European Journal of Pediatric Surgery Reports最新文献_第2页

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":"12 1","pages":"e50-e53"},"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":"12 1","pages":"e45-e49"},"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

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":"12 1","pages":"e38-e40"},"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

Repair of complex esophageal atresia with tracheobronchial remnant using special magnets. 使用特殊磁铁修复伴有气管支气管残余的复杂食道闭锁。

IF 0.6

European Journal of Pediatric Surgery Reports Pub Date : 2024-02-02 eCollection Date: 2024-01-01 DOI: 10.1055/s-0044-1779042

Charlotte Reich, Elena Weigl, Anne-Sophie Holler, William Lee, Michael Harrison, Oliver J Muensterer

{"title":"Repair of complex esophageal atresia with tracheobronchial remnant using special magnets.","authors":"Charlotte Reich, Elena Weigl, Anne-Sophie Holler, William Lee, Michael Harrison, Oliver J Muensterer","doi":"10.1055/s-0044-1779042","DOIUrl":"10.1055/s-0044-1779042","url":null,"abstract":"Esophageal atresia (EA) repair can be complicated by associated malformations such as a tracheobronchial remnant in the distal esophagus. We describe our experience with a patient found to have long-gap EA with a distal cartilaginous ring who was managed using a combination of esophageal lengthening and magnetic compression anastomosis. A 5-month-old girl was referred to us from an outside hospital with type C EA including a very high upper pouch. She had undergone a prior thoracotomy with fistula ligation during which a clip was placed on the lower esophagus, leaving a 2-cm diverticulum on the trachea and a short lower esophageal pouch. Upon endoscopic evaluation at our center, we found a tracheobronchial remnant in the lower esophagus between the clip and the carina. An open thoracotomy was performed to approximate the esophageal pouches and a magnet anchor (Connect EA, Myka Laboratories, San Francisco, California, United States) was placed retrograde through the distal esophageal cartilaginous ring into the lower pouch. On postoperative day 8, after adequate growth and decreased pouch tension, a second magnetic anchor was placed endoscopically to the upper pouch to mate with the previously placed lower pouch anchor. The anastomosis formed within 14 days. Due to the tracheobronchial remnant, the device did not pass distally and was removed endoscopically. On postoperative day 8, balloon dilation of the anastomosis and tracheobronchial remnant was performed. Subsequently, the patient required a total of 6 dilations in an 18-month follow-up. This case report illustrates the utility of using magnets to create an esophageal anastomosis in complex cases of EA with concomitant esophageal malformations. The parents of the patient gave their written consent to publish this technical report.","PeriodicalId":43204,"journal":{"name":"European Journal of Pediatric Surgery Reports","volume":"12 1","pages":"e33-e37"},"PeriodicalIF":0.6,"publicationDate":"2024-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10837038/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139681721","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

Ureteroinguinal Herniation with Consecutive Ureteral Stricture in a 2-Month-Old Infant: Case Report. 一名 2 个月大婴儿的输尿管腹股沟疝气伴连续性输尿管狭窄：病例报告。

IF 0.6

European Journal of Pediatric Surgery Reports Pub Date : 2024-01-22 eCollection Date: 2024-01-01 DOI: 10.1055/s-0044-1779253

Carlos Delgado-Miguel, Antonio Jesus Muñoz-Serrano, Pablo Aguado, Ennio Fuentes, Ricardo Díez

{"title":"Ureteroinguinal Herniation with Consecutive Ureteral Stricture in a 2-Month-Old Infant: Case Report.","authors":"Carlos Delgado-Miguel, Antonio Jesus Muñoz-Serrano, Pablo Aguado, Ennio Fuentes, Ricardo Díez","doi":"10.1055/s-0044-1779253","DOIUrl":"10.1055/s-0044-1779253","url":null,"abstract":"Inguinal herniation of ureter is an uncommon finding among children, with scarce reported cases in the literature to date, that can potentially lead to obstructive uropathy. We report a case of ureteroinguinal herniation discovered during an inguinal hernia repair in a patient with antenatally ultrasound finding of hydronephrosis. A 2-month-old infant with antenatal left hydronephrosis presented with left inguinal mass. Preoperative ultrasound showed an anechoic tubular image producing a mass effect on the left testicle, with suspected bladder herniation and/or dilated ureter toward the inguinal canal. An open surgical inguinal exploration was performed, where the left inguinal canal revealed a peritoneal sac and sliding of the dilated left ureter behind the sac, with a significant change in diameter, corresponding to the paraperitoneal variant of ureteroinguinal herniation. Ligation of the sac and replacement of the ureter into the retroperitoneum were performed, with improvement in the hydronephrosis observed on the ultrasound 1 month after the intervention. However, 6 months later, hydronephrosis worsening as well as the obstructive pattern observed in the diuretic renogram required removal of the stenotic ureteral segment and reimplantation of the healthy proximal segment in the bladder by open approach (Cohen's reimplantation). Follow-up ultrasound of the renal tract showed no dilatation of the upper renal tract and the renal function tests were normal. Currently, the patient is 2 years old and he remains asymptomatic. In conclusion, s igns of ureteral obstruction such as hydronephrosis in patients with inguinal herniation may suggest the possibility of an ureteroinguinal hernia. Preoperative diagnostic suspicion is essential.","PeriodicalId":43204,"journal":{"name":"European Journal of Pediatric Surgery Reports","volume":"12 1","pages":"e16-e19"},"PeriodicalIF":0.6,"publicationDate":"2024-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10803183/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139522051","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

Torsion of an Accessory Liver Lobe in a Newborn. 新生儿附属肝叶扭转

IF 0.6

European Journal of Pediatric Surgery Reports Pub Date : 2024-01-15 eCollection Date: 2024-01-01 DOI: 10.1055/s-0043-1778663

Tobias Krause, Dietmar Cholewa, Benjamin Liniger, Steffen Berger, Milan Milosevic

{"title":"Torsion of an Accessory Liver Lobe in a Newborn.","authors":"Tobias Krause, Dietmar Cholewa, Benjamin Liniger, Steffen Berger, Milan Milosevic","doi":"10.1055/s-0043-1778663","DOIUrl":"10.1055/s-0043-1778663","url":null,"abstract":"Accessory liver lobes are rare. We present the rare case of torsion of an accessory liver lobe in a neonate. A 13-day-old newborn presented with failure to thrive and hematemesis without fever. The initial workup with sonography, magnetic resonance imaging, and upper gastrointestinal study was suspicious of a duplication cyst, most likely in the posterior wall of the stomach. Laboratory and radiological findings were not suggesting a choledochal cyst. We performed a laparotomy with resection of the 3.2 × 2.1 × 1.1 cm mass. Intraoperatively, the cystic formation extended from of the liver bed up to the lesser curvature of the stomach. The mass was attached to the left liver lobe with fibrous bands. Histopathology revealed necrotic liver parenchyma with patent viable biliary ducts, indicative of an accessory liver lobe that underwent torsion in the perinatal period. The postoperative course and follow-up (6 months so far) were uneventful. To our knowledge, this is the youngest described patient in the literature with an accessory liver lobe torsion and the second case report concerning this entity in a neonate. It presents an extremely rare differential diagnosis in symptomatic neonates with a cystic mass in the upper abdomen.","PeriodicalId":43204,"journal":{"name":"European Journal of Pediatric Surgery Reports","volume":"12 1","pages":"e7-e10"},"PeriodicalIF":0.6,"publicationDate":"2024-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10789581/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139479544","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

Unintentional Suture Fistula Between the Proximal and Distal Esophagus in a Preterm Neonate with Type C Esophageal Atresia 一名患有 C 型食道闭锁的早产新生儿食道近端和远端之间的意外缝合瘘

IF 0.6

European Journal of Pediatric Surgery Reports Pub Date : 2023-12-13 DOI: 10.1055/a-2227-6252

Julia Emma Menso, Maud A Reijntjes, Carlijn Mussies, M. V. van Wijk, Sander Zwaveling

引用次数: 0

Missed proximal tracheoesophageal fistula (TEF) in a neonate with Type D esophageal atresia 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 : 2023-12-13 DOI: 10.1055/a-2227-6389

Julia Emma Menso, Maud A Reijntjes, M. Oomen, Rico Npm Rinkel, Suzanne WJ Terheggen - Lagro, Ramon Gorter

引用次数: 0