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

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":null,"pages":null},"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":null,"pages":null},"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":null,"pages":null},"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

Massive chylous ascites in nine-year-old with malrotation - a case report 九岁儿童腹腔畸形并发大量乳糜腹水--病例报告

IF 0.6

European Journal of Pediatric Surgery Reports Pub Date : 2023-12-04 DOI: 10.1055/a-2221-9682

Hans Winberg, Pär Gerwins, Kristine Hagelsteen

{"title":"Massive chylous ascites in nine-year-old with malrotation - a case report","authors":"Hans Winberg, Pär Gerwins, Kristine Hagelsteen","doi":"10.1055/a-2221-9682","DOIUrl":"https://doi.org/10.1055/a-2221-9682","url":null,"abstract":"Malrotation leading to massive chylous ascites is rare. A nine-year-old girl was investigated for slowly increasing abdominal distension under a year. She had no vomiting, weight loss or pain, but was bothered in social situations. Medical investigations, including ultrasound and CT scans, revealed massive ascites. Laparocentesis yielded milk colored fluid, confirmed as lymph through laboratory analysis. A complete blood count, liver function and hematologic parameters, chyle cytology, bacterial cultures and PCR for tuberculosis were all within normal limits. \u0000She was referred to a tertiary center for vascular anomalies. A dynamic contrast enhanced MR lymphangiography showed normal lymphatic anatomy without leakage or flow obstruction. A whole-body MRI revealed a central mesenteric rotation. \u0000She was referred to a tertiary center for pediatric surgery, where a laparoscopic Ladd’s procedure was performed using a new 5 mm pediatric sealing device, along with an appendectomy using a 5 mm stapler. To derotate the bowel, fenestrations were created in compartments containing a substantial amount of chyle and ascites, resulting in the drainage of 2.4 liters of fluid. She was discharged the day after surgery and has been in good health for one year. We present a video illustrating the Ladd’s procedure steps in this patient.","PeriodicalId":43204,"journal":{"name":"European Journal of Pediatric Surgery Reports","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2023-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138602671","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

Neonatal sacrococcygeal fetiform teratoma containing bowel: A case report 新生儿骶尾骨畸形畸胎瘤含肠1例

European Journal of Pediatric Surgery Reports Pub Date : 2023-11-08 DOI: 10.1055/a-2206-4825

Ashley Toms, Giulia Brisighelli, Tarlia Rasa Govender, Derek Harrison

引用次数: 0

Posterior Sinuplasty: a new strategy for managing hydrocolpos in cloaca – case series 后窦成形术:治疗泄殖腔积液的新策略

European Journal of Pediatric Surgery Reports Pub Date : 2023-11-06 DOI: 10.1055/a-2204-8629

Amr AbdelHamid AbouZeid, Ahmed Saad Abdelmoniem, mohamed abdelrahman, Mohamed Ahmed Negm, Shaimaa Abdelsattar Mohammad

{"title":"Posterior Sinuplasty: a new strategy for managing hydrocolpos in cloaca – case series","authors":"Amr AbdelHamid AbouZeid, Ahmed Saad Abdelmoniem, mohamed abdelrahman, Mohamed Ahmed Negm, Shaimaa Abdelsattar Mohammad","doi":"10.1055/a-2204-8629","DOIUrl":"https://doi.org/10.1055/a-2204-8629","url":null,"abstract":"We present a simple surgical technique aiming to improve urine outflow through the common urogenital sinus in cloaca and facilitate drainage of existing hydrocolpos. The study included three cases of cloaca with associated hydrocolpos that were operated during the period 2022 through 2023. Surgical technique: The patient is placed in the prone position for a standard Posterior Sagittal AnoRectoPlasty (PSARP). The distal rectal fistula is severed flush with the vagina/sinus leaving an open defect in the posterior wall of the vagina/sinus. The defect is then widened distally via a vertical incision (about 1cm) through the posterior wall of the common urogenital sinus towards but not reaching the perineum. This vertical defect is then closed horizontally displacing the posterior vaginal wall downwards towards the perineum (Posterior sinuplasty). The postoperative recovery was uneventful in the three cases. Adequate drainage of hydrocolpos was confirmed by imaging at follow up, as well as improvement of upper urinary tract dilatation. Conclusion: In selected cases of cloaca, posterior sinuplasty is a simple procedure that can be applied during anorectoplasty to provide effective drainage of associated hydrocolpos.","PeriodicalId":43204,"journal":{"name":"European Journal of Pediatric Surgery Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135680019","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

Endobronchial Inflammatory Myofibroblastic Tumor in a 3-Year-Old Child. 3岁儿童支气管内炎性肌成纤维细胞瘤1例。

IF 0.6

European Journal of Pediatric Surgery Reports Pub Date : 2023-03-09 eCollection Date: 2023-01-01 DOI: 10.1055/s-0043-1764289

Riccardo Guanà, Andrea Carpino, Marta Miglietta, Elisa Zambaiti, Alessia Cerrina, Luca Lonati, Francesco Guerrera, Stefano Vallero, Salvatore Garofalo, Marco Bardessono, Francesca Maletta, Steffi Shilly, Fabrizio Gennari

引用次数: 0

Endoscopic Treatment for Nonhypertrophic Idiopathic Pyloric Stenosis in an Adolescent Patient. 非肥厚性特发性幽门狭窄青少年患者的内镜治疗。

IF 0.6

European Journal of Pediatric Surgery Reports Pub Date : 2023-01-01 DOI: 10.1055/s-0043-57040

Carlo Maria Ferlini, Elena De Lorenzi, Cristina Belgiovine, Emanuele Cereda, Silvia Maria Elena Caimmi, Alessandro Raffaele

引用次数: 0