European Journal of Pediatric Surgery Reports最新文献

{"title":"Erratum: Erratum: Corrections to Two Articles in <i>European Journal of Pediatric Surgery Reports</i> , Volume 13, Issue 1.","authors":"","doi":"10.1055/a-2706-9632","DOIUrl":"https://doi.org/10.1055/a-2706-9632","url":null,"abstract":"<p><p>[This corrects the article DOI: 10.1055/a-2692-6661.][This corrects the article DOI: 10.1055/a-2699-8104.].</p>","PeriodicalId":43204,"journal":{"name":"European Journal of Pediatric Surgery Reports","volume":"13 1","pages":"e59"},"PeriodicalIF":0.7,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12473530/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145186980","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}

{"title":"Kaposiform Hemangioendothelioma with Kasabach-Merritt Phenomenon in a Neonate: A Case Report.","authors":"Yuyang Zheng, Rongjie Wu, Qilin Chen, Shiyu Xiong, Jialu Yun, Wei Peng","doi":"10.1055/a-2699-8104","DOIUrl":"10.1055/a-2699-8104","url":null,"abstract":"<p><strong>Background: </strong>Kaposiform hemangioendothelioma (KHE) is a rare, aggressive vascular tumor frequently complicated by Kasabach-Merritt phenomenon (KMP), a life-threatening consumptive coagulopathy. Neonatal KHE-KMP management requires urgent intervention but is complicated by immunosuppression risks, especially in Bacillus Calmette-Guérin (BCG)-vaccinated infants.</p><p><strong>Methods: </strong>A full-term male neonate with prenatal right upper limb thickening presented postnatally with a violaceous, firm mass. Laboratory findings confirmed KMP. Due to recent BCG vaccination, sirolimus was initially withheld. First-line therapies failed, prompting sirolimus initiation on day 3, supplemented by fibrinogen transfusions.</p><p><strong>Results: </strong>Platelets normalized by day 13 (283 × 10 ⁹ /L) with marked tumor regression. Transient fever/diarrhea resolved with supportive care. At discharge (day 27), platelets stabilized (183 × 10 ⁹ /L). Three-month follow-up showed sustained platelet recovery (268-532 × 10 ⁹ /L), near-complete tumor resolution, and age-appropriate development. Prophylactic trimethoprim-sulfamethoxazole prevented infections.</p><p><strong>Conclusion: </strong>Sirolimus is a critical salvage therapy for refractory neonatal KHE-KMP, even in BCG-vaccinated infants. Timely initiation reverses life-threatening coagulopathy and achieves favorable outcomes, necessitating multidisciplinary monitoring to balance immunosuppression risks.</p>","PeriodicalId":43204,"journal":{"name":"European Journal of Pediatric Surgery Reports","volume":"13 1","pages":"e155-e158"},"PeriodicalIF":0.7,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12449040/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145114556","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}

{"title":"Vanishing Gastroschisis: The Importance of Prenatal Diagnosis in a Seemingly Normal Abdomen.","authors":"Clara Massaguer, Irene De Haro Jorge, Laura Saura García, Jordi Prat Ortells, María Elena Muñoz Fernández, Xavier Tarrado","doi":"10.1055/a-2692-6661","DOIUrl":"10.1055/a-2692-6661","url":null,"abstract":"<p><p>A newborn of 32 + 6 weeks' gestational age with prenatal diagnosis of gastroschisis was born through elective caesarean section. Ultrasonography at 16 + 4 gestational weeks (GW) showed a gastroschisis with free bowel loops floating in amniotic fluid. From 27 + 4 GW onward, serial ultrasounds showed the disappearance of extra-abdominal intestine and progressive intra-abdominal intestinal loops dilation, raising suspicion for vanishing gastroschisis. Birth weight was 2,136 grams and the external appearance of the abdomen was normal. An exploratory laparotomy was performed, finding a dilated proximal jejunal loop with a type III intestinal atresia, microcolon, and no other remainder bowel in between. The total length of the small intestine was 21 cm. Serial transverse enteroplasties for intestinal lengthening (reaching 38 cm), along with lateroterminal jejunocolic anastomosis were performed. The patient was discharged after 5 months of hospitalization with home parenteral nutrition. At 2 years and 8 months of age, the child is thriving and off parenteral support. Vanishing gastroschisis is a rare and severe form of complex gastroschisis whose prenatal diagnosis is crucial for parental counseling, timely delivery, and early surgical intervention. Multidisciplinary approach is essential to manage intestinal failure and improve long-term outcomes in these patients.</p>","PeriodicalId":43204,"journal":{"name":"European Journal of Pediatric Surgery Reports","volume":"13 1","pages":"e151-e154"},"PeriodicalIF":0.7,"publicationDate":"2025-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12431809/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145065608","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}

{"title":"Robotic Duodenojejunostomy for a Rare Case of Acute Idiopathic Superior Mesenteric Artery Syndrome in a Teenage Girl.","authors":"Thibault Planchamp, Olivier Abbo","doi":"10.1055/a-2662-2517","DOIUrl":"10.1055/a-2662-2517","url":null,"abstract":"<p><p>Superior mesenteric artery (SMA) syndrome is a rare cause of proximal bowel obstruction in pediatric surgery. We present the management of a rare, idiopathic, and acute form of SMA syndrome in a teenage girl, successfully treated with a robotic approach. A 14.5-year-old girl with no prior medical history and a normal body mass index (BMI) for her age (18.4 kg/m ² ) was admitted to our department with acute proximal bowel obstruction syndrome. Initial imaging, including an abdominal X-ray, computed tomography scan, and upper gastrointestinal tract radiography, confirmed the diagnosis of SMA syndrome. Conservative management was initiated with nasogastric tube placement, postural adjustments, and optimal nutritional support. However, symptoms persisted, and surgery was performed 5 months after the initiation of conservative treatment. A robotic-assisted duodenojejunostomy, preserving the fourth portion of the duodenum, was performed without intraoperative complications. Postoperatively, the patient experienced immediate symptom relief and was discharged on postoperative day 4. The postoperative course and long-term follow-up (7 years) were uneventful. This case report describes an acute, idiopathic form of SMA syndrome successfully treated with robotic-assisted duodenojejunostomy in a teenage girl with a normal BMI. To our knowledge, this is only the second reported case of robotic surgery for SMA syndrome in the pediatric literature.</p>","PeriodicalId":43204,"journal":{"name":"European Journal of Pediatric Surgery Reports","volume":"13 1","pages":"e41-e46"},"PeriodicalIF":0.7,"publicationDate":"2025-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12324861/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144790320","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}

{"title":"Acute Urinary Retention Secondary to Urethral Lithiasis in a 4-Year-Old Boy: How We Managed This Rare Case.","authors":"Thibault Planchamp, Pierre Estournes, Adrien Boileau, Solène Joseph, Mathilde Piraprez, Florian Laclergerie, Luana Carfagna, Olivier Abbo","doi":"10.1055/a-2663-1933","DOIUrl":"10.1055/a-2663-1933","url":null,"abstract":"<p><p>Urethral stone impaction (USI) is an extremely rare cause of acute urinary retention (AUR) in pediatric urology. Few case reports are available, and no consensus guidelines currently exist for managing this condition. We describe our management of such a case and provide a review of the relevant literature. A 4-year-old boy with no prior urological history presented to our emergency department with abdominal pain lasting 8 days. An ultrasound performed 5 days earlier identified a 7-mm stone at the ureterovesical junction. Symptomatic treatment with paracetamol and non-steroidal anti-inflammatory drugs was initiated. However, dysuria, painful penile swelling, and AUR developed 7 days after the onset of pain. A CT scan revealed bilateral hydronephrosis, urinary retention, and a 9-mm stone (980 Hounsfield Units) that had migrated to the proximal anterior urethra. Under general anesthesia, a suprapubic puncture removed 400 mL of urine for analysis. A 7.5-Fr cystoscope was used to identify an impacted stone at the base of the penile urethra. In situ lithotripsy was performed using a holmium laser to fragment the stone in the urethra. The fragments were then pushed into the bladder for complete disintegration. Intravesical fragments were subsequently removed with a Dormia basket. No urethral wounds were observed, and a 10-Fr catheter was placed. Recovery was uneventful, with catheter removal and spontaneous voiding on postoperative day 1. At the 3-month follow-up, the patient exhibited normal voiding and uroflowmetry. AUR secondary to USI is rare and lacks standardized management protocols in pediatric urology. Management of USI should be tailored to the size and location of the calculus, as well as the presence of any associated urethral pathology, with a preference for minimally invasive endoscopic surgery whenever possible. If necessary, urethral in situ laser lithotripsy appears to be a safe and effective treatment option to consider.</p>","PeriodicalId":43204,"journal":{"name":"European Journal of Pediatric Surgery Reports","volume":"13 1","pages":"e35-e40"},"PeriodicalIF":0.7,"publicationDate":"2025-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12324854/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144790318","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}

{"title":"Endoscopic Cholecystoduodenostomy With Lumen-Apposing Metal Stent for Bile Duct Stricture in a Child with Neuroblastoma: A Case Report.","authors":"Maria Stella Cipriani, Liliana Piro, Federico Palo, Andrea Chiaro, Stefania Sorrentino, Paolo Gandullia, Andrea Parodi, Stefano Avanzini","doi":"10.1055/a-2662-2339","DOIUrl":"10.1055/a-2662-2339","url":null,"abstract":"<p><p>We report the use of endoscopic cholecystoduodenostomy in a 6-year-old child to manage postanastomotic stricture of the common bile duct (CBD) secondary to an intraoperative injury sustained during the resection of an abdominal neuroblastoma (NB). The patient was diagnosed with stage M NB, characterized by dissemination to the bone marrow and vertebrae, and MYCN amplification. Following multiple cycles of chemotherapy and subsequent hematopoietic stem cell transplantation, the patient was scheduled for surgical resection. Preoperative imaging identified several image-defined risk factors, including infiltration of the porta hepatis and of the duodenopancreatic complex. During the dissection of the tumor, an incidental injury to the CBD occurred, which was subsequently repaired via end-to-end anastomosis. Seven months postoperatively, the patient presented with obstructive jaundice due to an anastomotic stricture, which was successfully managed through the placement of an endoscopic ultrasound-guided lumen-apposing metal stent (LAMS) between the dilated gallbladder and the duodenum. In our experience, endoscopic cholecystoduodenostomy constitutes a novel approach for addressing postoperative iatrogenic CBD strictures in pediatric patients. Further research is warranted to elucidate its benefits and risks as well as to evaluate its long-term efficacy and potential for broader application.</p>","PeriodicalId":43204,"journal":{"name":"European Journal of Pediatric Surgery Reports","volume":"13 1","pages":"e47-e50"},"PeriodicalIF":0.7,"publicationDate":"2025-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12324853/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144790319","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}

{"title":"Cardiac Tamponade Secondary to a Giant Pleuropericardial Cyst in a Child: A Surgical Case Report from Sub-Saharan Africa.","authors":"Abdel Kémal Bori Bata, Yacoubou Imorou-Souaibou, Ahmad Ibrahim, Désiré Nékoua, Joseph Adoco, Arnaud Sonou","doi":"10.1055/a-2655-3348","DOIUrl":"10.1055/a-2655-3348","url":null,"abstract":"<p><p>Pleuropericardial cysts are rare mediastinal tumors with variable, often severe, clinical presentations in children, occasionally requiring urgent intervention. We report the case of a previously healthy 14-year-old male who was admitted with signs of severe congestive heart failure and clinical evidence of cardiac tamponade. Transthoracic echocardiography and thoracic CT scan confirmed the presence of a compressive mediastinal cystic mass. The patient underwent emergency surgical resection via median sternotomy. Histopathological examination confirmed a benign pericardial cyst. Postoperative recovery was uneventful, and no recurrence was observed after 2 years of follow-up.</p>","PeriodicalId":43204,"journal":{"name":"European Journal of Pediatric Surgery Reports","volume":"13 1","pages":"e31-e34"},"PeriodicalIF":0.7,"publicationDate":"2025-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12303617/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144733747","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}

{"title":"Advancing Neuroblastoma Surgery through the Clinical Integration of Virtual Reality and Indocyanine Green Fluorescence-Guided Imaging: A Case Report.","authors":"Irene Paraboschi, Ugo M Pierucci, Elena Di Blasi, Paola Collini, Marta Podda, Giovanna Gattuso, Roberto Luksch, Francescco Rizzetto, Alice M Munari, Cristina Gallotta, Tommaso Santaniello, Maurizio Vertemati, Paolo Milani, Gloria Pelizzo","doi":"10.1055/a-2646-8880","DOIUrl":"10.1055/a-2646-8880","url":null,"abstract":"<p><strong>Background: </strong>Neuroblastoma, the most common extracranial solid tumor in children, requires meticulous surgical interventions due to its complex anatomical location and proximity to vital structures. Emerging technologies, such as virtual reality (VR) and indocyanine green (ICG) fluorescence-guided imaging, offer promising solutions to enhance surgical precision and outcomes. Despite their potential, their use in pediatric oncology remains underexplored. This case report highlights the integration of VR and ICG fluorescence imaging in the surgical treatment of neuroblastoma, emphasizing their benefits, limitations, and the need for further advancements.</p><p><strong>Case description: </strong>A 12-month-old female with a prenatal diagnosis of cloacal malformation, Müllerian anomalies, and a horseshoe kidney was under care at our center for the management of her complex urogenital anomalies. During preoperative imaging to plan her reconstructive surgery, an abdominal MRI revealed a solid retroperitoneal mass, later confirmed as a right adrenal neuroblastoma. After six cycles of chemotherapy, metaiodobenzylguanidine (mIBG) scans indicated persistent uptake, suggesting the possible presence of tumor viability. Consequently, a definitive surgical resection was scheduled. The procedure incorporated VR for navigation and ICG fluorescence for real-time vascular mapping, facilitating precise dissection and preservation of critical structures. The patient's postoperative recovery was uneventful, and she was discharged in stable condition. Follow-up evaluations (i.e., MRI, mIBG) showed no evidence of residual macroscopic disease.</p><p><strong>Conclusion: </strong>VR and ICG fluorescence imaging hold promise for enhancing surgical precision and safety in pediatric neuroblastoma. While current limitations include the lack of real-time image overlay and inadequate visualization of tumor margins, future advancements in navigation systems and targeted probes may overcome these barriers and significantly improve oncologic outcomes.</p>","PeriodicalId":43204,"journal":{"name":"European Journal of Pediatric Surgery Reports","volume":"13 1","pages":"e23-e30"},"PeriodicalIF":0.7,"publicationDate":"2025-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12302314/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144733746","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}

{"title":"Mesenteric Shearing in a Pediatric Patient, Successfully Managed Conservatively: A Case Report.","authors":"Karim Sabeh-Ayoun, Nour Bakhos, Mustafa Natout, Ahmad Zaghal","doi":"10.1055/a-2642-0650","DOIUrl":"10.1055/a-2642-0650","url":null,"abstract":"<p><p>Mesenteric shear, injury due to sudden stretch of the mesentery, is a rare condition that remains poorly studied, especially in the pediatric population. Often resulting from trauma, its presentation can vary from nonspecific and vague abdominal symptoms to an acute abdomen and peritonitis requiring urgent surgical intervention. Unified management strategies are not yet in place. We describe the case of a 10-year-old boy who presented to the emergency department with diffuse abdominal pain of 1 day duration, 2 days after he sustained blunt abdominal trauma with an elbow during a soccer match. He was hemodynamically and clinically stable. Computed tomography scan revealed soft tissue thickening in the left upper quadrant at the root of the mesentery with mild surrounding inflammatory mesenteric fat stranding, suggesting mesenteric shearing. With stable vitals, a soft abdomen on physical exam, and no drop in hemoglobin, the decision was made to treat the patient conservatively. The patient was admitted for observation, and after frequent abdominal exams, stable laboratory results, and abdominal imaging, he was discharged home without any surgical intervention. Conservative management can be successful in the case of a stable patient without alarming physical, laboratory, or imaging findings. Observation and close monitoring remain essential to detect complicated cases that require surgical intervention.</p>","PeriodicalId":43204,"journal":{"name":"European Journal of Pediatric Surgery Reports","volume":"13 1","pages":"e19-e22"},"PeriodicalIF":0.6,"publicationDate":"2025-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12263290/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144650888","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}

{"title":"Robot-Assisted Laparoscopic Endorectal Pull-Through Combined with Deloyers Turnover in Long-Segment Hirschsprung Disease: A Case Report.","authors":"Maria Stella Cipriani, Maria G Faticato, Federica Fanti, Michela C Y Wong, Girolamo Mattioli","doi":"10.1055/a-2640-4118","DOIUrl":"10.1055/a-2640-4118","url":null,"abstract":"<p><p>We report the first documented pediatric case of the Deloyers procedure performed using robotic surgery to treat a female patient with long-segment Hirschsprung disease. A 9-month-old child was diagnosed with long-segment Hirschsprung disease. Despite rectal irrigations, the patient experienced refractory constipation and enterocolitis, necessitating exploratory surgery and ileostomy. A transition zone was identified at the proximal transverse colon, with mapping biopsies confirming aganglionosis up to the splenic flexure. At 16 months of age, the child underwent a robot-assisted endorectal pull-through with ileostomy closure. Four 8-mm trocars were placed in the epigastric, left subcostal, right subcostal, and right flank regions. Dissection and mobilization extended distally beyond the peritoneal reflection and proximally to the hepatic flexure, preserving the marginal vascular arcades. The middle and right colic arteries were ligated, while the ileocolic artery was preserved. Indocyanine green fluorescence imaging confirmed adequate vascularization of the hepatic flexure. A counterclockwise 180-degree rotation of the right colon was performed. In the perineal phase, a mucosal incision above the dentate line was followed by progressive mucosectomy to reach the isolated rectum. The colon was pulled through, and a tension-free coloanal anastomosis was performed. The postoperative period was uneventful at the 6-month follow-up. Robot-assisted laparoscopic endorectal pull-through with the Deloyers procedure is a feasible and safe technique for long-segment Hirschsprung disease. Larger case series are required to assess its long-term outcomes and potential advantages. An explanatory video of the surgery is available.</p>","PeriodicalId":43204,"journal":{"name":"European Journal of Pediatric Surgery Reports","volume":"13 1","pages":"e14-e18"},"PeriodicalIF":0.6,"publicationDate":"2025-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12254028/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144627378","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}