Eugenie Chariot, Anna Poupalou, Julie Estievenart, Martine Dassonville, Erwin Vanderveken, Henri Steyaert
{"title":"Pyloric Mucosal Diaphragm Associated with Hypertrophic Pyloric Stenosis: An Unusual Combination in a Male Neonate.","authors":"Eugenie Chariot, Anna Poupalou, Julie Estievenart, Martine Dassonville, Erwin Vanderveken, Henri Steyaert","doi":"10.1055/s-0040-1713809","DOIUrl":"https://doi.org/10.1055/s-0040-1713809","url":null,"abstract":"<p><p>We describe herein the case of a 3-week-old baby with persistent nonbilious vomiting, due to a hypertrophic pyloric stenosis (HPS) associated with a congenital pyloric mucosal diaphragm. So far, an association between the two conditions has not been described. The diagnosis of a pyloric mucosal diaphragm was delayed because of its cooccurrence with HPS.</p>","PeriodicalId":43204,"journal":{"name":"European Journal of Pediatric Surgery Reports","volume":"8 1","pages":"e56-e58"},"PeriodicalIF":0.6,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0040-1713809","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38262644","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}
Martina Ichino, Francesco Macchini, Anna Morandi, Nicola Persico, Isabella Fabietti, Andrea Zanini, Ernesto Leva
{"title":"Combined Pre- and Postnatal Minimally Invasive Approach to Complicated Pulmonary Sequestrations.","authors":"Martina Ichino, Francesco Macchini, Anna Morandi, Nicola Persico, Isabella Fabietti, Andrea Zanini, Ernesto Leva","doi":"10.1055/s-0040-1713901","DOIUrl":"https://doi.org/10.1055/s-0040-1713901","url":null,"abstract":"Abstract Pulmonary sequestration (PS) is mostly asymptomatic but there is a proportion of fetuses that develop hydrops, leading to fetal or neonatal death. Fetal treatments are available, but postnatal management of the residual lesions is not uniformly defined. We present two cases of combined pre- and postnatal minimally invasive approach to complicated extra-lobar PS. Patient 1 presented with complicated PS at 31 weeks of gestation. Ultrasound-guided laser coagulation of the anomalous artery was successful. The patient was born asymptomatic at 38 weeks. Neonatal magnetic resonance imaging (MRI) showed a residual mass, confirmed by computed tomography (CT) at 6 months. No systemic artery was described, but perfusion was present. We decided for thoracoscopic resection. A residual artery was identified and sealed. Patient 2 presented with complicated PS at 25 weeks of gestation, underwent laser coagulation of the anomalous artery and was born asymptomatic at 38 weeks. Neonatal MRI showed persistence of the lesion, confirmed by CT scan at 4 months. We proceeded with thoracoscopic resection. A residual vessel was ligated. The patients 1 and 2 are now 24 and 21 months old, respectively, and healthy. Prenatal treatment of complicated PS is a life-saving procedure. Postnatal thoracoscopic resection of the residual lesion is feasible and safe; we believe it is the best course of treatment to grant the complete excision of the malformation.","PeriodicalId":43204,"journal":{"name":"European Journal of Pediatric Surgery Reports","volume":"8 1","pages":"e62-e67"},"PeriodicalIF":0.6,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0040-1713901","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38408233","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}
Hira Ahmad, Devin R Halleran, Raquel Quintanilla, Alessandra C Gasior, Richard J Wood, Marc A Levitt
{"title":"A Hirschsprung Pull-through, \"with a Twist\".","authors":"Hira Ahmad, Devin R Halleran, Raquel Quintanilla, Alessandra C Gasior, Richard J Wood, Marc A Levitt","doi":"10.1055/s-0040-1717128","DOIUrl":"https://doi.org/10.1055/s-0040-1717128","url":null,"abstract":"<p><p>Hirschsprung disease is the most common neurocristopathy in children, resulting in the congenital loss of enteric ganglia. Surgery, which involves resecting the aganglionic segment and restoring bowel continuity, usually results in a good outcome; however, some patients suffer from multiple episodes of enterocolitis and other obstructive symptoms. A contrast enema, examination under anesthesia, and rectal biopsy can identify the cause of obstruction in many cases, including a rare explanation, a twist of the pull-through, a case of which we present here.</p>","PeriodicalId":43204,"journal":{"name":"European Journal of Pediatric Surgery Reports","volume":"8 1","pages":"e95-e98"},"PeriodicalIF":0.6,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0040-1717128","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38747142","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}
A. Geljić, S. Abdovic, Fran Štampalija, Lana Lončar, B. A. Tripalo, M. Cuk
{"title":"An Unusual Case of Syringohydromyelia Presenting with Neurogenic Bladder","authors":"A. Geljić, S. Abdovic, Fran Štampalija, Lana Lončar, B. A. Tripalo, M. Cuk","doi":"10.1055/s-0039-1697925","DOIUrl":"https://doi.org/10.1055/s-0039-1697925","url":null,"abstract":"Abstract We report the case of a 4-year-old boy who first presented with acute pyelonephritis at the age of 6 months. Diagnostic workup revealed high-grade bilateral vesicourethral reflux (VUR). At the age of 18 months, a bulking agent was used to treat bilateral VUR. Since the VUR persisted, an open bilateral Lich-Gregoir procedure was done at the age of 3 years. Immediately after surgery, he developed acute urinary retention with hydronephrosis that resolved with the placement of dwelling urinary catheter. After removal of the catheter urinary retention relapsed so placement of suprapubic urinary catheter was indicated since he did not have sensory loss. He was started with tamsulosin (α − 1-blocker) and prophylactic antibiotics. Urodynamics were performed and suggested bladder outlet obstruction. On the basis of previous urethroscopy and the absence of neurological sequelae, the differential diagnosis of Hinman syndrome was made. After removal of the suprapubic catheter, clean intermittent catheterization was started and α-blocker continued. However, magnetic resonance imaging of the brain and the spinal cord revealed syringohydromyelia extending from thoracic spine (Th5) to conus medullaris with 6 to 7 mm in diameter. Electromyoneurogram was normal. After a follow-up of 3 years, the hydronephrosis has resolved. The patient is on clean intermittent catherization and has no urinary tract infections.","PeriodicalId":43204,"journal":{"name":"European Journal of Pediatric Surgery Reports","volume":"7 1","pages":"e79 - e82"},"PeriodicalIF":0.6,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0039-1697925","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42536417","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}
Susan Jehangir, S. Soundappan, Micheal Krivanek, S. Arbuckle, N. Graf
{"title":"Pullthrough Operation for Hirschsprung's Disease: Importance of a Circumferential (Donut) Biopsy at the Level of the Anastomosis","authors":"Susan Jehangir, S. Soundappan, Micheal Krivanek, S. Arbuckle, N. Graf","doi":"10.1055/s-0039-1693494","DOIUrl":"https://doi.org/10.1055/s-0039-1693494","url":null,"abstract":"Abstract Hirschsprung's disease is characterized by the absence of ganglia in the distal colon, resulting in a functional obstruction. It is managed by excision of the aganglionic segment and anastomosis of the ganglionated bowel just above the dentate line. The level of aganglionosis is determined by performing multiple seromuscular biopsies and/or full thickness biopsy on the antimesenteric border of the bowel to determine the level of pullthrough. The transition zone is described as being irregular, and hence a doughnut biopsy is recommended so that the complete circumference can be assessed. Herein, we described a child in whom there was a selective absence of ganglion cells in 30% of the circumference of the bowel along the mesenteric border for most of the transverse colon. This case defies the known concept of neural migration in an intramural and transmesenteric fashion and emphasizes the importance of a doughnut biopsy of the pulled-down segment.","PeriodicalId":43204,"journal":{"name":"European Journal of Pediatric Surgery Reports","volume":"7 1","pages":"e55 - e57"},"PeriodicalIF":0.6,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0039-1693494","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49123190","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}
Ahmed Elhaddad, P. Gasparella, C. Castellani, G. Singer, E. Sorantin, Klara Zach, H. Till
{"title":"Laparoscopic Distal Pancreatectomy of a Solid Pseudopapillary Tumor (SPT) Achieves Long-Term Oncologic Safety and Multiorgan Preservation","authors":"Ahmed Elhaddad, P. Gasparella, C. Castellani, G. Singer, E. Sorantin, Klara Zach, H. Till","doi":"10.1055/s-0039-1693999","DOIUrl":"https://doi.org/10.1055/s-0039-1693999","url":null,"abstract":"Abstract The oncological safety of a laparoscopic approach for solid pseudopapillary tumors (SPTs) of the pancreas remains a matter of debate. We present the long-term follow-up of an adolescent girl with an SPT in the pancreatic tail. A multimodality workup including magnetic resonance imaging (MRI) revealed a complex, spherical mass of 4.4 cm × 3.6 cm × 4 cm most likely located in the pancreatic tail. All routine laboratory investigations and tumor markers were within normal limits (alpha fetoprotein [AFP], cancer antigen 125 [CA125], CA 19–9, carcinoembryonic antigen [CEA], adrenocorticotropic hormone [ACTH]). Diagnostic laparoscopy was performed to verify the origin of the tumor in the pancreatic tail. In a three-port technique the tumor was mobilized of the splenic vessels until a distal pancreatectomy could be completed. Histopathological examination confirmed the complete resection of a low-grade malignant SPT. The postoperative course was unremarkable. Regular pediatric oncological follow-up examinations for 3 years, including MRI every 6 months, ruled out recurrence and confirmed preservation of splenic and pancreatic functions. While data about the technical feasibility of a laparoscopic approach to pancreatic SPT are already available, this pediatric case report adds a long-term oncological and functional success to the available literature.","PeriodicalId":43204,"journal":{"name":"European Journal of Pediatric Surgery Reports","volume":"7 1","pages":"e58 - e62"},"PeriodicalIF":0.6,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0039-1693999","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41813210","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}
A. M. Molina Caballero, A. Pérez Martínez, C. Goñi Orayen, G. Sierra Colomina, A. Lavilla Oiz, Y. Armendariz Cuevas
{"title":"Intravesical Oxybutynin for Urgent Bladder Rescue in a Newborn with Posterior Urethral Valves","authors":"A. M. Molina Caballero, A. Pérez Martínez, C. Goñi Orayen, G. Sierra Colomina, A. Lavilla Oiz, Y. Armendariz Cuevas","doi":"10.1055/s-0039-3399565","DOIUrl":"https://doi.org/10.1055/s-0039-3399565","url":null,"abstract":"Abstract Posterior urethral valves are the most common cause of bladder outlet obstruction in male newborns. Initial catheter drainage alleviates the urethral obstruction before definitive management by valve ablation. Newborns with posterior urethral valves often present with hypercontractile bladders that may inhibit upper tract drainage despite bladder catheterization. Anticholinergic agents are commonly used to treat detrusor hyperactivity, with oxybutynin being the most commonly used. We report the first case of a newborn with posterior urethral valves and ureterovesical junction obstruction caused by detrusor hypertrophy who underwent urgent intravesical instillation of oxybutynin at high doses in an attempt to avoid a diversion procedure.","PeriodicalId":43204,"journal":{"name":"European Journal of Pediatric Surgery Reports","volume":"7 1","pages":"e90 - e92"},"PeriodicalIF":0.6,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0039-3399565","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43086765","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}
Eleni Papageorgiou, Alberto Mantovani, Elena Monti, Caroline Brain, Naima Smeulders, Abraham Cherian
{"title":"Testicular-Epididymal Dissociation: Vas and Vessels May \"Lead up the Garden Path\".","authors":"Eleni Papageorgiou, Alberto Mantovani, Elena Monti, Caroline Brain, Naima Smeulders, Abraham Cherian","doi":"10.1055/s-0039-1688485","DOIUrl":"https://doi.org/10.1055/s-0039-1688485","url":null,"abstract":"<p><p>The vas deferens and spermatic vessels entering the inguinal canal through the internal inguinal ring is thought to exclude an intra-abdominal testis. We present a case of high bilateral intra-abdominal testes on a 46,XY boy despite the vas deferens and good-sized vessels passing through the deep rings. Data were collected from clinical records, radiology (ultrasound, magnetic resonance imaging [MRI]), and endocrine blood tests. This case underlines the importance of following the pathway of embryological descent of the testis cranially as well as caudally during diagnostic laparoscopy, to avoid missing this rare anatomical variant.</p>","PeriodicalId":43204,"journal":{"name":"European Journal of Pediatric Surgery Reports","volume":"7 1","pages":"e96-e99"},"PeriodicalIF":0.6,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0039-1688485","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37486161","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}
A. AbouZeid, S. Mohammad, M. Seada, Khaled Khiamy, R. Gamal
{"title":"Currarino Triad: Importance of Preoperative Magnetic Resonance Imaging","authors":"A. AbouZeid, S. Mohammad, M. Seada, Khaled Khiamy, R. Gamal","doi":"10.1055/s-0039-3399533","DOIUrl":"https://doi.org/10.1055/s-0039-3399533","url":null,"abstract":"Abstract Currarino triad is a rare syndrome that may be occasionally encountered during managing cases of anorectal anomalies. The triad consists of anorectal anomaly, sacral bony defect, and a presacral mass. It may be familial or sporadic, with a reported female predominance. Identification of the characteristic notched sacrum (sacral scimitar) in plain X-ray (anteroposterior view) is considered the key for the diagnosis; however, not infrequently, this radiological sign is overlooked, especially with a small sacral defect. Excision of the presacral cyst is usually performed concomitantly during anorectoplasty. The prone position is the standard approach for posterior sagittal anorectoplasty (PSARP) in males; however, in females, the supine position can be used as an alternative (anterior sagittal anorectoplasty). In this case report, excision of the presacral cyst took place in two steps: the first excision during the PSARP procedure in the prone position, and a second operation in the supine lithotomy position to remove a residual component of the lesion that was missed during the primary operation. It was clear that the supine lithotomy position provided better access to explore the presacral space than the prone position, especially with a deeply located cyst as in our case. The role of magnetic resonance imaging (MRI) in the identification of the exact nature and extent of the lesion before surgery is crucial and should be performed in all cases.","PeriodicalId":43204,"journal":{"name":"European Journal of Pediatric Surgery Reports","volume":"7 1","pages":"e86 - e89"},"PeriodicalIF":0.6,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0039-3399533","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45762170","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}
E. Villamizar, Maria Daniela Moreno Villamizar, Mauricio Pedraza Ciro, Jean A. Pulido, Maria Rodriguez, Juan Carlos Villamizar
{"title":"Esophageal Lung in a Preterm Boy—Report on a Multidisciplinary Treatment","authors":"E. Villamizar, Maria Daniela Moreno Villamizar, Mauricio Pedraza Ciro, Jean A. Pulido, Maria Rodriguez, Juan Carlos Villamizar","doi":"10.1055/s-0039-3400475","DOIUrl":"https://doi.org/10.1055/s-0039-3400475","url":null,"abstract":"Abstract Esophageal lung is a rare entity that results from embryological alterations during the formation of the ventral wall of the anterior intestine. The clinical manifestations of this pathology are vague, including respiratory or digestive symptoms, repetitive respiratory infections, dysphagia, or inability to swallow. The management is based on the exact anatomical and vascular abnormalities. We report the diagnostic and therapeutic approach in a preterm boy with esophageal lung. Also, we present a three-dimensional model for the classification of this pathology. In conclusion, the management relies on proper definition of the anatomy and the surgical strategy.","PeriodicalId":43204,"journal":{"name":"European Journal of Pediatric Surgery Reports","volume":"7 1","pages":"e110 - e113"},"PeriodicalIF":0.6,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0039-3400475","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48552696","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}