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European Journal of Pediatric Surgery Reports最新文献

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Delayed Detection of a Carcinoid Tumor after Conservative Therapy for Appendicitis in a 13-Year-Old Boy and a 17-Year-Old Girl. 一例13岁男孩和17岁女孩阑尾炎保守治疗后延迟发现类癌。
IF 0.6
European Journal of Pediatric Surgery Reports Pub Date : 2021-11-10 eCollection Date: 2021-01-01 DOI: 10.1055/s-0041-1728723
Leonie Annina Korsch, Thomas Michael Boemers, Peter Zimmermann, Martin Stenzel, Wera Wendenburg
{"title":"Delayed Detection of a Carcinoid Tumor after Conservative Therapy for Appendicitis in a 13-Year-Old Boy and a 17-Year-Old Girl.","authors":"Leonie Annina Korsch,&nbsp;Thomas Michael Boemers,&nbsp;Peter Zimmermann,&nbsp;Martin Stenzel,&nbsp;Wera Wendenburg","doi":"10.1055/s-0041-1728723","DOIUrl":"https://doi.org/10.1055/s-0041-1728723","url":null,"abstract":"<p><p>Acute appendicitis is common in children and adolescents. Recently, conservative antibiotic treatment is regarded to be a safe approach to treat uncomplicated appendicitis. It is already established as initial treatment in cases of perforated appendicitis with perityphlitic abscess, commonly followed by interval appendectomy. We report on a 13-year-old boy with uncomplicated appendicitis and a 17-year-old girl with complicated, perforated appendicitis and perityphlitic abscess in whom initially successful antibiotic treatment led to a delay in detection of a carcinoid tumor (neuroendocrine tumor, NET) of the appendix. NET of the appendix, with an incidence of 0.03 to 0.8% in the pediatric population undergoing appendectomy for acute appendicitis, are usually incidental findings after appendectomy with no secure method for detection prior to surgery. Raising concern about this rare but severe disease, we recommend information of patients and their parents about the potential risk of belated diagnosis before opting for conservative their treatment of acute appendicitis. Furthermore, patients successfully treated conservatively require a close follow-up by ultrasound. In presence of any conspicuous finding, especially on imaging, appendectomy should be considered.</p>","PeriodicalId":43204,"journal":{"name":"European Journal of Pediatric Surgery Reports","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2021-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8580733/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39732081","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: 2
Severe Spontaneous Pneumomediastinum in a Girl with Cystic Fibrosis. 女童囊性纤维化伴严重自发性纵隔气肿1例。
IF 0.6
European Journal of Pediatric Surgery Reports Pub Date : 2021-10-01 eCollection Date: 2021-01-01 DOI: 10.1055/s-0041-1731274
Csaba Zsiborás, Mária Adonyi, József Stankovics, András Farkas, Peter Vajda, Barnabás Rózsai
{"title":"Severe Spontaneous Pneumomediastinum in a Girl with Cystic Fibrosis.","authors":"Csaba Zsiborás,&nbsp;Mária Adonyi,&nbsp;József Stankovics,&nbsp;András Farkas,&nbsp;Peter Vajda,&nbsp;Barnabás Rózsai","doi":"10.1055/s-0041-1731274","DOIUrl":"https://doi.org/10.1055/s-0041-1731274","url":null,"abstract":"<p><p>We report on an 11-year-old girl with cystic fibrosis who presented with thoracic pain and an extensive subcutaneous emphysema and subsequently developed progressive respiratory distress. The chest computed tomography revealed a huge pneumomediastinum. Due to the development of severe respiratory failure, urgent needle thoracocentesis was necessary that resulted in only temporary improvement. Therefore, under general anesthesia two mediastinal drains were introduced. Using active suction, the size of the pneumomediastinum decreased gradually and the drains were removed after 3 weeks. Here, we describe an extremely rare situation, when acute surgical intervention was necessary in a child with spontaneous pneumomediastinum.</p>","PeriodicalId":43204,"journal":{"name":"European Journal of Pediatric Surgery Reports","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8486495/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39516439","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
Preoperative Embolization Facilitates Segmental Resection of Pulmonary Sequestration in an Infant. 术前栓塞有利于婴儿肺隔离的节段性切除。
IF 0.6
European Journal of Pediatric Surgery Reports Pub Date : 2021-01-01 Epub Date: 2021-01-27 DOI: 10.1055/s-0040-1721043
Dilan Prasad, Christopher Pennell, Lindsay Grier Arthur, Rajeev Prasad
{"title":"Preoperative Embolization Facilitates Segmental Resection of Pulmonary Sequestration in an Infant.","authors":"Dilan Prasad,&nbsp;Christopher Pennell,&nbsp;Lindsay Grier Arthur,&nbsp;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":null,"pages":null},"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}
引用次数: 1
Posterior Cloacal Variant with Clitorolabial Transposition and a Rectoperineal Fistula. 后阴囊变异性伴阴蒂移位和直肠会阴瘘。
IF 0.6
European Journal of Pediatric Surgery Reports Pub Date : 2021-01-01 Epub Date: 2021-05-18 DOI: 10.1055/s-0041-1728724
Niveshni Maistry, Giulia Brisighelli, Chris Westgarth-Taylor
{"title":"Posterior Cloacal Variant with Clitorolabial Transposition and a Rectoperineal Fistula.","authors":"Niveshni Maistry,&nbsp;Giulia Brisighelli,&nbsp;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":null,"pages":null},"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}
引用次数: 0
Ulcerative Colitis of the Neovagina in a Toddler with Cloaca and Chronic Kidney Disease. 患有泄殖腔和慢性肾脏疾病的幼儿新阴道溃疡性结肠炎。
IF 0.6
European Journal of Pediatric Surgery Reports Pub Date : 2021-01-01 Epub Date: 2021-05-18 DOI: 10.1055/s-0041-1726868
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,&nbsp;Cinzia Zanatta,&nbsp;Enrico Vidal,&nbsp;Stefano Martelossi,&nbsp;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":null,"pages":null},"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}
引用次数: 3
Anorectal Malformation with Rectovestibular Fistula and Vaginal Agenesis: Usage of Rectovestibular Fistula as a Neovagina Followed by PSARP with Preservation of the Anal Sphincter. 肛门直肠畸形伴直肠前庭瘘和阴道缺失：使用直肠膀胱瘘作为新阴道，然后进行保留肛门括约肌的 PSARP。
IF 0.6
European Journal of Pediatric Surgery Reports Pub Date : 2021-01-01 Epub Date: 2021-07-12 DOI: 10.1055/s-0041-1728725
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":null,"pages":null},"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}
引用次数: 0
Delayed Diagnosis of a Pyloric Web Causing Gastric Outlet Obstruction in a 13-Month-Old Girl. 13个月大女婴幽门网引起胃出口梗阻的延迟诊断。
IF 0.6
European Journal of Pediatric Surgery Reports Pub Date : 2021-01-01 Epub Date: 2021-03-03 DOI: 10.1055/s-0041-1723017
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,&nbsp;Jisha Sankar,&nbsp;Israa Abdelrasool,&nbsp;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":null,"pages":null},"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}
引用次数: 0
Neonatal Microsurgical Repair of a Congenital Abdominal Aortic Aneurysm with a Cadaveric Graft. 尸体移植修复新生儿先天性腹主动脉瘤的显微外科手术。
IF 0.6
European Journal of Pediatric Surgery Reports Pub Date : 2021-01-01 Epub Date: 2021-03-03 DOI: 10.1055/s-0041-1723019
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,&nbsp;Shahrzad Joharifard,&nbsp;Geneviève Côté,&nbsp;Daniel Borsuk,&nbsp;Rafik Ghali,&nbsp;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":null,"pages":null},"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}
引用次数: 4
Advantage of Using 8K Ultra-High-Definition Television System for Kasai Portoenterostomy for Biliary Atresia. 8K超高清电视系统在开赛门肠造口术治疗胆道闭锁中的优势
IF 0.6
European Journal of Pediatric Surgery Reports Pub Date : 2021-01-01 Epub Date: 2021-01-27 DOI: 10.1055/s-0040-1721466
Hisayuki Miyagi, Daisuke Ishii, Masatoshi Hirasawa, Tatsuya Shonaka, Yasuo Sumi, Nobuyoshi Azuma
{"title":"Advantage of Using 8K Ultra-High-Definition Television System for Kasai Portoenterostomy for Biliary Atresia.","authors":"Hisayuki Miyagi,&nbsp;Daisuke Ishii,&nbsp;Masatoshi Hirasawa,&nbsp;Tatsuya Shonaka,&nbsp;Yasuo Sumi,&nbsp;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":null,"pages":null},"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}
引用次数: 1
Thoracoscopic Repair of Congenital Diaphragmatic Hernia in Preterm Neonate at 1 Kilogram. 1公斤早产儿先天性膈疝的胸腔镜修补术。
IF 0.6
European Journal of Pediatric Surgery Reports Pub Date : 2021-01-01 Epub Date: 2021-01-28 DOI: 10.1055/s-0040-1721473
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,&nbsp;Simona Rusu,&nbsp;Peter Brooks,&nbsp;Enitan Ogundipe,&nbsp;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":null,"pages":null},"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}
引用次数: 2
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