Dilan Prasad, Christopher Pennell, Lindsay Grier Arthur, Rajeev Prasad
{"title":"Preoperative Embolization Facilitates Segmental Resection of Pulmonary Sequestration in an Infant.","authors":"Dilan Prasad, Christopher Pennell, Lindsay Grier Arthur, Rajeev Prasad","doi":"10.1055/s-0040-1721043","DOIUrl":"https://doi.org/10.1055/s-0040-1721043","url":null,"abstract":"<p><p>The most common congenital lung malformations are congenital pulmonary airway malformations and pulmonary sequestrations. Many surgeons advocate resection to prevent complications of infection, malignancy, and pneumothorax. The standard of care is lobectomy, but segmentectomy and embolization alone have been reported. These methods avoid the complications of lobectomy but are not widely practiced due to concerns about incomplete resection or involution of the lesion. We present a novel approach to the treatment of a pulmonary sequestration in a 7-month-old male using preoperative embolization followed by a sublobar pulmonary resection. The embolization clearly demarcated the affected lung intraoperatively, thereby facilitating complete removal of the lesion with a segmental lung resection rather than complete lobectomy.</p>","PeriodicalId":43204,"journal":{"name":"European Journal of Pediatric Surgery Reports","volume":"9 1","pages":"e1-e4"},"PeriodicalIF":0.6,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0040-1721043","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25325645","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}
Niveshni Maistry, Giulia Brisighelli, Chris Westgarth-Taylor
{"title":"Posterior Cloacal Variant with Clitorolabial Transposition and a Rectoperineal Fistula.","authors":"Niveshni Maistry, Giulia Brisighelli, Chris Westgarth-Taylor","doi":"10.1055/s-0041-1728724","DOIUrl":"https://doi.org/10.1055/s-0041-1728724","url":null,"abstract":"<p><p>We present a case and discuss the management of a posterior cloacal variant not as yet described in the literature. A 5-week-old infant presented to our institution with a posterior cloacal variant and transposition of the clitoris and labia. After initial radiological investigations, staged operative intervention was performed over a 1-year period. This included an initial laparotomy (with drainage of hydrocolpos and formation of a colostomy), a left ureteric reimplantation and a posterior sagittal anorectoplasty due to a rectoperineal fistula. The child is under continued long-term follow-up by our specialist pediatric surgical team.</p>","PeriodicalId":43204,"journal":{"name":"European Journal of Pediatric Surgery Reports","volume":"9 1","pages":"e46-e49"},"PeriodicalIF":0.6,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0041-1728724","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39011891","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}
Marta Erculiani, Cinzia Zanatta, Enrico Vidal, Stefano Martelossi, Paola Midrio
{"title":"Ulcerative Colitis of the Neovagina in a Toddler with Cloaca and Chronic Kidney Disease.","authors":"Marta Erculiani, Cinzia Zanatta, Enrico Vidal, Stefano Martelossi, Paola Midrio","doi":"10.1055/s-0041-1726868","DOIUrl":"https://doi.org/10.1055/s-0041-1726868","url":null,"abstract":"<p><p>The case of a toddler with long-channel cloaca, mild chronic kidney disease (CKD) due to renal dysplasia, and early onset of ulcerative colitis (UC) is herein reported. The patient underwent definitive repair of cloaca, that included vaginal elongation with colon, at 5 months of age and was admitted for episodes of vaginal bleeding at 22 months of age. A vaginoscopy revealed a severe inflammation of the colonic neovagina. As rectal bleeding was also noticed, she underwent a colonscopy that showed the same macroscopic inflammatory picture. Neovaginal and colonic biopsies confirmed UC. The mother turned out to be affected by UC since adolescence. The patient is now on oral therapy with mesalazine and topical steroid and mesalazine in the neovagina. The association between cloaca and inflammatory bowel disease (IBD) is anecdotal, but the family history of IBD should be considered when planning the surgical reconstruction of patients with cloaca. In this patient, the occurrence of UC may require a new neovagina in the future and the concomitance of CKD may complicate the overall management due to the potential nephrotoxicity of drugs used for UC therapy.</p>","PeriodicalId":43204,"journal":{"name":"European Journal of Pediatric Surgery Reports","volume":"9 1","pages":"e33-e36"},"PeriodicalIF":0.6,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0041-1726868","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39024793","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}
Antonio Dessanti, Osnel Louisma, Gabriel Steve Pierre, Nguhien Thanh Liem
{"title":"Anorectal Malformation with Rectovestibular Fistula and Vaginal Agenesis: Usage of Rectovestibular Fistula as a Neovagina Followed by PSARP with Preservation of the Anal Sphincter.","authors":"Antonio Dessanti, Osnel Louisma, Gabriel Steve Pierre, Nguhien Thanh Liem","doi":"10.1055/s-0041-1728725","DOIUrl":"10.1055/s-0041-1728725","url":null,"abstract":"<p><p>Anorectal malformation with rectovestibular fistula associated with vaginal agenesis is rare. We report on a child in whom this combination was diagnosed at the age of 1 year. After creation of a divided descending colostomy, we chose to leave the rectum-rectovestibular fistula to function as a neovagina, while the sigmoid colon was relocated via modified posterior sagittal anorectoplasty. The colostomy was closed 6 months after the main surgery. After a follow-up of 3 years, the patient is continent for stool and urine. The introitus of the neovagina appears wide and easy to explore. We conclude that our surgical approach may be a good option for these children.</p>","PeriodicalId":43204,"journal":{"name":"European Journal of Pediatric Surgery Reports","volume":"9 1","pages":"e51-e55"},"PeriodicalIF":0.6,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8276751/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39196828","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}
Mohammed Elifranji, Jisha Sankar, Israa Abdelrasool, Guy Brisseau
{"title":"Delayed Diagnosis of a Pyloric Web Causing Gastric Outlet Obstruction in a 13-Month-Old Girl.","authors":"Mohammed Elifranji, Jisha Sankar, Israa Abdelrasool, Guy Brisseau","doi":"10.1055/s-0041-1723017","DOIUrl":"https://doi.org/10.1055/s-0041-1723017","url":null,"abstract":"<p><p>Pyloric web is a rare cause of gastric outlet obstruction. Classical pyloric web can be diagnosed by obtaining a patient history, physical examination, and plain abdominal X-ray, whereas a perforated web leads to incomplete intestinal obstruction. Delayed diagnosis is rare, and the definite diagnosis is made by upper endoscopy. In this report, we report a case of a girl in whom a pyloric web was diagnosed at the age of 13 months.</p>","PeriodicalId":43204,"journal":{"name":"European Journal of Pediatric Surgery Reports","volume":"9 1","pages":"e20-e22"},"PeriodicalIF":0.6,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0041-1723017","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25445446","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}
{"title":"Advantage of Using 8K Ultra-High-Definition Television System for Kasai Portoenterostomy for Biliary Atresia.","authors":"Hisayuki Miyagi, Daisuke Ishii, Masatoshi Hirasawa, Tatsuya Shonaka, Yasuo Sumi, Nobuyoshi Azuma","doi":"10.1055/s-0040-1721466","DOIUrl":"https://doi.org/10.1055/s-0040-1721466","url":null,"abstract":"<p><p>Kasai portoenterostomy (KPE) is currently the first-line treatment for biliary atresia. Many pediatric surgeons have reported that the dissection of the fibrous remnant at the porta hepatis is one of the most important components of this procedure. Furthermore, laparoscopic portoenterostomy is being increasingly used to treat biliary atresia. An advantage of laparoscopic surgery is that surgeons can more easily identify microbiliary ducts, owing to the magnification. We report the case of a 61-day-old girl on whom we performed an exploratory laparotomy and diagnosed type III biliary atresia using intraoperative cholangiography. For the first time, we performed an open KPE using an 8K ultra-high-definition television system. This allowed us to clearly view the porta hepatis and to successfully perform the portoenterostomy.</p>","PeriodicalId":43204,"journal":{"name":"European Journal of Pediatric Surgery Reports","volume":"9 1","pages":"e5-e8"},"PeriodicalIF":0.6,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0040-1721466","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25324934","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}
Annie Le-Nguyen, Shahrzad Joharifard, Geneviève Côté, Daniel Borsuk, Rafik Ghali, Michel Lallier
{"title":"Neonatal Microsurgical Repair of a Congenital Abdominal Aortic Aneurysm with a Cadaveric Graft.","authors":"Annie Le-Nguyen, Shahrzad Joharifard, Geneviève Côté, Daniel Borsuk, Rafik Ghali, Michel Lallier","doi":"10.1055/s-0041-1723019","DOIUrl":"https://doi.org/10.1055/s-0041-1723019","url":null,"abstract":"<p><p>Congenital abdominal aortic aneurysms (AAA) are an extremely rare entity. We present the case of a female fetus diagnosed with an AAA on routine prenatal ultrasound. A postnatal computed tomography angiogram revealed an infrarenal AAA with a narrow proximal neck. Surgery was performed on day of life 14 using a cadaveric femoral artery graft. The proximal anastomosis was performed under the microscope given the severity of the aortic stenosis and the proximity of the renal arteries. The patient's postoperative course was uneventful and she is developing normally 1 year after surgery. The graft remains permeable, albeit with evidence of proximal and distal stenosis and graft calcification on imaging.</p>","PeriodicalId":43204,"journal":{"name":"European Journal of Pediatric Surgery Reports","volume":"9 1","pages":"e23-e27"},"PeriodicalIF":0.6,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0041-1723019","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25445447","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}
Muhammad Choudhry, Simona Rusu, Peter Brooks, Enitan Ogundipe, Shu-Ling Chuang
{"title":"Thoracoscopic Repair of Congenital Diaphragmatic Hernia in Preterm Neonate at 1 Kilogram.","authors":"Muhammad Choudhry, Simona Rusu, Peter Brooks, Enitan Ogundipe, Shu-Ling Chuang","doi":"10.1055/s-0040-1721473","DOIUrl":"https://doi.org/10.1055/s-0040-1721473","url":null,"abstract":"<p><p>We report the first successful primary thoracoscopic repair of congenital diaphragmatic hernia (CDH) in a preterm infant born at 28 weeks of gestation weighing 1,043 g. Left-sided CDH was incidentally diagnosed on postnatal chest X-ray on day 1. The neonate subsequently underwent thoracoscopic repair with primary closure of the defect on day 8 weighing 1,150 g. Intraoperative arterial blood gas monitoring including end tidal carbon-dioxide remained within normal range throughout. Postoperative recovery was uneventful. One year neurodevelopmental outcome was normal for age with no CDH recurrence.</p>","PeriodicalId":43204,"journal":{"name":"European Journal of Pediatric Surgery Reports","volume":"9 1","pages":"e13-e16"},"PeriodicalIF":0.6,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0040-1721473","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25324936","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, Alejandra Vilanova-Sánchez, Isabel Amengual, Laura Guerra-Pastrian, Marta Garrido-Pontnou, Cristina Montalvo, Alba Bueno, Jacob Langer, Richard J Wood, Marc A Levitt
{"title":"Skip Segment Hirschsprung Disease Managed by Pull-Through of the Right Colon.","authors":"Hira Ahmad, Alejandra Vilanova-Sánchez, Isabel Amengual, Laura Guerra-Pastrian, Marta Garrido-Pontnou, Cristina Montalvo, Alba Bueno, Jacob Langer, Richard J Wood, Marc A Levitt","doi":"10.1055/s-0041-1726347","DOIUrl":"https://doi.org/10.1055/s-0041-1726347","url":null,"abstract":"<p><p>Hirschsprung disease is the most common neurocristopathy in children, resulting in the congenital loss of enteric ganglia. Rare reports of skip lesions have previously been reported in the literature. We present a case of skip lesions known prior to surgery and managed by pull-through of the right colon that allowed the preservation of the colon.</p>","PeriodicalId":43204,"journal":{"name":"European Journal of Pediatric Surgery Reports","volume":"9 1","pages":"e28-e32"},"PeriodicalIF":0.6,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0041-1726347","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25536339","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}
Amr AbdelHamid AbouZeid, Shaimaa Abdelsattar Mohammad, Heba Gomaa Aly, Iman Ahmed Ragab
{"title":"Posterior Mediastinal and Cutaneous Back Hemangiomas in Infants: A New Association.","authors":"Amr AbdelHamid AbouZeid, Shaimaa Abdelsattar Mohammad, Heba Gomaa Aly, Iman Ahmed Ragab","doi":"10.1055/s-0040-1721408","DOIUrl":"https://doi.org/10.1055/s-0040-1721408","url":null,"abstract":"<p><p>Infantile hemangiomas (IHs) are common vascular tumors. In most cases, a benign course with favorable outcome can be anticipated. IH typically present as cutaneous lesions either with a localized or diffuse segmental distribution. Segmental hemangiomas in the face may be associated with brain and cardiac anomalies (PHACES syndrome), whereas airway involvement has been reported to be associated with hemangiomas in the \"beard\" area. Multiple cutaneous hemangiomas may be associated with visceral hemangiomas (commonly in the liver). In this report, we present a new association where deep paravertebral hemangiomatous lesions were observed to be associated with cutaneous back hemangiomas in two consecutive cases.</p>","PeriodicalId":43204,"journal":{"name":"European Journal of Pediatric Surgery Reports","volume":"9 1","pages":"e37-e40"},"PeriodicalIF":0.6,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0040-1721408","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38997008","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}