European Journal of Pediatric Surgery Reports最新文献_第9页

Resection of an Extraovarian Noniuteinized Thecoma in a 14-Year-Old Girl 14岁女孩卵巢外非卵泡化囊肿的切除

IF 0.6

European Journal of Pediatric Surgery Reports Pub Date : 2022-01-01 DOI: 10.1055/s-0042-1742712

O. Aubert, R. Wachowiak, C. Roth, A. K. Höhn, M. Lacher, S. Mayer

{"title":"Resection of an Extraovarian Noniuteinized Thecoma in a 14-Year-Old Girl","authors":"O. Aubert, R. Wachowiak, C. Roth, A. K. Höhn, M. Lacher, S. Mayer","doi":"10.1055/s-0042-1742712","DOIUrl":"https://doi.org/10.1055/s-0042-1742712","url":null,"abstract":"Thecomas are rare benign sex cord-stromal tumors that account for less than 1% of all ovarian tumors. They usually affect postmenopausal women and become symptomatic with abnormal bleeding. In adolescents, less than 10 cases have been reported so far, mainly with symptoms of hormonal disbalance. Extraovarian thecomas represent an even rarer entity, with only two cases described so far, none of them in the pediatric population. We report the case of a 14-year-old girl who presented with sudden-onset abdominal pain, dysuria, and fever, as well as highly elevated serum inflammation parameters. Ultrasound and magnetic resonance imaging (MRI) revealed a large, inhomogeneous pelvic mass (16 cm × 9 cm × 13 cm) with indistinct margins, suggestive of an infiltrative malignant teratoma or sarcoma. Laparoscopy confirmed a large mass of unknown origin. In contrast to the infiltrative character seen on preoperative MRI, the tumor could be easily exteriorized and resected after conversion to laparotomy. Ovaries, fallopian tubes, and uterus remained unaffected. Histopathology revealed a benign nonluteinized thecoma. The postoperative course and 19-month follow-up were uneventful.","PeriodicalId":43204,"journal":{"name":"European Journal of Pediatric Surgery Reports","volume":"10 1","pages":"e37 - e40"},"PeriodicalIF":0.6,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48199458","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

When to Suspect DRUJ's Instability in Children? Case Report of a Rare Presentation of Distal Forearm Fractures 何时怀疑儿童DRUJ不稳定？罕见前臂远端骨折病例报告

IF 0.6

European Journal of Pediatric Surgery Reports Pub Date : 2022-01-01 DOI: 10.1055/s-0042-1748317

C. Saugy, A. Bregou

引用次数: 0

Communicating Bronchopulmonary Foregut Malformation Type IB: Diagnostic and Surgical Challenges. 交通性支气管肺前肠畸形IB型:诊断和手术挑战。

IF 0.6

European Journal of Pediatric Surgery Reports Pub Date : 2021-12-13 eCollection Date: 2021-01-01 DOI: 10.1055/s-0041-1740321

Bhushanrao Jadhav, Ranjithatharsini Vaseeharan, Prabhu Sekaran, Semiu Eniola Folaranmi, Karim Awad

{"title":"Communicating Bronchopulmonary Foregut Malformation Type IB: Diagnostic and Surgical Challenges.","authors":"Bhushanrao Jadhav, Ranjithatharsini Vaseeharan, Prabhu Sekaran, Semiu Eniola Folaranmi, Karim Awad","doi":"10.1055/s-0041-1740321","DOIUrl":"https://doi.org/10.1055/s-0041-1740321","url":null,"abstract":"Communicating bronchopulmonary foregut malformations (CBPFM) are extremely rare. We present a complex case of type IB CBPFM with esophageal atresia and distal tracheoesophageal fistula (EA/TOF), duodenal atresia/annular pancreas (DA/AP), and intestinal malrotation who underwent primary repair for EA/TOF on day 3. Bilious aspirates on day 8 prompted an upper gastrointestinal (GI) contrast revealing a duodenal obstruction and communication between the right lung lower lobe and the esophagus (T8-T9 level). DA/AP and malrotation were repaired by a gastrojejunostomy and Ladd's procedure. A repeat contrast swallow identified a 2nd communication from the esophagus into the right lower lobe (T5-T6 level) raising the suspicion of a recurrent TOF. Computed tomography (CT) thorax confirmed above findings with an anomalous blood supply to right lung. An exploratory thoracotomy identified a three-lobed lung. However, the lower lobe was enlarged and connected in two separate locations to the esophagus. The child recovered after the disconnection of the esophageal connections and partial right lower lobectomy. CBPFM are extremely rare anomalies requiring a high index of suspicion, use of an upper GI contrast series, and CT scans for diagnosis. The treatment of choice is resection of the affected lung and disconnection of the esophageal communications.","PeriodicalId":43204,"journal":{"name":"European Journal of Pediatric Surgery Reports","volume":"9 1","pages":"e80-e83"},"PeriodicalIF":0.6,"publicationDate":"2021-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8668381/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39732857","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

Hemi-Clamshell Approach for Fetal Lung Interstitial Tumor Resection in a Neonate: A Case Report. 半翻盖入路切除新生儿肺间质瘤1例。

IF 0.6

European Journal of Pediatric Surgery Reports Pub Date : 2021-11-24 eCollection Date: 2021-01-01 DOI: 10.1055/s-0041-1735807

Yasuhiro Kuroda, Hiroaki Fukuzawa, Insu Kawahara, Keiichi Morita

{"title":"Hemi-Clamshell Approach for Fetal Lung Interstitial Tumor Resection in a Neonate: A Case Report.","authors":"Yasuhiro Kuroda, Hiroaki Fukuzawa, Insu Kawahara, Keiichi Morita","doi":"10.1055/s-0041-1735807","DOIUrl":"https://doi.org/10.1055/s-0041-1735807","url":null,"abstract":"Fetal lung interstitial tumor (FLIT) is a rare primary lung mass in neonates. Classical incisions, such as posterolateral thoracotomy or median sternotomy, do not provide optimal exposure of the operative field for the resection of pediatric thoracic giant tumors. Herein, we report a rare case of a FLIT in a full-term male neonate, with complete resection achieved using a hemi-clamshell approach, which provided the required visualization of the operative field. The neonate was transferred to our hospital because of mild respiratory distress, which developed 18-hour after normal vaginal delivery. A mass in his right chest, without a midline shift, was observed on chest radiographs. Computed tomography showed a well-circumscribed solid anterior cervicothoracic mass, with a uniform density and no apparent cysts, diagnosed as a primary thoracic giant tumor. Once the patient was clinically stabilized, we proceeded with right upper lobectomy, using a hemi-clamshell approach, full sternotomy, and anterolateral thoracotomy, on postnatal day 22. Histopathologic examination revealed an 8.5 × 6.5 × 4.0 cm solid mass within the right upper lobe, which was diagnosed as a FLIT. His postoperative recovery was uneventful. The patient was followed up for 1 year, with no complaints or symptoms and no postoperative shoulder dysfunction. Gross total resection of primary thoracic giant tumors can be accomplished in neonates with optimal exposure of the chest cavity using a hemi-clamshell approach.","PeriodicalId":43204,"journal":{"name":"European Journal of Pediatric Surgery Reports","volume":"9 1","pages":"e72-e75"},"PeriodicalIF":0.6,"publicationDate":"2021-11-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8612870/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39947958","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

Primary Segmental Small Bowel Volvulus in an Adolescent Female. 青春期女性原发性节段性小肠扭转。

IF 0.6

European Journal of Pediatric Surgery Reports Pub Date : 2021-11-24 eCollection Date: 2021-01-01 DOI: 10.1055/s-0041-1735808

Friederike Heidtmann, Felicitas Eckoldt, Hans-Joachim Mentzel, Ilmi Alhussami

{"title":"Primary Segmental Small Bowel Volvulus in an Adolescent Female.","authors":"Friederike Heidtmann, Felicitas Eckoldt, Hans-Joachim Mentzel, Ilmi Alhussami","doi":"10.1055/s-0041-1735808","DOIUrl":"https://doi.org/10.1055/s-0041-1735808","url":null,"abstract":"Small bowel volvulus is a rare but important cause of abdominal pain and small bowel obstruction in children and adults. In the neonate, small bowel volvulus is a well-known complication of malrotation. Segmental small bowel volvulus is a lesser-known condition, which occurs in children and adults alike and can rapidly progress to bowel ischemia. Primary segmental small bowel volvulus occurs in the absence of rotational anomalies or other intraabdominal lesions and is rare in Europe and North America. Clinical presentation can be misleading, causing a delay in diagnosis and treatment, in which case the resection of necrotic bowel may become necessary. We report on a 14-year-old girl who presented with severe colicky abdominal pain but showed no other signs of peritoneal irritation or bowel obstruction. An emergency magnetic resonance imaging was highly suspicious for small bowel volvulus. Emergency laparotomy revealed a 115 cm segment of strangulated distal ileum with no underlying pathology. We performed a detorsion of the affected bowel segment. Despite the initial markedly ischemic appearance of the affected bowel segment, the patient achieved full recovery without resection of bowel becoming necessary.","PeriodicalId":43204,"journal":{"name":"European Journal of Pediatric Surgery Reports","volume":"9 1","pages":"e76-e79"},"PeriodicalIF":0.6,"publicationDate":"2021-11-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8612868/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39947959","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

Clinical Quiz-A Rare Case of Anal Canal Duplication in the Context of Currarino Syndrome. 临床测验:罕见的柯拉里诺综合征肛管重复病例。

IF 0.6

European Journal of Pediatric Surgery Reports Pub Date : 2021-11-10 eCollection Date: 2021-01-01 DOI: 10.1055/s-0041-1735595

Sean Jared Connor, Giulia Brisighelli, Nirav Patel, Marc A Levitt

引用次数: 1

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, Thomas Michael Boemers, Peter Zimmermann, Martin Stenzel, Wera Wendenburg","doi":"10.1055/s-0041-1728723","DOIUrl":"https://doi.org/10.1055/s-0041-1728723","url":null,"abstract":"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.","PeriodicalId":43204,"journal":{"name":"European Journal of Pediatric Surgery Reports","volume":"9 1","pages":"e61-e64"},"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

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

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

引用次数: 0