European Journal of Pediatric Surgery Reports最新文献_第6页

Technical Considerations in Primary Repair of a Congenital Prostatic Rectourethral Fistula in an Adult-Sized Patient. 成人先天性前列腺直肠尿道瘘一期修复的技术考虑。

IF 0.6

European Journal of Pediatric Surgery Reports Pub Date : 2022-02-12 eCollection Date: 2022-01-01 DOI: 10.1055/s-0041-1742155

Timothy F Tirrell, Farokh R Demehri, Prathima Nandivada, Erin R McNamara, Belinda Hsi Dickie

{"title":"Technical Considerations in Primary Repair of a Congenital Prostatic Rectourethral Fistula in an Adult-Sized Patient.","authors":"Timothy F Tirrell, Farokh R Demehri, Prathima Nandivada, Erin R McNamara, Belinda Hsi Dickie","doi":"10.1055/s-0041-1742155","DOIUrl":"https://doi.org/10.1055/s-0041-1742155","url":null,"abstract":"Congenital anorectal malformations are generally diagnosed and repaired as a neonate or infant, but repair is sometimes delayed. Considerations for operative repair change as the patient approaches full stature. We recently encountered a 17-year-old male with an unrepaired congenital rectourethral fistula and detail our experience with his repair. We elected to utilize a combined abdominal and perineal approach, with robotic assistance for division of his rectourethral fistula and pullthrough anoplasty. Cystoscopy was used simultaneously to assure full dissection of the fistula and to minimize the risk of leaving a remnant of the original fistula (also known as a posterior urethral diverticulum). The procedure was well tolerated without complications. His anoplasty was evaluated 60 days postoperatively and was well healed without stricture. At 9 months of follow-up, he has good fecal and urinary continence. Robotic assistance in this procedure allowed minimal perineal dissection while ensuring precise rectourethral fistula dissection. The length of the intramural segment of the fistula was longer than anticipated. Simultaneous cystoscopy, in conjunction with the integrated robotic fluorescence system, helped reduce the risk of leaving a remnant of the original fistula.","PeriodicalId":43204,"journal":{"name":"European Journal of Pediatric Surgery Reports","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2022-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8840860/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39927676","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

Writing a Case Report in Pediatric Surgery: A Comprehensive Guideline. 撰写儿科外科病例报告:综合指南。

IF 0.6

European Journal of Pediatric Surgery Reports Pub Date : 2022-02-10 eCollection Date: 2022-01-01 DOI: 10.1055/s-0041-1740935

Xiaoyan Feng, Richard Wagner, Silvia Rogers, Martin Lacher, Ophelia Aubert

引用次数: 3

Indocyanine Green (ICG)-Guided Identification of Hypermetabolic Pancreatic Nodules in Focal Congenital Hyperinsulinism: A Case Report in a 3-Month-Old Infant. 吲哚菁绿(ICG)引导鉴别局灶性先天性高胰岛素血症的高代谢胰腺结节:1例3个月婴儿报告。

IF 0.6

European Journal of Pediatric Surgery Reports Pub Date : 2022-02-08 eCollection Date: 2022-01-01 DOI: 10.1055/s-0042-1742780

Carlos Delgado-Miguel, Antonio Muñoz-Serrano, Lucas Moratilla, María Del Carmen Sarmiento, Miriam Miguel-Ferrero, Nuria Leal, Saturnino Barrena, Leopoldo Martínez

{"title":"Indocyanine Green (ICG)-Guided Identification of Hypermetabolic Pancreatic Nodules in Focal Congenital Hyperinsulinism: A Case Report in a 3-Month-Old Infant.","authors":"Carlos Delgado-Miguel, Antonio Muñoz-Serrano, Lucas Moratilla, María Del Carmen Sarmiento, Miriam Miguel-Ferrero, Nuria Leal, Saturnino Barrena, Leopoldo Martínez","doi":"10.1055/s-0042-1742780","DOIUrl":"https://doi.org/10.1055/s-0042-1742780","url":null,"abstract":"Indocyanine green (ICG)-guided near-infrared fluorescence has been recently adopted in pediatric surgery, although its use in the treatment of congenital hyperinsulinism has not been reported. We present a case of focal congenital hyperinsulinism in which ICG-navigation with ICG was used during surgical treatment. A 3-month-old infant was referred to our institution from a peripheral hospital for episodes of persistent hypoglycemia since birth, with no response to intravenous treatment with diazoxide, octreotide, or hydrochlorothiazide. An abdominal positron emission tomography-computed tomography scan showed a hypermetabolic nodule in the proximal portion of the body of the pancreas, compatible with focal congenital hyperinsulinism. A heterozygous mutation in the ABCC gene (Ala1516Glyfs*19) frameshift type inherited from the father was identified, which supported this diagnosis. Laparoscopy-assisted surgery was performed with ICG-guided near-infrared fluorescence, with intravenous injection of 16 mg ICG (2 mg/mg), which allowed localization of the focal lesion in the body of the pancreas. The lesion was resected with bipolar electrocautery and intraoperative histological study confirmed complete resection. Plasma glucose values normalized 6 hours after surgery and the patient was discharged 5 days later. In conclusion, the use of ICG in the treatment of congenital hyperinsulinism helps to identify hypermetabolic pancreatic nodules, decreasing the likelihood of incomplete resection.","PeriodicalId":43204,"journal":{"name":"European Journal of Pediatric Surgery Reports","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2022-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8824696/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39915603","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

Umbilical Cord Teratoma Presenting as Ruptured Omphalocele. 脐带畸胎瘤表现为脐膨出破裂。

IF 0.6

European Journal of Pediatric Surgery Reports Pub Date : 2022-02-03 eCollection Date: 2022-01-01 DOI: 10.1055/s-0041-1741509

Fabian Doktor, Jan-Hendrik Gosemann, Peter Zimmermann, Manuela Siekmeyer, Holger Stepan, Martin Lacher

引用次数: 0

Porous Ceramic Sternal Prosthesis Implantation in a 13-Year-Old Patient Presenting with Metastatic Ewing's Sarcoma. 多孔陶瓷胸骨假体植入术治疗一例13岁转移性尤文氏肉瘤。

IF 0.6

European Journal of Pediatric Surgery Reports Pub Date : 2022-01-15 eCollection Date: 2022-01-01 DOI: 10.1055/s-0041-1740328

Nicolas Mainard, Dyuti Sharma, Damien Fron, Aurélie Mezel, Federico Canavese, Michel Bonnevalle, Eric Nectoux

{"title":"Porous Ceramic Sternal Prosthesis Implantation in a 13-Year-Old Patient Presenting with Metastatic Ewing's Sarcoma.","authors":"Nicolas Mainard, Dyuti Sharma, Damien Fron, Aurélie Mezel, Federico Canavese, Michel Bonnevalle, Eric Nectoux","doi":"10.1055/s-0041-1740328","DOIUrl":"https://doi.org/10.1055/s-0041-1740328","url":null,"abstract":"Ewing's sarcoma is the second most frequent primary malignant bone tumor in adolescents and young adults. Locations on the thoracic wall represent up to 20% of primary and secondary locations. We present the case of a 13-year-old patient treated with the use of a radiolucency porous bioceramic prosthesis as a sternal replacement for a wide tumor resection in an oncologic context. Focal radiation therapy was not possible due to the high risk of severe myocardial injuries caused by the sternal location of the tumor. The sternum CERAMIL® (I.CERAM, Limoges, France), in porous alumina (Al 2 O 3 ) has already been implanted into adults in sternal replacement during its invasion by a tumor or its infectious destruction. There were no complication concerning the surgery. The last follow-up at 2 years postoperatively reveals a satisfactory clinical situation with any functional thoracic complaint and nor any functional respiratory symptoms. The porous alumina sternal prosthesis offers a reliable alternative for sternal replacement indications for children in an oncologic context.","PeriodicalId":43204,"journal":{"name":"European Journal of Pediatric Surgery Reports","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2022-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8761061/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39695778","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

Ventrally Fused Conjoined Twins (Omphaloischiopagus): A Roadmap to Successful Separation 腹侧融合连体双胞胎:成功分离的路线图

IF 0.6

European Journal of Pediatric Surgery Reports Pub Date : 2022-01-01 DOI: 10.1055/s-0042-1743579

A. AbouZeid, S. Mohammad, A. Radwan, L. Eldieb, Y. El-Gendy, H. Ibrahim, A. Amer, T. Shabana, H. Elzahaby, A. Elbarbary, M. Saleh, T. Abdelaziz, S. Elbeshry, S. Abdel-Hay, A. El-Ghoneimi, Ahmad Zaki

{"title":"Ventrally Fused Conjoined Twins (Omphaloischiopagus): A Roadmap to Successful Separation","authors":"A. AbouZeid, S. Mohammad, A. Radwan, L. Eldieb, Y. El-Gendy, H. Ibrahim, A. Amer, T. Shabana, H. Elzahaby, A. Elbarbary, M. Saleh, T. Abdelaziz, S. Elbeshry, S. Abdel-Hay, A. El-Ghoneimi, Ahmad Zaki","doi":"10.1055/s-0042-1743579","DOIUrl":"https://doi.org/10.1055/s-0042-1743579","url":null,"abstract":"Conjoined twining is one of the most fascinating and challenging situations which a pediatric surgeon may face in his career. Only few surgeons may have the opportunity to share in separation of such cases. In this report, we aim to share our experience with the successful separation of ventrally fused male conjoined twins (omphaloischiopagus). The case was thoroughly studied via preoperative cross-sectional imaging modalities (magnetic resonance imaging [MRI] and computed tomography [CT] angiography), complemented by data obtained from reviewing similar cases in the literature. A clear delineation of the complex anatomy was achieved preoperatively which proved to be well consistent with the operative findings. A detailed description of the operative procedure to divide/redistribute the shared abdominal/pelvic organs between both twins is provided. To the best of our knowledge, this is the first report to describe the detailed and unique internal anatomy of a common central phallus associating ischiopagus conjoined twins. The penis was centrally located in the perineum in between both twins with an open urethral plate. This common phallus had a peculiar configuration with four crura anchoring ischial bones of both twins together.","PeriodicalId":43204,"journal":{"name":"European Journal of Pediatric Surgery Reports","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45641090","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: 1

Battery Ingestion with Colonic Perforation after Colostomy Closure in a Toddler 幼儿结肠造口术后电池误食并结肠穿孔

IF 0.6

European Journal of Pediatric Surgery Reports Pub Date : 2022-01-01 DOI: 10.1055/s-0041-1741558

Annamarie C. Lukish, V. Pat, Anisha M. Apte, M. Levitt

{"title":"Battery Ingestion with Colonic Perforation after Colostomy Closure in a Toddler","authors":"Annamarie C. Lukish, V. Pat, Anisha M. Apte, M. Levitt","doi":"10.1055/s-0041-1741558","DOIUrl":"https://doi.org/10.1055/s-0041-1741558","url":null,"abstract":"Disc and button battery ingestion in children is common. In fact, data reports a dramatic increase in battery ingestion during the coronavirus disease 2019 pandemic likely as a result of increased household population density and electronic product utilization. These batteries often remain lodged in the esophagus causing potentially devastating complications if they are not removed urgently. Batteries that are passed beyond the esophagus usually do not cause any complications. We present the case of a 15-month-old male who underwent a colostomy takedown 2 months following a posterior sagittal anorectoplasty for imperforate anus. He recovered quickly, was advanced on his diet, and was discharged to home on postoperative day 3. On postoperative day 5 following the stoma closure, he presented with an acute abdomen, pneumoperitoneum and an abdominal X-ray that revealed a 21 mm disc battery in the left lower quadrant. He underwent exploration and the battery was found perforating the anastomosis. There was significant fibropurulent exudate and inflammation. The battery was removed, the anastomosis was excised, and a colostomy with Hartman's pouch was performed. The toddler recovered uneventfully. This case offers an opportunity to discuss the concerns of battery ingestion and postoperative care following intestinal surgery in children. We could find no other similar reports in the world's literature of a disrupted colonic anastomosis due to battery ingestion.","PeriodicalId":43204,"journal":{"name":"European Journal of Pediatric Surgery Reports","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44409231","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: 1

Clinical Quiz—Newborn Female with an Anorectal Malformation and a Gynecological Abnormality 临床测验-新生儿肛门直肠畸形和妇科异常

IF 0.6

European Journal of Pediatric Surgery Reports Pub Date : 2022-01-01 DOI: 10.1055/s-0041-1741508

Anisha M. Apte, Allison Mayhew, E. McKenna, V. Gomez-Lobo, M. Levitt

引用次数: 0

Bilateral Native Kidney Papillary Renal Cell Carcinomas in a 11-Year-Old Renal Transplant Patient. 11岁儿童肾移植患者双侧原生肾乳头状肾细胞癌。

IF 0.6

European Journal of Pediatric Surgery Reports Pub Date : 2022-01-01 DOI: 10.1055/s-0042-1759546

Çiğdem Ulukaya Durakbaşa, Deniz Ugurlu, Sabriye Gulcin Bozbeyoglu, Sinem Aydoner, Hatice Seneldir, Mehmet Onur Candir, Cengiz Candan, Atilla Gemici

{"title":"Bilateral Native Kidney Papillary Renal Cell Carcinomas in a 11-Year-Old Renal Transplant Patient.","authors":"Çiğdem Ulukaya Durakbaşa, Deniz Ugurlu, Sabriye Gulcin Bozbeyoglu, Sinem Aydoner, Hatice Seneldir, Mehmet Onur Candir, Cengiz Candan, Atilla Gemici","doi":"10.1055/s-0042-1759546","DOIUrl":"https://doi.org/10.1055/s-0042-1759546","url":null,"abstract":"Renal cell carcinomas (RCCs) are the most common renal tumors in adults and are usually sporadic and unilateral. Renal transplant recipients have an increased risk of developing RCC. RCC development after kidney transplantation is very rarely reported in children. We present a 11-year-old boy who had cadaveric kidney transplantation for kidney failure 2 years ago. He was under immunosuppressive therapy and presented with microscopic hematuria. An ultrasound (US) revealed bilateral solid renal masses. Further cross-sectional imaging showed a 60 × 70 × 60-mm right renal mass with claw sign and a 5 × 6 × 6-mm mass in the left renal lower pole. A bilateral radical nephroureterectomy of native kidneys was performed. The pathology revealed bilateral papillary RCC without TFE3 upregulation. The patient was kept on low-dose immunosuppressive therapy in the perioperative period. He received no chemotherapy but a close radiological surveillance was undertaken. He is tumor-free 2 years after the operation. RCC is a rare tumor for children and bilateralism is even rarer. The child had a history of chronic kidney disease, peritoneal dialysis, and immunosuppressive therapy. As there are no standardized protocols regarding imaging in transplanted kidneys routine surveillance, US follow-up should also focus on detecting malignancy.","PeriodicalId":43204,"journal":{"name":"European Journal of Pediatric Surgery Reports","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9719804/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10737933","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

Intraneural Ganglion of the Peroneal Nerve—A Rare Cause of Pediatric Peroneal Nerve Palsy: A Case Report 腓骨神经神经内神经节——小儿腓骨神经麻痹的罕见病因1例

IF 0.6

European Journal of Pediatric Surgery Reports Pub Date : 2022-01-01 DOI: 10.1055/s-0042-1742608

F. Bucher, Vincent Maerz, D. Obed, P. M. Vogt, B. Weyand

{"title":"Intraneural Ganglion of the Peroneal Nerve—A Rare Cause of Pediatric Peroneal Nerve Palsy: A Case Report","authors":"F. Bucher, Vincent Maerz, D. Obed, P. M. Vogt, B. Weyand","doi":"10.1055/s-0042-1742608","DOIUrl":"https://doi.org/10.1055/s-0042-1742608","url":null,"abstract":"Intraneural ganglia are benign mucinous cysts located within the epineurium of a peripheral nerve. The pathogenesis and formation of intraneural ganglia are controversial. The main theories described in the literature are of degenerative, synovial or de novo occurrence. We present the case of a 14-year-old boy who presented in our outpatient clinic with a complaint of interdigital neuralgia between hallux and second toe, as well as left foot drop. MRI examination showed a hyperintense cystic distension of the common peroneal nerve measuring 130 mm × 5 mm extending from the poplitea to the anterior compartment of the leg. We performed microscopic decompression and neurolysis surgery. The cyst showed a sac-like distension at its distal end with connection to the tibiofibular joint and was resected. After 8 weeks, postoperatively, the boy claimed to be pain-free and slight recovery of the superficial peroneal nerve was noticed. At 6 months postoperative, the patient showed a continuous improvement of motor function, demonstrating foot eversion with 3/5 muscle strength and foot extension with 2/5 muscle strength. Intraneural ganglia reported for pediatric patients represent a very rare entity. To the best of our knowledge, less than 15 cases have been described within the English-speaking literature.","PeriodicalId":43204,"journal":{"name":"European Journal of Pediatric Surgery Reports","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41460321","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: 3