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Ulcerative Colitis of the Neovagina in a Toddler with Cloaca and Chronic Kidney Disease. 患有泄殖腔和慢性肾脏疾病的幼儿新阴道溃疡性结肠炎。
IF 0.6
European Journal of Pediatric Surgery Reports Pub Date : 2021-01-01 Epub Date: 2021-05-18 DOI: 10.1055/s-0041-1726868
Marta Erculiani, Cinzia Zanatta, Enrico Vidal, Stefano Martelossi, Paola Midrio
{"title":"Ulcerative Colitis of the Neovagina in a Toddler with Cloaca and Chronic Kidney Disease.","authors":"Marta Erculiani,&nbsp;Cinzia Zanatta,&nbsp;Enrico Vidal,&nbsp;Stefano Martelossi,&nbsp;Paola Midrio","doi":"10.1055/s-0041-1726868","DOIUrl":"https://doi.org/10.1055/s-0041-1726868","url":null,"abstract":"<p><p>The case of a toddler with long-channel cloaca, mild chronic kidney disease (CKD) due to renal dysplasia, and early onset of ulcerative colitis (UC) is herein reported. The patient underwent definitive repair of cloaca, that included vaginal elongation with colon, at 5 months of age and was admitted for episodes of vaginal bleeding at 22 months of age. A vaginoscopy revealed a severe inflammation of the colonic neovagina. As rectal bleeding was also noticed, she underwent a colonscopy that showed the same macroscopic inflammatory picture. Neovaginal and colonic biopsies confirmed UC. The mother turned out to be affected by UC since adolescence. The patient is now on oral therapy with mesalazine and topical steroid and mesalazine in the neovagina. The association between cloaca and inflammatory bowel disease (IBD) is anecdotal, but the family history of IBD should be considered when planning the surgical reconstruction of patients with cloaca. In this patient, the occurrence of UC may require a new neovagina in the future and the concomitance of CKD may complicate the overall management due to the potential nephrotoxicity of drugs used for UC therapy.</p>","PeriodicalId":43204,"journal":{"name":"European Journal of Pediatric Surgery Reports","volume":"9 1","pages":"e33-e36"},"PeriodicalIF":0.6,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0041-1726868","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39024793","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: 3
Anorectal Malformation with Rectovestibular Fistula and Vaginal Agenesis: Usage of Rectovestibular Fistula as a Neovagina Followed by PSARP with Preservation of the Anal Sphincter. 肛门直肠畸形伴直肠前庭瘘和阴道缺失：使用直肠膀胱瘘作为新阴道，然后进行保留肛门括约肌的 PSARP。
IF 0.6
European Journal of Pediatric Surgery Reports Pub Date : 2021-01-01 Epub Date: 2021-07-12 DOI: 10.1055/s-0041-1728725
Antonio Dessanti, Osnel Louisma, Gabriel Steve Pierre, Nguhien Thanh Liem
{"title":"Anorectal Malformation with Rectovestibular Fistula and Vaginal Agenesis: Usage of Rectovestibular Fistula as a Neovagina Followed by PSARP with Preservation of the Anal Sphincter.","authors":"Antonio Dessanti, Osnel Louisma, Gabriel Steve Pierre, Nguhien Thanh Liem","doi":"10.1055/s-0041-1728725","DOIUrl":"10.1055/s-0041-1728725","url":null,"abstract":"<p><p>Anorectal malformation with rectovestibular fistula associated with vaginal agenesis is rare. We report on a child in whom this combination was diagnosed at the age of 1 year. After creation of a divided descending colostomy, we chose to leave the rectum-rectovestibular fistula to function as a neovagina, while the sigmoid colon was relocated via modified posterior sagittal anorectoplasty. The colostomy was closed 6 months after the main surgery. After a follow-up of 3 years, the patient is continent for stool and urine. The introitus of the neovagina appears wide and easy to explore. We conclude that our surgical approach may be a good option for these children.</p>","PeriodicalId":43204,"journal":{"name":"European Journal of Pediatric Surgery Reports","volume":"9 1","pages":"e51-e55"},"PeriodicalIF":0.6,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8276751/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39196828","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
Delayed Diagnosis of a Pyloric Web Causing Gastric Outlet Obstruction in a 13-Month-Old Girl. 13个月大女婴幽门网引起胃出口梗阻的延迟诊断。
IF 0.6
European Journal of Pediatric Surgery Reports Pub Date : 2021-01-01 Epub Date: 2021-03-03 DOI: 10.1055/s-0041-1723017
Mohammed Elifranji, Jisha Sankar, Israa Abdelrasool, Guy Brisseau
{"title":"Delayed Diagnosis of a Pyloric Web Causing Gastric Outlet Obstruction in a 13-Month-Old Girl.","authors":"Mohammed Elifranji,&nbsp;Jisha Sankar,&nbsp;Israa Abdelrasool,&nbsp;Guy Brisseau","doi":"10.1055/s-0041-1723017","DOIUrl":"https://doi.org/10.1055/s-0041-1723017","url":null,"abstract":"<p><p>Pyloric web is a rare cause of gastric outlet obstruction. Classical pyloric web can be diagnosed by obtaining a patient history, physical examination, and plain abdominal X-ray, whereas a perforated web leads to incomplete intestinal obstruction. Delayed diagnosis is rare, and the definite diagnosis is made by upper endoscopy. In this report, we report a case of a girl in whom a pyloric web was diagnosed at the age of 13 months.</p>","PeriodicalId":43204,"journal":{"name":"European Journal of Pediatric Surgery Reports","volume":"9 1","pages":"e20-e22"},"PeriodicalIF":0.6,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0041-1723017","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25445446","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
Advantage of Using 8K Ultra-High-Definition Television System for Kasai Portoenterostomy for Biliary Atresia. 8K超高清电视系统在开赛门肠造口术治疗胆道闭锁中的优势
IF 0.6
European Journal of Pediatric Surgery Reports Pub Date : 2021-01-01 Epub Date: 2021-01-27 DOI: 10.1055/s-0040-1721466
Hisayuki Miyagi, Daisuke Ishii, Masatoshi Hirasawa, Tatsuya Shonaka, Yasuo Sumi, Nobuyoshi Azuma
{"title":"Advantage of Using 8K Ultra-High-Definition Television System for Kasai Portoenterostomy for Biliary Atresia.","authors":"Hisayuki Miyagi,&nbsp;Daisuke Ishii,&nbsp;Masatoshi Hirasawa,&nbsp;Tatsuya Shonaka,&nbsp;Yasuo Sumi,&nbsp;Nobuyoshi Azuma","doi":"10.1055/s-0040-1721466","DOIUrl":"https://doi.org/10.1055/s-0040-1721466","url":null,"abstract":"<p><p>Kasai portoenterostomy (KPE) is currently the first-line treatment for biliary atresia. Many pediatric surgeons have reported that the dissection of the fibrous remnant at the porta hepatis is one of the most important components of this procedure. Furthermore, laparoscopic portoenterostomy is being increasingly used to treat biliary atresia. An advantage of laparoscopic surgery is that surgeons can more easily identify microbiliary ducts, owing to the magnification. We report the case of a 61-day-old girl on whom we performed an exploratory laparotomy and diagnosed type III biliary atresia using intraoperative cholangiography. For the first time, we performed an open KPE using an 8K ultra-high-definition television system. This allowed us to clearly view the porta hepatis and to successfully perform the portoenterostomy.</p>","PeriodicalId":43204,"journal":{"name":"European Journal of Pediatric Surgery Reports","volume":"9 1","pages":"e5-e8"},"PeriodicalIF":0.6,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0040-1721466","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25324934","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: 1
Neonatal Microsurgical Repair of a Congenital Abdominal Aortic Aneurysm with a Cadaveric Graft. 尸体移植修复新生儿先天性腹主动脉瘤的显微外科手术。
IF 0.6
European Journal of Pediatric Surgery Reports Pub Date : 2021-01-01 Epub Date: 2021-03-03 DOI: 10.1055/s-0041-1723019
Annie Le-Nguyen, Shahrzad Joharifard, Geneviève Côté, Daniel Borsuk, Rafik Ghali, Michel Lallier
{"title":"Neonatal Microsurgical Repair of a Congenital Abdominal Aortic Aneurysm with a Cadaveric Graft.","authors":"Annie Le-Nguyen,&nbsp;Shahrzad Joharifard,&nbsp;Geneviève Côté,&nbsp;Daniel Borsuk,&nbsp;Rafik Ghali,&nbsp;Michel Lallier","doi":"10.1055/s-0041-1723019","DOIUrl":"https://doi.org/10.1055/s-0041-1723019","url":null,"abstract":"<p><p>Congenital abdominal aortic aneurysms (AAA) are an extremely rare entity. We present the case of a female fetus diagnosed with an AAA on routine prenatal ultrasound. A postnatal computed tomography angiogram revealed an infrarenal AAA with a narrow proximal neck. Surgery was performed on day of life 14 using a cadaveric femoral artery graft. The proximal anastomosis was performed under the microscope given the severity of the aortic stenosis and the proximity of the renal arteries. The patient's postoperative course was uneventful and she is developing normally 1 year after surgery. The graft remains permeable, albeit with evidence of proximal and distal stenosis and graft calcification on imaging.</p>","PeriodicalId":43204,"journal":{"name":"European Journal of Pediatric Surgery Reports","volume":"9 1","pages":"e23-e27"},"PeriodicalIF":0.6,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0041-1723019","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25445447","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: 4
Thoracoscopic Repair of Congenital Diaphragmatic Hernia in Preterm Neonate at 1 Kilogram. 1公斤早产儿先天性膈疝的胸腔镜修补术。
IF 0.6
European Journal of Pediatric Surgery Reports Pub Date : 2021-01-01 Epub Date: 2021-01-28 DOI: 10.1055/s-0040-1721473
Muhammad Choudhry, Simona Rusu, Peter Brooks, Enitan Ogundipe, Shu-Ling Chuang
{"title":"Thoracoscopic Repair of Congenital Diaphragmatic Hernia in Preterm Neonate at 1 Kilogram.","authors":"Muhammad Choudhry,&nbsp;Simona Rusu,&nbsp;Peter Brooks,&nbsp;Enitan Ogundipe,&nbsp;Shu-Ling Chuang","doi":"10.1055/s-0040-1721473","DOIUrl":"https://doi.org/10.1055/s-0040-1721473","url":null,"abstract":"<p><p>We report the first successful primary thoracoscopic repair of congenital diaphragmatic hernia (CDH) in a preterm infant born at 28 weeks of gestation weighing 1,043 g. Left-sided CDH was incidentally diagnosed on postnatal chest X-ray on day 1. The neonate subsequently underwent thoracoscopic repair with primary closure of the defect on day 8 weighing 1,150 g. Intraoperative arterial blood gas monitoring including end tidal carbon-dioxide remained within normal range throughout. Postoperative recovery was uneventful. One year neurodevelopmental outcome was normal for age with no CDH recurrence.</p>","PeriodicalId":43204,"journal":{"name":"European Journal of Pediatric Surgery Reports","volume":"9 1","pages":"e13-e16"},"PeriodicalIF":0.6,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0040-1721473","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25324936","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: 2
Skip Segment Hirschsprung Disease Managed by Pull-Through of the Right Colon. 右结肠拉通术治疗跳过段先天性巨结肠病。
IF 0.6
European Journal of Pediatric Surgery Reports Pub Date : 2021-01-01 Epub Date: 2021-03-25 DOI: 10.1055/s-0041-1726347
Hira Ahmad, Alejandra Vilanova-Sánchez, Isabel Amengual, Laura Guerra-Pastrian, Marta Garrido-Pontnou, Cristina Montalvo, Alba Bueno, Jacob Langer, Richard J Wood, Marc A Levitt
{"title":"Skip Segment Hirschsprung Disease Managed by Pull-Through of the Right Colon.","authors":"Hira Ahmad,&nbsp;Alejandra Vilanova-Sánchez,&nbsp;Isabel Amengual,&nbsp;Laura Guerra-Pastrian,&nbsp;Marta Garrido-Pontnou,&nbsp;Cristina Montalvo,&nbsp;Alba Bueno,&nbsp;Jacob Langer,&nbsp;Richard J Wood,&nbsp;Marc A Levitt","doi":"10.1055/s-0041-1726347","DOIUrl":"https://doi.org/10.1055/s-0041-1726347","url":null,"abstract":"<p><p>Hirschsprung disease is the most common neurocristopathy in children, resulting in the congenital loss of enteric ganglia. Rare reports of skip lesions have previously been reported in the literature. We present a case of skip lesions known prior to surgery and managed by pull-through of the right colon that allowed the preservation of the colon.</p>","PeriodicalId":43204,"journal":{"name":"European Journal of Pediatric Surgery Reports","volume":"9 1","pages":"e28-e32"},"PeriodicalIF":0.6,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0041-1726347","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25536339","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
Posterior Mediastinal and Cutaneous Back Hemangiomas in Infants: A New Association. 婴儿后纵隔和皮肤背部血管瘤:一种新的关联。
IF 0.6
European Journal of Pediatric Surgery Reports Pub Date : 2021-01-01 Epub Date: 2021-05-12 DOI: 10.1055/s-0040-1721408
Amr AbdelHamid AbouZeid, Shaimaa Abdelsattar Mohammad, Heba Gomaa Aly, Iman Ahmed Ragab
{"title":"Posterior Mediastinal and Cutaneous Back Hemangiomas in Infants: A New Association.","authors":"Amr AbdelHamid AbouZeid,&nbsp;Shaimaa Abdelsattar Mohammad,&nbsp;Heba Gomaa Aly,&nbsp;Iman Ahmed Ragab","doi":"10.1055/s-0040-1721408","DOIUrl":"https://doi.org/10.1055/s-0040-1721408","url":null,"abstract":"<p><p>Infantile hemangiomas (IHs) are common vascular tumors. In most cases, a benign course with favorable outcome can be anticipated. IH typically present as cutaneous lesions either with a localized or diffuse segmental distribution. Segmental hemangiomas in the face may be associated with brain and cardiac anomalies (PHACES syndrome), whereas airway involvement has been reported to be associated with hemangiomas in the \"beard\" area. Multiple cutaneous hemangiomas may be associated with visceral hemangiomas (commonly in the liver). In this report, we present a new association where deep paravertebral hemangiomatous lesions were observed to be associated with cutaneous back hemangiomas in two consecutive cases.</p>","PeriodicalId":43204,"journal":{"name":"European Journal of Pediatric Surgery Reports","volume":"9 1","pages":"e37-e40"},"PeriodicalIF":0.6,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0040-1721408","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38997008","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: 2
Loop Ileostomy in Europe's Tiniest Male Newborn for Meconium-Related Ileus. 环形回肠造口术治疗欧洲最小男婴粪相关肠梗阻。
IF 0.6
European Journal of Pediatric Surgery Reports Pub Date : 2021-01-01 Epub Date: 2021-03-03 DOI: 10.1055/s-0040-1721406
Holger Till, Georg Singer, Christoph Castellani, Berndt Urlesberger
{"title":"Loop Ileostomy in Europe's Tiniest Male Newborn for Meconium-Related Ileus.","authors":"Holger Till,&nbsp;Georg Singer,&nbsp;Christoph Castellani,&nbsp;Berndt Urlesberger","doi":"10.1055/s-0040-1721406","DOIUrl":"https://doi.org/10.1055/s-0040-1721406","url":null,"abstract":"<p><p>With the advances of neonatology, the survival rate for \"live-born periviable fetuses\" weighing < 300 g, a subgroup of extremely low birth weight (BW) infants, has improved over the past 10 years. Meconium-related ileus (MRI) represents an early postnatal hazard, and, if medical evacuation fails, a surgical challenge in such immature babies. We report the interdisciplinary management of surgically treated MRI in a newborn with a BW of 273 g. According to the worldwide database held by the University of Iowa, he is registered as the tiniest male newborn in Europe. The boy was born in the 25th gestational week by cesarean section after a triplet pregnancy with twin-twin transfusion syndrome, him being the donor. He had a BW of 273 g, whereas his brothers had a BW of 740 g and 722 g. Cardiopulmonary stabilization and ventilation were successful. He developed MRI unresponsive to medical treatment. On day 14 of life, a minilaparotomy was performed in the right lower quadrant to externalize a loop of the distal ileum in a no-touch technique. Despite the small diameter of only 2 mm, a standard loop ileostomy could be fashioned. There were no intra- or postoperative abdominal complications. Bowel function and weight gain were adequate and the ileostomy was closed electively 5 months later at a body weight of 3.5 kg. In summary, minilaparotomy and loop ileostomy placement were effective to treat surgical MRI in Europe's tiniest male newborn. With the advances of neonatology, pediatric surgery reaches new frontiers as well.</p>","PeriodicalId":43204,"journal":{"name":"European Journal of Pediatric Surgery Reports","volume":"9 1","pages":"e17-e19"},"PeriodicalIF":0.6,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0040-1721406","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25445445","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
Congenital Anterior Urethrocutaneous Fistula with a Persistent Urethral Groove. 先天性前尿道瘘伴持续性尿道沟。
IF 0.6
European Journal of Pediatric Surgery Reports Pub Date : 2021-01-01 Epub Date: 2021-01-29 DOI: 10.1055/s-0040-1721469
Hazem Mosa, Massimo Garriboli
{"title":"Congenital Anterior Urethrocutaneous Fistula with a Persistent Urethral Groove.","authors":"Hazem Mosa,&nbsp;Massimo Garriboli","doi":"10.1055/s-0040-1721469","DOIUrl":"https://doi.org/10.1055/s-0040-1721469","url":null,"abstract":"<p><p>Congenital anterior urethrocutaneous fistula (CAUF) is a rare penile anomaly with only 63 cases reported in the literature. The anomaly can present in isolation or in association with chordee or hypospadias. We report the case of an 8-month-old boy with CAUF that resembles the embryological urethral groove. On examination, a wide urethral groove was noted to cover the midshaft of the penis with a well formed urethra extending proximally and distally and with a normal glandular anatomy, a wide glandular meatus, and a complete foreskin. The urethral groove was tubularized and covered in layers. Surgery was complicated with early superficial skin dehiscence not affecting the urethral repair. Refashioning of the skin was then performed. A satisfactory aesthetic and functional outcome was observed at 7 years' follow-up. Defining the anatomy of CAUF and distal urethra is key in management of these children.</p>","PeriodicalId":43204,"journal":{"name":"European Journal of Pediatric Surgery Reports","volume":"9 1","pages":"e9-e12"},"PeriodicalIF":0.6,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0040-1721469","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25324935","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: 1
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