C Pügge

引用次数: 0

Bilateral Lung Injury with Delayed Pneumothorax following Preoperative Cryoanalgesia for Pectus Excavatum Repair in a 13-year-old Boy. 一名 13 岁男孩在进行胸大肌修复术前低温麻醉后双侧肺损伤并伴有迟发性气胸。

IF 0.6

European Journal of Pediatric Surgery Reports Pub Date : 2024-07-26 eCollection Date: 2024-01-01 DOI: 10.1055/a-2349-9668

Clara Massaguer, Laura Saura-García, Pedro Palazón, Gastón Echaniz, Maria Carme Roqueta Alcaraz, Xavier Tarrado

{"title":"Bilateral Lung Injury with Delayed Pneumothorax following Preoperative Cryoanalgesia for Pectus Excavatum Repair in a 13-year-old Boy.","authors":"Clara Massaguer, Laura Saura-García, Pedro Palazón, Gastón Echaniz, Maria Carme Roqueta Alcaraz, Xavier Tarrado","doi":"10.1055/a-2349-9668","DOIUrl":"10.1055/a-2349-9668","url":null,"abstract":"A 13-year-old male patient with marfanoid features and pectus excavatum with Haller index 4 and correction index of 38% underwent the Nuss procedure with cryoanalgesia 9 days prior, which transpired uneventfully. Preoperative spirometry was normal, and echocardiogram showed light aortic valve dilation. A month later, during a routine outpatient checkup, he referred middle abdominal pain, denying respiratory symptoms nor thoracic pain. He presented bilateral apical and right basal hypophonesis. Chest X-ray revealed bilateral pneumothorax and right pleural effusion. Consequently, the patient was admitted to the emergency room, and a chest computed tomography was ordered, reporting right apical blebs. Bilateral thoracoscopy was performed, and apexes were checked for pulmonary blebs to rule out primary pneumothorax. In the right chest, a wedge resection of a distorted area on the apex and pleuroabrasion were done. Four air leaking eschars were found when performing lung expansion under water as leaking test, corresponding to cryoanalgesia intercostal eschars, and subsequently closed by primary suture. In the left chest, there were no blebs. However, another four pleural lesions with intact pleura in the left lower lobe were also found. Postoperative course was uneventful and chest drains were removed 48 hours after surgery. He remains asymptomatic 21 months after discharge. Cryoanalgesia in pectus excavatum is spreading due to the improvement in postoperative pain control. However, some complications may occur.","PeriodicalId":43204,"journal":{"name":"European Journal of Pediatric Surgery Reports","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2024-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11281861/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141789408","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Achieving Digestive Autonomy and Gastrointestinal Continuity in a Patient with Short Bowel Syndrome Secondary to Concomitant Jejunal Atresia and Small Intestinal Hirschsprung's Disease. 一位因同时患有空肠闭锁和小肠赫氏普隆病而导致短肠综合征的患者实现了消化自主和胃肠道连续性。

IF 0.6

European Journal of Pediatric Surgery Reports Pub Date : 2024-07-16 eCollection Date: 2024-01-01 DOI: 10.1055/a-2351-9413

Alejandro R Velasquez, Thomas O Xu, Yu-Ting Liu, Sulaiman Kidwai, Teresa L Russell, Laura Tiusaba, Krystal Artis, Anthony Sandler, Andrea Badillo, Marc A Levitt

{"title":"Achieving Digestive Autonomy and Gastrointestinal Continuity in a Patient with Short Bowel Syndrome Secondary to Concomitant Jejunal Atresia and Small Intestinal Hirschsprung's Disease.","authors":"Alejandro R Velasquez, Thomas O Xu, Yu-Ting Liu, Sulaiman Kidwai, Teresa L Russell, Laura Tiusaba, Krystal Artis, Anthony Sandler, Andrea Badillo, Marc A Levitt","doi":"10.1055/a-2351-9413","DOIUrl":"10.1055/a-2351-9413","url":null,"abstract":"Concomitant presentation of jejunal atresia and Hirschsprung's disease is rare and places children at high risk for developing short bowel syndrome and parenteral nutrition dependence, which can affect the feasibility/timing of pull-through. A patient was born with jejunal atresia with a delayed diagnosis of Hirschsprung's disease. After several procedures and bowel resections, the patient was ultimately left with an end jejunostomy and long Hartman's pouch with short bowel syndrome, dependent on parenteral nutrition. The patient initially presented to our institution at age 2 with failure to thrive secondary to an obstructed/dilated jejunostomy and mild enterocolitis of their defunctionalized segment. The patient subsequently underwent completion of subtotal colectomy and revision of jejunostomy utilizing a serial transverse enteroplasty to manage the dilated bowel and gain length. The patient was able to wean off parenteral nutrition and achieve nutritional autonomy by age 5. Following this, the patient was able to undergo an ileoanal pull-through. After the pull-through, the patient was able to pass stool independently and suffered no major complications to date. Serial transverse enteroplasty can be successfully utilized in patients with a history of Hirschsprung's disease and jejunal atresia to achieve nutritional autonomy and ultimately reestablish gastrointestinal continuity with pull-through.","PeriodicalId":43204,"journal":{"name":"European Journal of Pediatric Surgery Reports","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2024-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11251804/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141628051","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Reduction en masse of inguinal hernia in a 2-month old boy 2 个月大男婴腹股沟疝的整体缩小术

IF 0.6

European Journal of Pediatric Surgery Reports Pub Date : 2024-03-04 DOI: 10.1055/a-2280-9708

Masato Kojima, Ryo Touge, S. Kurihara, Isamu Saeki, Shinya Takahashi

{"title":"Reduction en masse of inguinal hernia in a 2-month old boy","authors":"Masato Kojima, Ryo Touge, S. Kurihara, Isamu Saeki, Shinya Takahashi","doi":"10.1055/a-2280-9708","DOIUrl":"https://doi.org/10.1055/a-2280-9708","url":null,"abstract":"Reduction en masse is the reduction of the hernial sac into the preperitoneal space, with a loop of bowel remaining trapped at the neck of the hernial sac. This complication is rare, usually associated with inguinal hernias, and is characterized by the absence of a noticeable bulge in the groin. The patient was a 2-month-old boy and presented with a nonreducible bulge in his left groin, and incarceration of the left inguinal hernia was diagnosed. Manual reduction was performed, and the hernia bulge became less noticeable. He was admitted, and laparoscopic percutaneous extraperitoneal closure was scheduled on the next day. The laparoscopy revealed remarkably dilated intestines, serous ascites, and an ischemic intestine in the left groin. A laparotomy was performed and revealed reduction en masse of the left inguinal hernia with a strangulated ileum at its neck. We made an incision at the neck, followed by the resection of 20 cm long the strangulated ileum. The patient’s condition was unstable on the day of operation, but the postoperative period was uneventful and the left inguinal hernia was repaired, 11 months after the operation. Reduction en masse in pediatrics is significantly rare but when it occurs, the diagnosis can be delayed and occasionally the patient will be life-threatening. To avoid reduction en masse, it is crucial to perform the reduction gently and confirm the absence of a hernia sac in the preperitoneal space containing a loop of bowel by ultrasound scanning. Moreover, contrary to common practice, overnight observation and close monitoring will avoid missing a late presentation, leading to timely interventions.","PeriodicalId":43204,"journal":{"name":"European Journal of Pediatric Surgery Reports","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2024-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140266435","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Erratum: Missed Proximal Tracheoesophageal Fistula (TEF) in a Neonate with Type D Esophageal Atresia. 勘误：一名患有 D 型食管闭锁的新生儿被漏诊的近端气管食管瘘 (TEF)。

IF 0.6

European Journal of Pediatric Surgery Reports Pub Date : 2024-02-16 eCollection Date: 2024-01-01 DOI: 10.1055/s-0044-1779612

Julia E Menso, Maud A Reijntjes, Matthijs W Oomen, Rico N P M Rinkel, Suzanne W J Terheggen-Lagro, Ramon R Gorter

引用次数: 0

Successful Laparoscopic Hepaticojejunostomy for Infant Congenital Biliary Dilatation with both Aberrant Right Hepatic Artery and Bile Duct from the Caudate Region. 腹腔镜肝空肠吻合术成功治疗婴儿先天性胆道扩张伴右肝动脉和胆总管畸形。

IF 0.6

European Journal of Pediatric Surgery Reports Pub Date : 2024-02-13 eCollection Date: 2024-01-01 DOI: 10.1055/s-0044-1779624

Shun Onishi, Koji Yamada, Masakazu Murakami, Toshio Harumatsu, Takafumi Kawano, Satoshi Ieiri

{"title":"Successful Laparoscopic Hepaticojejunostomy for Infant Congenital Biliary Dilatation with both Aberrant Right Hepatic Artery and Bile Duct from the Caudate Region.","authors":"Shun Onishi, Koji Yamada, Masakazu Murakami, Toshio Harumatsu, Takafumi Kawano, Satoshi Ieiri","doi":"10.1055/s-0044-1779624","DOIUrl":"10.1055/s-0044-1779624","url":null,"abstract":"A boy with congenital hydronephrosis underwent ultrasonography every month for follow-up. At 4 months of age, ultrasonography incidentally revealed congenital biliary dilatation (5-cm type Ia). We performed laparoscopic extrahepatic bile duct resection and hepaticojejunostomy. After dissecting the dilated common bile duct (CBD), we found that the arcading-like shaped right hepatic artery (RHA) coursed in front of the CBD. Additionally, a tiny duct was identified below the main hepatic duct. At first, we thought it was a lymphatic vessel and dissected it from the main hepatic duct. However, bile flow out was recognized after dissecting the tiny duct. Finally, we confirmed it as an aberrant bile duct from the caudate region. We anastomosed the bile duct from the caudate region and main hepatic duct in a double-barrel fashion and performed hepaticojejunostomy below the RHA. The postoperative course was uneventful. Ultrasonography showed no intrahepatic ductal dilatation including the caudate lobe.","PeriodicalId":43204,"journal":{"name":"European Journal of Pediatric Surgery Reports","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2024-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10864104/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139730708","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0