Journal of Pediatric Surgery Case Reports最新文献

{"title":"Magnet ingestion in children: a case series","authors":"Piotr Roman Więckowski,&nbsp;Joanna Matylda Łysak,&nbsp;Roman Dranko,&nbsp;Grzegorz Wąsowski,&nbsp;Aleksandra Marosz,&nbsp;Wiktor Jodkowski","doi":"10.1016/j.epsc.2025.103104","DOIUrl":"10.1016/j.epsc.2025.103104","url":null,"abstract":"<div><h3>Introduction</h3><div>Multiple magnet ingestion constitutes an ever-present problem in pediatric surgery. Magnets, attracted to each other, can cause intestinal wall compression, perforation, and eventually, fistulation.</div></div><div><h3>Case presentation</h3><div>Case 1: A nine-year-old female was admitted after swallowing magnetic beads six days prior. More than 20 magnetic balls were seen on an X-ray. She remained asymptomatic during the three days of observation and passed the magnetic beads spontaneously.</div></div><div><h3>Case 2</h3><div>A sixteen-month-old female was admitted 6 h after swallowing magnetic objects. An X-ray performed on admission showed four adherent magnetic beads. The patient was observed for seven days, during which she remained asymptomatic. Due to the lack of magnetic bead progression, the patient underwent surgery on the eighth day. Intraoperatively, an enteroenteric fistula was found, and a wedge resection of the intestine was performed. The patient was discharged home a week after surgery.</div></div><div><h3>Case 3</h3><div>A two-year-old female was admitted to the Pediatric Ward on suspicion of viral gastroenteritis. The patient deteriorated and developed symptoms of shock. An X-ray was performed, revealing ileus and five adherent magnetic beads. The patient underwent surgery. Intraoperatively, an enteroenteric fistula was found, with magnetic beads passing through the mesentery. A wedge resection of the intestine was performed, and the mesenteric perforation was closed. The patient was discharged home a week after surgery.</div></div><div><h3>Conclusion</h3><div>Children who ingest multiple magnets can have a wide range of clinical presentations. A trial of watchful observation is accepted in asymptomatic patients. Magnets that do not progress should be surgically removed.</div></div>","PeriodicalId":45641,"journal":{"name":"Journal of Pediatric Surgery Case Reports","volume":"121 ","pages":"Article 103104"},"PeriodicalIF":0.2,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145018507","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}

{"title":"Complete transection of the small intestine due to blunt abdominal trauma in a 3-year-old child: a case report","authors":"Yoshitaka Ishiguro ,&nbsp;Te-Hsiung Wang ,&nbsp;Mari Sonoda ,&nbsp;Masato Sato ,&nbsp;Shigeru Ohtsuru ,&nbsp;Akihiko Hirakawa","doi":"10.1016/j.epsc.2025.103103","DOIUrl":"10.1016/j.epsc.2025.103103","url":null,"abstract":"<div><h3>Introduction</h3><div>Complete transection of the small intestine following blunt abdominal trauma in children is extremely rare and poses diagnostic and therapeutic challenges.</div></div><div><h3>Case presentation</h3><div>A 3-year-old girl presented with abdominal pain, vomiting, and lethargy after suspected non-accidental blunt trauma. On arrival, the patient's vital signs showed tachycardia and fever. Physical examination revealed chest and epigastric ecchymoses, while abdominal ultrasonography revealed free fluid in Morison's pouch. Laboratory tests demonstrated marked transaminase elevation. Contrast-enhanced computed tomography showed free air and fluid in the perihepatic space and splenorenal fossa without evidence of liver injury. A diagnostic laparoscopy confirmed a complete jejunal transection approximately 2 cm distal to the ligament of Treitz with contaminated ascites, prompting conversion to open laparotomy. Approximately 5 cm of the jejunum were resected, followed by primary end-to-end anastomosis. The postoperative course was uneventful, and the patient was transferred to a child protection facility on postoperative day 6. Follow-up at 15 months confirmed normal recovery without complications.</div></div><div><h3>Conclusion</h3><div>Blunt abdominal trauma in young children can result in severe intestinal injuries that may have a delayed presentation.</div></div>","PeriodicalId":45641,"journal":{"name":"Journal of Pediatric Surgery Case Reports","volume":"121 ","pages":"Article 103103"},"PeriodicalIF":0.2,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145026370","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}

{"title":"Omphalomesenteric duct cyst containing ectopic gastric mucosa in a toddler: a case report","authors":"Shital Bhaisare ,&nbsp;Jayakumar T K ,&nbsp;Harshal Madavi ,&nbsp;Kiran Khedkar ,&nbsp;Nisha Meshram","doi":"10.1016/j.epsc.2025.103099","DOIUrl":"10.1016/j.epsc.2025.103099","url":null,"abstract":"<div><h3>Introduction</h3><div>Omphalomesenteric duct cyst (OMDC) is an uncommon remnant of the omphalomesenteric duct. The occurrence of ectopic gastric mucosa within such cysts is rare and may lead to complications due to acid secretion.</div></div><div><h3>Case presentation</h3><div>A 2-year-old girl presented to us with persistent serous umbilical discharge since birth, associated with severe periumbilical excoriation. Ultrasonography showed a 1-cm cystic lesion beneath the umbilicus. Umbilical exploration revealed a cyst posterior to the umbilicus in the pre-peritoneal space, communicating with the skin through a fine sinus tract. The cyst was excised completely. Histopathological examination demonstrated ectopic gastric mucosa within the cyst wall. Postoperatively, the child had an uneventful recovery and was discharged home the day after the procedure. She remains asymptomatic and the excoriation of the skin has resolved.</div></div><div><h3>Conclusion</h3><div>Children presenting with persistent umbilical discharge accompanied by severe skin excoriation should be evaluated for an omphalomesenteric duct cyst containing ectopic gastric mucosa.</div></div>","PeriodicalId":45641,"journal":{"name":"Journal of Pediatric Surgery Case Reports","volume":"121 ","pages":"Article 103099"},"PeriodicalIF":0.2,"publicationDate":"2025-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144996150","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}

{"title":"Bowel obstruction due to an incarcerated Meckel's diverticulum within a minor omphalocele: a case report","authors":"Zineb Benmassaoud ,&nbsp;Badr Rouijel ,&nbsp;Yacine Zouirech ,&nbsp;Mohamed Amine Oukhouya ,&nbsp;Hind Cherrabi","doi":"10.1016/j.epsc.2025.103101","DOIUrl":"10.1016/j.epsc.2025.103101","url":null,"abstract":"<div><h3>Introduction</h3><div>The coexistence of omphalocele and Meckel's diverticulum (MD) is rare, and even more exceptional when the diverticulum is strangulated within the omphalocele sac. While several reports describe cases involving perforation or fistulization, this specific presentation remains unusual and may be overlooked.</div></div><div><h3>Case presentation</h3><div>A full-term, two-day-old male newborn was referred for a minor (≈3 cm) omphalocele not detected prenatally. On admission he was hemodynamically stable and afebrile with mild abdominal distension; the anus was patent and a nasogastric tube drained bilious fluid. Laboratory tests were unremarkable. Abdominal ultrasound confirmed a narrow fascial ring (∼1 cm) within a 3 cm omphalocele sac containing a bowel loop; echocardiography showed no cardiac anomalies. After stabilization, surgical exploration of the omphalocele sac identified a 5 cm × 3 cm MD strangulated at its base within the neck of the omphalocele, 25 cm proximal to the ileocecal valve, with significant upstream small-bowel dilatation and no perforation or fistula. Segmental ileal resection including the diverticulum with end-to-end ileo-ileal anastomosis was performed; the abdominal wall defect was closed primarily. Postoperatively, the patient was kept nil per os with nasogastric decompression; feeds were started on day 3 and well tolerated. He was discharged on day 5. Histopathology confirmed MD without ectopic mucosa. At 6-month follow-up, growth and gastrointestinal function were normal.</div></div><div><h3>Conclusion</h3><div>Newborns with a minor omphalocele can develop a bowel obstruction secondary to incarceration of a Meckel's diverticulum through the omphalocele defect.</div></div>","PeriodicalId":45641,"journal":{"name":"Journal of Pediatric Surgery Case Reports","volume":"121 ","pages":"Article 103101"},"PeriodicalIF":0.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144996149","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}

{"title":"Conservative management of isolated gastric pneumatosis in a full-term neonate: a case report","authors":"Fatma Thamri ,&nbsp;Yasmine Houas ,&nbsp;Nada Sghairoun ,&nbsp;Nour Ben Alaya ,&nbsp;Riadh Jouini","doi":"10.1016/j.epsc.2025.103102","DOIUrl":"10.1016/j.epsc.2025.103102","url":null,"abstract":"<div><h3>Background</h3><div>Isolated gastric pneumatosis is an exceptionally rare radiological finding in neonates, with its clinical significance and optimal management in stable, full-term infants remaining poorly defined.</div></div><div><h3>Case presentation</h3><div>A full-term male newborn was delivered at 38 weeks via spontaneous vaginal delivery from an unmonitored pregnancy. Admitted to the NICU for transient respiratory distress, he developed profuse hematemesis on day three. A nasogastric tube was placed, and gastric lavage revealed bright red blood. The infant was hemodynamically stable but anemic (Hb 13.5 g/dL), with isolated epigastric tenderness. Abdominal radiography showed marked gastric distension, and a subsequent CT scan confirmed intramural gastric pneumatosis without pneumoperitoneum or intestinal involvement, ruling out a lactobezoar. He was managed conservatively with strict NPO status, intravenous omeprazole (1 mg/kg twice daily), and intravenous antibiotics (ampicillin and gentamicin). A follow-up abdominal X-ray 48 hours later confirmed complete resolution of the pneumatosis. Enteral feeding with hydrolyzed formula was successfully reintroduced on the third day post-diagnosis. The patient was discharged on the fourth day, tolerating full feeds, and remained asymptomatic at follow-up.</div></div><div><h3>Conclusion</h3><div>Isolated gastric pneumatosis in the absence of pneumoperitoneum may be managed conservatively with proton pump inhibitors, diet restriction and empiric antibiotics. Frequent clinical and radiological surveillance is required for the early detection of potential complications.</div></div>","PeriodicalId":45641,"journal":{"name":"Journal of Pediatric Surgery Case Reports","volume":"121 ","pages":"Article 103102"},"PeriodicalIF":0.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144925279","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}

{"title":"Double congenital esophageal bronchus with microgastria: a case report","authors":"Anna C. Shawyer","doi":"10.1016/j.epsc.2025.103100","DOIUrl":"10.1016/j.epsc.2025.103100","url":null,"abstract":"<div><h3>Introduction</h3><div>Congenital esophageal bronchus (CEB) is a rare malformation sometimes associated with microgastria and/or other congenital anomalies. It may present later in life with recurrent pulmonary symptoms.</div></div><div><h3>Case presentation</h3><div>A term baby was born with an antenatal diagnosis of multiple congenital anomalies including absence of stomach bubble, congenital heart disease and a lumbosacral cystic lesion. Post natal diagnosis confirmed dextrocardia, unbalanced atrioventricular canal defect with hypoplastic right ventricle and pulmonary stenosis, situs inversus totalis, asplenia, and abnormal lumbar and sacral vertebrae with a skin covered lipomyelomeningocele. After birth, an orogastric tube was placed to 15 cm, which on chest x-ray (CXR) stopped at the lower 1/3 of the esophagus. Gas was seen in the abdomen. A contrast study demonstrated microgastria, a gastroesophageal junction (GEJ) within the chest, and a CEB. The CXR was suspicious for a lesion in the lower left lobe (LLL); CT-angiogram confirmed no airway or systemic blood vessels to the LLL. Esophagoscopy revealed an elevated, tight GEJ and 2 distal openings towards the lung. A thoracotomy was performed at 3 weeks of age to close the CEB and resect the LLL; a chest tube was left in situ. Feeds were initiated 1 week after surgery when a contrast study revealed no leak. The baby is tolerating full bolus feeds and at 3 months of age remains in hospital awaiting cardiac surgery.</div></div><div><h3>Conclusion</h3><div>CEB is a rare anomaly and should be considered when a nasogastric tube cannot be advanced easily, particularly in the setting of multiple congenital anomalies.</div></div>","PeriodicalId":45641,"journal":{"name":"Journal of Pediatric Surgery Case Reports","volume":"121 ","pages":"Article 103100"},"PeriodicalIF":0.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145026369","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}

{"title":"Vulvar abscess secondary to a congenital recto-vestibular fistula in a 2-month-old female: a case report","authors":"Shanquell M. Dixon,&nbsp;Mike K. Chen","doi":"10.1016/j.epsc.2025.103098","DOIUrl":"10.1016/j.epsc.2025.103098","url":null,"abstract":"<div><h3>Introduction</h3><div>Perineal canal is a rare anorectal malformation with a normal anus, most commonly seen in East Asian countries. Presentation of this disorder in Western countries often do not involve an inflammatory process and are incidentally found later in childhood.</div></div><div><h3>Case presentation</h3><div>A healthy, full term female infant presented to an outside hospital at 8 weeks old due to purulent, bloody discharge noted in her diaper. On exam she was noted to be febrile and found to have labial swelling. She was diagnosed with a left labial abscess and a urinary tract infection. Urology was consulted to evaluate the patient due to the urinary tract infection. Urology noted on physical exam that the patient produced stool from her anus and an orifice near the 4 o'clock position of the vaginal introitus simultaneously. Pediatric Surgery was consulted to evaluate the patient. The child completed an antibiotic course and was scheduled to follow up in surgery clinic. The child returned to the hospital prior to clinic follow up due to recurrent fevers, increased drainage from the fistula, and worsening irritation of her labia. An exam under anesthesia was performed of the rectum and the rectovestibular fistula was identified. She initially underwent excision of the rectovestibular fistula without diverting ostomy, but experienced wound breakdown requiring diversion. Her fistula repair has fully healed, and her ostomy is now reversed.</div></div><div><h3>Conclusion</h3><div>The presence of a labial abscess in a female infant should prompt a thorough physical exam to assess for a rectovestibular fistula.</div></div>","PeriodicalId":45641,"journal":{"name":"Journal of Pediatric Surgery Case Reports","volume":"121 ","pages":"Article 103098"},"PeriodicalIF":0.2,"publicationDate":"2025-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144913420","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}

{"title":"Management of gastroschisis with biliary atresia: A case report","authors":"Rachel C. Bordelon ,&nbsp;Joseph Pydyn ,&nbsp;Henry W. Caplan ,&nbsp;Essam M. Imseis ,&nbsp;Allison L. Speer ,&nbsp;Charles S. Cox (Jr)","doi":"10.1016/j.epsc.2025.103097","DOIUrl":"10.1016/j.epsc.2025.103097","url":null,"abstract":"<div><h3>Introduction</h3><div>Gastroschisis and biliary atresia (BA) are both rare surgical disorders of neonates. While neither condition has a known etiology, there is currently no clear association between the two and the estimated odds of coincidence are 1 in 30, 000, 000 livebirths. Nonetheless, a few published reports have mentioned infants diagnosed with both gastroschisis and BA but usually in the setting of poor outcomes and incomplete descriptions of management decisions.</div></div><div><h3>Case presentation</h3><div>A 1960-g female with limited prenatal care was born at 35 weeks gestation and was found to have gastroschisis, which was managed with a hand-sewn silo and serial reductions until the abdomen was closed. At 25 days old, she developed acholic stools and rising direct hyperbilirubinemia. Workup was concerning for biliary atresia, which was confirmed with an intraoperative cholangiogram and she underwent Kasai portoenterostomy, which was challenging given intestinal malrotation from gastroschisis. Postoperatively, bilirubin levels normalized and pigmented stools returned. Her course was complicated by a small perforation of the ascending colon requiring exploration and creation of a diverting colostomy on post-operative day 7. However, since that time she has done well with normal liver function now over 9 months after portoenterostomy creation, and is pending colostomy takedown.</div></div><div><h3>Conclusion</h3><div>Prompt recognition and careful consideration of abnormal intestinal anatomy are necessary in the management of concurrent biliary atresia and gastroschisis, but this can be accomplished with favorable outcomes.</div></div>","PeriodicalId":45641,"journal":{"name":"Journal of Pediatric Surgery Case Reports","volume":"121 ","pages":"Article 103097"},"PeriodicalIF":0.2,"publicationDate":"2025-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144895142","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}

{"title":"Giant simple biliary cyst in a 2-year-old child: a case report","authors":"Ashagre Gebremichael Ganta ,&nbsp;Wintana Tesfaye Desta","doi":"10.1016/j.epsc.2025.103095","DOIUrl":"10.1016/j.epsc.2025.103095","url":null,"abstract":"<div><h3>Introduction</h3><div>Simple biliary cysts are exceptionally rare in pediatric patients and seldom manifest as giant hepatic masses. Their clinical and radiological overlap with malignant tumors poses diagnostic challenges, potentially leading to unnecessary aggressive interventions.</div></div><div><h3>Case presentation</h3><div>A 2-year-old female presented with progressive abdominal distension and recurrent pneumonias. Physical examination revealed a protuberant abdomen with visible venous collaterals. Liver span was 18 cm by percussion, with no splenomegaly. Laboratory findings included a hemoglobin level of 10.8 g/dL. Tumor markers (AFP and β-hCG) were within normal limits. X-ray studies demonstrated bilateral elevated hemidiaphragm and right basal consolidation. Abdominal ultrasound found a large anechoic lesion (18 × 15 × 12 cm) with internal septations and posterior acoustic enhancement, replacing the right hepatic lobe, with no Doppler flow, and compression of the inferior vena cava. Contrast-enhanced computerized tomography (CT) revealed a hypodense mass with peripheral rim enhancement and absence of centripetal filling, alongside right renal displacement, gastric compression, and diaphragmatic elevation. The patient was taken to the operating room for an exploratory laparotomy. Through a supraumbilical transverse incision extended on the midline below the umbilicus, the mass was entirely delivered. Anatomical resection of segments IV A and B was performed, including the mass, which weighted 6.5 kg. The postoperative course was uneventful apart from a self-limiting biliary leak managed conservatively. Histopathological analysis confirmed a simple biliary cyst with no evidence of malignancy. The patient had a complete resolution of respiratory symptoms and showed no recurrence at six months of follow-up.</div></div><div><h3>Conclusion</h3><div>Simple biliary cysts, although rare, must be considered in the differential diagnosis of giant hepatic cystic masses in children. Complete surgical excision is the treatment of choice.</div></div>","PeriodicalId":45641,"journal":{"name":"Journal of Pediatric Surgery Case Reports","volume":"121 ","pages":"Article 103095"},"PeriodicalIF":0.2,"publicationDate":"2025-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144908703","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}

{"title":"Type IVA choledochal cyst with gallbladder duplication: a case report","authors":"Saalim Nazki ,&nbsp;Saswati Behera ,&nbsp;Akshat Sudhanshu","doi":"10.1016/j.epsc.2025.103096","DOIUrl":"10.1016/j.epsc.2025.103096","url":null,"abstract":"<div><h3>Background</h3><div>Gallbladder duplication is a rare congenital anomaly, and its coexistence with choledochal cysts is exceptionally uncommon.</div></div><div><h3>Case</h3><div>A 7-year-old female presented with recurrent right upper quadrant abdominal pain over several months. Laboratory investigations revealed elevated serum AST (142 IU/L) (normal range 8–33 IU/L) and ALT (158 IU/L) (normal range 4–36 IU/L), with mildly raised alkaline phosphatase; bilirubin levels were within normal limits. Abdominal ultrasonography (USG) demonstrated common bile duct dilation, and Magnetic Resonance Cholangiopancreatography (MRCP) confirmed a Type IVA choledochal cyst. Laparoscopic excision of the cyst with hepaticoduodenostomy was planned. Intraoperatively, a V shaped duplicated intrahepatic bilobed gallbladder was discovered, with a single cystic artery and a single cystic duct (bifurcated high up distally to drain the duplicated lobes of gall bladder) draining into the common bile duct. Both gallbladders were excised, and a hepaticoduodenostomy was performed. Histopathology confirmed gallbladder duplication with chronic inflammatory changes and no dysplasia.</div></div><div><h3>Conclusion</h3><div>Gallbladder duplication is a rare congenital anomaly that may not be identified on preoperative imaging, particularly in the setting of complex biliary anomalies like choledochal cyst.</div></div>","PeriodicalId":45641,"journal":{"name":"Journal of Pediatric Surgery Case Reports","volume":"121 ","pages":"Article 103096"},"PeriodicalIF":0.2,"publicationDate":"2025-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144908702","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}