European Journal of Pediatric Surgery Reports最新文献_第3页

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":"40 16","pages":""},"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":"9 6","pages":"0"},"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

Upper Ureteral Reconstruction with a Tapered Descending Colon after Failed Pyeloplasties in a 13-Year-Old Boy. 13岁男孩肾盂成形术失败后输尿管上段以锥形降结肠重建一例。

IF 0.6

European Journal of Pediatric Surgery Reports Pub Date : 2023-01-01 DOI: 10.1055/a-2035-4637

Hideaki Nakajima, Hiroyuki Koga, Seitaro Kosaka, Mao Ikari, Geoffrey J Lane, Atsuyuki Yamataka

{"title":"Upper Ureteral Reconstruction with a Tapered Descending Colon after Failed Pyeloplasties in a 13-Year-Old Boy.","authors":"Hideaki Nakajima, Hiroyuki Koga, Seitaro Kosaka, Mao Ikari, Geoffrey J Lane, Atsuyuki Yamataka","doi":"10.1055/a-2035-4637","DOIUrl":"https://doi.org/10.1055/a-2035-4637","url":null,"abstract":"An 11-year-old boy was referred for further management of a 6-cm-long grossly stenosed ureter following two failed left ureteropelvic junction (UPJ) obstruction repairs elsewhere. A tapered segment of the descending colon (TDC) was used successfully for ureteral reconstruction. The UPJ was exposed through a left flank incision. The stenosed segment was excised; both ends appeared severely inflamed and thickened. Tissue interposition was required and ureteroplasty with a TDC was performed by incising the peritoneum adjacent to the excised ureter to mobilize the descending colon to the retroperitoneal space. To prepare the TDC, an 8-cm segment of the colon with intact blood vessels was isolated, tapered, and sutured into a funnel shape using a 14-Fr catheter as a temporary stent. After colocolostomy, the colon was returned to the abdominal cavity, the peritoneum was closed carefully to prevent vascular compromise, and the TDC was anastomosed to the ureter and renal calyx with interrupted absorbable sutures. A double J stent (DJS) and percutaneous nephrostomy tube were placed. Postoperative recovery was uneventful. The DJS was removed on day 50 after confirming smooth urine flow through both the ureter-TDC and calyx-TDC anastomoses. Diuretic renography performed 68 days postoperatively was unobstructed. The patient is currently well after 12 months follow-up. This would appear to be the first report of a TDC being used to create a funnel-shaped segment to reconstruct a long, grossly stenosed ureter. The TDC is simpler than the re-tubularizing colon but requires monitoring for postoperative mucus-related complications and malignant transformation.","PeriodicalId":43204,"journal":{"name":"European Journal of Pediatric Surgery Reports","volume":"11 1","pages":"e10-e14"},"PeriodicalIF":0.6,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10085642/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9304516","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 Internal Jugular Phlebectasia: An Anomaly Still Poorly Recognized. 先天性颈内静脉扩张:一种仍未被充分认识的异常。

IF 0.6

European Journal of Pediatric Surgery Reports Pub Date : 2023-01-01 DOI: 10.1055/a-2130-3269

Alessandro Raffaele, Marta Gazzaneo, Piero Romano, Maria Sole Prevedoni Gorone, Luigi Avolio

{"title":"Congenital Internal Jugular Phlebectasia: An Anomaly Still Poorly Recognized.","authors":"Alessandro Raffaele, Marta Gazzaneo, Piero Romano, Maria Sole Prevedoni Gorone, Luigi Avolio","doi":"10.1055/a-2130-3269","DOIUrl":"https://doi.org/10.1055/a-2130-3269","url":null,"abstract":"Congenital internal jugular phlebectasia (CIJP) is a rare condition characterized by congenital dilatation of the vein without tortuosity that becomes more evident during straining as a lateral neck mass. CIJP often remains undiagnosed from a few months to several years after the onset of the swelling. It is frequently asymptomatic although symptomatic cases have been occasionally reported. We present the case of a healthy 7-year-old boy with a lateral neck mass, triggered by the Valsalva maneuver. Neck ultrasound (US) showed right internal jugular axial ectasia, increasing during the Valsalva maneuver; contrast computed tomography (CT) scan confirmed a fusiform dilatation of the right internal jugular vein. Due to the lack of symptoms, we treated our patient conservatively. At 5 years of follow-up, the patient is still asymptomatic, with no evidence of complications or thrombosis. Due to its self-limiting nature, treatment for asymptomatic cases of CIJP should be conservative, providing a follow-up with both clinical and US annual evaluations.","PeriodicalId":43204,"journal":{"name":"European Journal of Pediatric Surgery Reports","volume":"11 1","pages":"e40-e43"},"PeriodicalIF":0.6,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10471426/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10142883","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

Successful Sirolimus Treatment for Recurrent Pericardial Effusion in a Large Cervicomediastinal Provisionally Unclassified Vascular Anomaly: A Case Report. 西罗莫司成功治疗颈纵隔大血管异常复发性心包积液1例。

IF 0.6

European Journal of Pediatric Surgery Reports Pub Date : 2023-01-01 DOI: 10.1055/a-2057-7177

Julio César Moreno-Alfonso, María San Basilio Berenguer, María Del Carmen Sarmiento Caldas, Jesús González Cayón, Santiago de la Puente, Paloma Triana, Juan Carlos López-Gutiérrez

{"title":"Successful Sirolimus Treatment for Recurrent Pericardial Effusion in a Large Cervicomediastinal Provisionally Unclassified Vascular Anomaly: A Case Report.","authors":"Julio César Moreno-Alfonso, María San Basilio Berenguer, María Del Carmen Sarmiento Caldas, Jesús González Cayón, Santiago de la Puente, Paloma Triana, Juan Carlos López-Gutiérrez","doi":"10.1055/a-2057-7177","DOIUrl":"https://doi.org/10.1055/a-2057-7177","url":null,"abstract":"Provisionally unclassified vascular anomalies (PUVA) are a group of diseases with unique characteristics that make them unclassifiable within vascular tumors or malformations. We describe a PUVA as the cause of recurrent pericardial effusion and its response to sirolimus. A 6-year-old girl was referred with a cervicothoracic vascular anomaly, a violaceous, and irregular lesion in the neck and upper chest, diagnosed as \"hemangioma\". She had pericardial effusion at the neonatal age that required pericardiocentesis, propranolol, and corticosteroids. She remained stable for 5 years, when she presented with a severe pericardial effusion. A magnetic resonance visualized a diffuse vascular image in the cervical and thoracic region with mediastinal extension. The pathological study showed a vascular proliferation in the dermis and hypodermis with positive staining for Wilms' Tumor 1 Protein (WT1) and negative for Glut-1. Genetic testing found a variant in GNA14 , for which the diagnosis of PUVA was established. When a pericardial drain was placed without response, treatment with sirolimus was started with resolution of the effusion. Sixteen months later, the malformation is stable and there has been no recurrence of pericardial effusion. In a significant group of patients, definitive diagnosis is not possible despite pathological and genetic analysis. Mammalian target of rapamycin inhibitors may become a therapeutic option if symptoms are severe enough, with a low rate of reported side effects.","PeriodicalId":43204,"journal":{"name":"European Journal of Pediatric Surgery Reports","volume":"11 1","pages":"e20-e24"},"PeriodicalIF":0.6,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10191730/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9868952","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

Combined Pre- and Postnatal Minimally Invasive Approach to a Complex Symptomatic Congenital Pulmonary Airway Malformation. 产前产后联合微创治疗复杂症状性先天性肺气道畸形。

IF 0.6

European Journal of Pediatric Surgery Reports Pub Date : 2023-01-01 DOI: 10.1055/a-2107-0409

Francesco Macchini, Stefano Mazzoleni, Giacomo Cavallaro, Nicola Persico, Irene Borzani, Ernesto Leva

{"title":"Combined Pre- and Postnatal Minimally Invasive Approach to a Complex Symptomatic Congenital Pulmonary Airway Malformation.","authors":"Francesco Macchini, Stefano Mazzoleni, Giacomo Cavallaro, Nicola Persico, Irene Borzani, Ernesto Leva","doi":"10.1055/a-2107-0409","DOIUrl":"https://doi.org/10.1055/a-2107-0409","url":null,"abstract":"Congenital pulmonary airway malformation (CPAM) is a rare congenital lung lesion that usually remains asymptomatic during the fetal and neonatal period. However, it can occasionally cause prenatal cardiocirculatory failure and fetal hydrops, requiring a thoraco-amniotic shunt (TAS) placement. In other cases, it can also cause symptoms at birth (such as respiratory distress) and may require urgent surgical intervention. Thoracoscopic lobectomy for neonates is rarely reported. Here, we report a case of right macrocystic CPAM causing fetal hydrops at 27 weeks of gestation. The fetus was treated with a TAS placement that successfully resolved the hydrops. At 39 weeks of gestation, a male neonate was born (weight 2,850 g). The TAS spontaneously displaced during delivery, causing an open pneumothorax (PNX), initially treated with a drainage. His condition gradually worsened, requiring ventilatory support. Computed tomography (CT) scan showed different giant cysts in the context of the right lower lobe, left mediastinal shift, and compression of the rest of the lung. An urgent surgical management was required. A thoracoscopic right lower lobectomy was performed at 10 days of life (weight 2,840 g). The postoperative course was uneventful; the child remained totally asymptomatic and showed a good recovery. To the best of our knowledge, this is the first reported case of open iatrogenic PNX following TAS positioning and the second of neonatal thoracoscopic lobectomy in a newborn weighting less than 3 kg. The purpose of this report is to indicate that minimally invasive surgery is feasible, safe, and effective for the resection of CPAM, even in small newborns.","PeriodicalId":43204,"journal":{"name":"European Journal of Pediatric Surgery Reports","volume":"11 1","pages":"e36-e39"},"PeriodicalIF":0.6,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10370641/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10263729","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

Hyperspectral Imaging-A Novel Tool to Assess Tissue Perfusion and Oxygenation in Esophageal Anastomoses. 高光谱成像-一种评估食管吻合口组织灌注和氧合的新工具。

IF 0.6

European Journal of Pediatric Surgery Reports Pub Date : 2023-01-01 DOI: 10.1055/s-0043-1769106

Duarte Vaz Pimentel, Larissa Merten, Jan-Hendrik Gosemann, Ines Gockel, Boris Jansen-Winkeln, Steffi Mayer, Martin Lacher

引用次数: 0