Journal of Pediatric Surgery Case Reports最新文献

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Letter to editor: Raising awareness for children with CDH1 mutations 致编辑的信:提高对CDH1突变儿童的认识
IF 0.2
Journal of Pediatric Surgery Case Reports Pub Date : 2026-02-01 Epub Date: 2025-12-24 DOI: 10.1016/j.epsc.2025.103167
Jeremy L. Davis
{"title":"Letter to editor: Raising awareness for children with CDH1 mutations","authors":"Jeremy L. Davis","doi":"10.1016/j.epsc.2025.103167","DOIUrl":"10.1016/j.epsc.2025.103167","url":null,"abstract":"","PeriodicalId":45641,"journal":{"name":"Journal of Pediatric Surgery Case Reports","volume":"125 ","pages":"Article 103167"},"PeriodicalIF":0.2,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145926443","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
Small bowel obstruction due to Meckel's diverticulitis in a 5-year-old child: a case report 5岁儿童梅克尔憩室炎致小肠梗阻1例报告
IF 0.2
Journal of Pediatric Surgery Case Reports Pub Date : 2026-01-01 Epub Date: 2025-11-24 DOI: 10.1016/j.epsc.2025.103156
Marion Poget, Sabine Vasseur Maurer
{"title":"Small bowel obstruction due to Meckel's diverticulitis in a 5-year-old child: a case report","authors":"Marion Poget,&nbsp;Sabine Vasseur Maurer","doi":"10.1016/j.epsc.2025.103156","DOIUrl":"10.1016/j.epsc.2025.103156","url":null,"abstract":"<div><h3>Introduction</h3><div>Meckel's diverticulum is the most common congenital anomaly of the gastrointestinal tract, yet small bowel obstruction caused by its inflammation remains exceptionally rare, especially in children.</div></div><div><h3>Case presentation</h3><div>A previously healthy 5-year-old girl presented at a regional hospital with fever and abdominal pain for five days, followed by absence of stool and gas passage for 24 hours. Laboratory tests showed leukocytosis (22,000 cells/mm<sup>3</sup>) and elevated C-reactive protein (200 mg/L). Abdominal ultrasound revealed signs of small bowel obstruction, free intraperitoneal fluid but no visible appendix. Computed tomography demonstrated small bowel obstruction with possible decreased enhancement in a short segment of small bowel located in the subhepatic region, which prompted a transfer of the patient to our center. The patient, who showed stable vital signs and no evidence of peritonitis, underwent an MRI to further clarify the diagnosis. This exam suggested an internal hernia. Exploratory laparoscopy converted to laparotomy revealed a necrotic Meckel's diverticulum, whose thin pedicle was strangulating the small bowel. A wedge resection of the diverticulum was performed. The postoperative course was uneventful, and the patient was discharged on day four. At two-week follow-up, she was asymptomatic.</div></div><div><h3>Conclusion</h3><div>Meckel's diverticulitis must be included in the differential diagnosis of children who develop a small bowel obstruction.</div></div>","PeriodicalId":45641,"journal":{"name":"Journal of Pediatric Surgery Case Reports","volume":"124 ","pages":"Article 103156"},"PeriodicalIF":0.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145600653","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
Total colonic duplication with vestibular fistula, including one with colorectal triplication: A case series 全结肠复制合并前庭瘘,包括1例结直肠复制:一个病例系列
IF 0.2
Journal of Pediatric Surgery Case Reports Pub Date : 2026-01-01 Epub Date: 2025-12-02 DOI: 10.1016/j.epsc.2025.103157
Michaël de Sousa Amaral , Mathilde Glenisson , Sylvie Beaudoin
{"title":"Total colonic duplication with vestibular fistula, including one with colorectal triplication: A case series","authors":"Michaël de Sousa Amaral ,&nbsp;Mathilde Glenisson ,&nbsp;Sylvie Beaudoin","doi":"10.1016/j.epsc.2025.103157","DOIUrl":"10.1016/j.epsc.2025.103157","url":null,"abstract":"<div><h3>Introduction</h3><div>Complete colonic duplication associated with rectovestibular communication is extremely uncommon, whereas colorectal triplication has been documented only in isolated case reports.</div></div><div><h3>Cases presentation</h3><div>Case 1 involved a 34-day-old term baby girl, who presented with passage of stool through both a normal anus and an accessory vestibular orifice. Dual-tract contrast studies and hydrocolonic MRI demonstrated complete colonic duplication converging at a single cecum into which the terminal ileum inserted. At a postnatal age of 3 months, a combined Pfannenstiel and perineal approach allowed resection of the duplicated rectum and creation of a termino-lateral sigmoid–sigmoid unification. Postoperative recovery was uneventful, and age-appropriate continence was confirmed during follow-up. Case 2 concerned a female neonate delivered at 41 weeks’ gestation who began passing meconium on day two of life through both the anus and a vestibular orifice. Contrast opacification demonstrated complete colonic duplication, with the anterior duplicated segment coursing toward the vagina. At five months, combined perineal dissection and Pfannenstiel exposure revealed total colonic duplication extending to the terminal ileum, associated with duplication of both ceca and appendices. The duplicated rectum was mobilized, inverted, and excised. Intra-operatively, a rectal triplication embedded within the shared rectal wall was also identified and resected. All three rectosigmoid segments were subsequently anastomosed to the orthotopic colon using stapled unification, and the perineal body was reconstructed. Postoperative recovery was favorable with normal bowel function.</div></div><div><h3>Conclusion</h3><div>In females with a patent anus who pass stool through an accessory vestibular orifice, underlying colonic duplication should be systematically ruled out.</div></div>","PeriodicalId":45641,"journal":{"name":"Journal of Pediatric Surgery Case Reports","volume":"124 ","pages":"Article 103157"},"PeriodicalIF":0.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145685543","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
Innovative imaging techniques to guide the prenatal and postnatal management of premature omphalopagus conjoined twins: a case report 创新影像技术指导早产儿脐裂连体婴产前产后处理1例
IF 0.2
Journal of Pediatric Surgery Case Reports Pub Date : 2026-01-01 Epub Date: 2025-11-26 DOI: 10.1016/j.epsc.2025.103155
Amanda Phares , Ghadeer Alkusayer , Frances Morin , Jessica Liauw , Horacio Osiovich , Robert Baird
{"title":"Innovative imaging techniques to guide the prenatal and postnatal management of premature omphalopagus conjoined twins: a case report","authors":"Amanda Phares ,&nbsp;Ghadeer Alkusayer ,&nbsp;Frances Morin ,&nbsp;Jessica Liauw ,&nbsp;Horacio Osiovich ,&nbsp;Robert Baird","doi":"10.1016/j.epsc.2025.103155","DOIUrl":"10.1016/j.epsc.2025.103155","url":null,"abstract":"<div><h3>Background</h3><div>The incidence of conjoined twinning is approximately 1:100,000 with omphalopagus anatomy representing 10 % of all cases. With an overall survival rate of &lt;10 % and a 60 % rate of survival in patients who undergo separation, considerable medical, surgical, and ethical planning is required.</div></div><div><h3>Case presentation</h3><div>A 34-year-old mother was identified as having conjoined twins at 9 weeks gestation. She underwent an early fetal <strong>Magnetic Resonance Imaging (MRI)</strong> to assess potential for viability and a late second trimester MRI – these identified omphalopagus anatomy with shared liver and a Tetralogy sequence in twin B. 3D modeling of these images guided delivery and separation planning. The twins were born prematurely at 29 weeks and 6 days. <strong>Neonatal Inteive Care Unit (NICU)</strong> management was instituted at birth and the initial cardiorespiratory status of the twins was stable with minimal circulatory mixing noted. Combined fetal weight was 2.6 kg. At 3 weeks of life, significant circulatory deterioration occurred in twin B. Urgent separation to facilitate treatment for twin B best optimized both patients’ survival and was in keeping with parental wishes. Detailed cross-sectional imaging was expedited and used to facilitate successful separation. Pre-op anesthesia time was 127 minutes and <strong>Operating Room</strong> time was 290 minutes; estimated blood loss was 150 mL. Twin B subsequently underwent emergent catheterization with pulmonary artery dilation and right ventricle outflow tract stenting. <strong>Both twins recovered successfully with twin A being discharged from hospital at 14 weeks old and twin B discharged at 15 weeks old.</strong></div></div><div><h3>Conclusion</h3><div>Cross-sectional imaging with 3D modeling <strong>helps</strong> optimize outcomes for conjoined twins.</div></div>","PeriodicalId":45641,"journal":{"name":"Journal of Pediatric Surgery Case Reports","volume":"124 ","pages":"Article 103155"},"PeriodicalIF":0.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145617172","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
Corrigendum to “Raising awareness of the CDH1 mutation for the pediatric surgeon and the use of robotic assisted surgery in pediatric general surgery as demonstrated by a total gastrectomy: a case report” [J. Pediatr. Surg. Case Rep. 123C (2025) 103141] “提高儿科外科医生对CDH1突变的认识,并以全胃切除术为例,在儿科普通外科中使用机器人辅助手术:一个病例报告”的更正[J]。Pediatr。外科病例报告123C (2025) 103141]
IF 0.2
Journal of Pediatric Surgery Case Reports Pub Date : 2026-01-01 Epub Date: 2025-11-10 DOI: 10.1016/j.epsc.2025.103151
Melanie Elhafid , Kristopher Milbrandt , Richard Bigsby
{"title":"Corrigendum to “Raising awareness of the CDH1 mutation for the pediatric surgeon and the use of robotic assisted surgery in pediatric general surgery as demonstrated by a total gastrectomy: a case report” [J. Pediatr. Surg. Case Rep. 123C (2025) 103141]","authors":"Melanie Elhafid ,&nbsp;Kristopher Milbrandt ,&nbsp;Richard Bigsby","doi":"10.1016/j.epsc.2025.103151","DOIUrl":"10.1016/j.epsc.2025.103151","url":null,"abstract":"","PeriodicalId":45641,"journal":{"name":"Journal of Pediatric Surgery Case Reports","volume":"124 ","pages":"Article 103151"},"PeriodicalIF":0.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145737298","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
Ileo-umbilical enterocutaneous fistula as the first manifestation of pediatric Crohn’s disease: a case report 儿童克罗恩病的第一表现为回脐肠皮瘘1例
IF 0.2
Journal of Pediatric Surgery Case Reports Pub Date : 2025-12-30 DOI: 10.1016/j.epsc.2025.103163
Medhat Elsayed , Sarah Magdy Abdelmohsen , Eiman Yassir Musa Hussain , Ekram Imam , Youmna Medhat , Tahani Helali
{"title":"Ileo-umbilical enterocutaneous fistula as the first manifestation of pediatric Crohn’s disease: a case report","authors":"Medhat Elsayed ,&nbsp;Sarah Magdy Abdelmohsen ,&nbsp;Eiman Yassir Musa Hussain ,&nbsp;Ekram Imam ,&nbsp;Youmna Medhat ,&nbsp;Tahani Helali","doi":"10.1016/j.epsc.2025.103163","DOIUrl":"10.1016/j.epsc.2025.103163","url":null,"abstract":"<div><h3>Background</h3><div>Enterocutaneous fistula (ECF) is an uncommon and challenging complication of Crohn's disease in the pediatric population.</div></div><div><h3>Case Presentation</h3><div>A 14-year-old female presented with a one-year history of chronic abdominal pain, weight loss, and a 6-month history of persistent feculent umbilical discharge following a prior \"abscess\" drainage. A CT scan revealed a fistula tract connecting the umbilicus to an inflammatory mass in the ileocecal region. She was optimized with nutritional support and antibiotics to correct her fever and elevated inflammatory markers. She then underwent a laparoscopic ileocecal resection. The bowel was connected to the umbilicus via a fistula tract, not dense adhesions. The bowel was exteriorized, and an ileo-colic anastomosis was performed with a linear stapler<strong>.</strong> Her recovery was uneventful. Pathology confirmed Crohn's disease. At one-year follow-up, she was in remission on medication, with full wound healing and weight gain.</div></div><div><h3>Conclusion</h3><div>Crohn's disease should be suspected in patients who have a history of chronic abdominal pain, weight loss, and chronic purulent umbilical discharge, as the discharge can be an entero-cutaneous fistula.</div></div>","PeriodicalId":45641,"journal":{"name":"Journal of Pediatric Surgery Case Reports","volume":"126 ","pages":"Article 103163"},"PeriodicalIF":0.2,"publicationDate":"2025-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145895953","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
Congenital esophageal stenosis in an eight-year-old boy: a case report 先天性食管狭窄1例8岁男童
IF 0.2
Journal of Pediatric Surgery Case Reports Pub Date : 2025-12-30 DOI: 10.1016/j.epsc.2025.103169
Mohammad Shafiqi , Mujtaba Yama , Behnaz Rahimi , Dunya Moghul
{"title":"Congenital esophageal stenosis in an eight-year-old boy: a case report","authors":"Mohammad Shafiqi ,&nbsp;Mujtaba Yama ,&nbsp;Behnaz Rahimi ,&nbsp;Dunya Moghul","doi":"10.1016/j.epsc.2025.103169","DOIUrl":"10.1016/j.epsc.2025.103169","url":null,"abstract":"<div><h3>Introduction</h3><div>Congenital esophageal stenosis is one of the rarest congenital anomalies in children, with an incidence of approximately 1 in 25,000 to 50,000 live births. Esophagography is the primary diagnostic tool used for its identification.</div></div><div><h3>Case report</h3><div>An eight-year-old boy had dysphagia to solid foods since the age of six months. In the two days prior to his presentation to the hospital he developed persistent vomiting even after drinking water. He was malnourished, weak and had a weight of 18 kg. A contrast swallow study was initially interpreted as a caustic injury, but no history of ingestion was found. Due to the persistence of symptoms after two balloon dilatations done two weeks apart, congenital esophageal stenosis was suspected. The patient was taken to the operative room for an exploratory thoracotomy through the right side. We dissected the esophagus and found a fibrotic stenotic segment measuring 2 cm in length. We resected the segment and proceeded with an end-to-end anastomosis using interrupted PDS 3.0 sutures. A contrast swallow study done on postoperative day 5 confirmed no esophageal leak. We initiated clear liquid diet that day and advanced to soft diet the following day. He was discharged home on the 6th postoperative day. During the first year after the operation, we saw him monthly and confirmed that he remained asymptomatic. By the end of the first year his weight was 25 kg, and he continued to be without symptoms.</div></div><div><h3>Conclusion</h3><div>Congenital esophageal stenosis must be suspected in children who have a long-standing history of dysphagia.</div></div>","PeriodicalId":45641,"journal":{"name":"Journal of Pediatric Surgery Case Reports","volume":"126 ","pages":"Article 103169"},"PeriodicalIF":0.2,"publicationDate":"2025-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145895954","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
Large congenital lymphatic venous malformation in a twin pregnancy: A case report 双胎妊娠大先天性淋巴静脉畸形1例
IF 0.2
Journal of Pediatric Surgery Case Reports Pub Date : 2025-12-01 Epub Date: 2025-10-14 DOI: 10.1016/j.epsc.2025.103126
Azalia Avila , Nina Kosciuszek , Christine M. Finck , DonnaMaria E. Cortezzo
{"title":"Large congenital lymphatic venous malformation in a twin pregnancy: A case report","authors":"Azalia Avila ,&nbsp;Nina Kosciuszek ,&nbsp;Christine M. Finck ,&nbsp;DonnaMaria E. Cortezzo","doi":"10.1016/j.epsc.2025.103126","DOIUrl":"10.1016/j.epsc.2025.103126","url":null,"abstract":"<div><h3>Introduction</h3><div>Congenital lymphatic venous malformations (LVMs) are rare, slow-flow vascular anomalies with highly variable presentations. While most pose no considerable risk to the pregnant individual or fetus, larger complex lesions, particularly in monochorionic-diamniotic twin pregnancies, are uncommon and present unique diagnostic and management challenges.</div></div><div><h3>Case presentation</h3><div>A 27-year-old gravida 4, para 2 pregnant individual presented at 23 0/7 weeks' gestation with a monochorionic-diamniotic twin pregnancy. Ultrasound and fetal magnetic resonance imaging (MRI) revealed a large T2 hyperintense cystic mass extending from the chest wall into the neck, axilla, and arm of twin B, consistent with a LVM. Multidisciplinary evaluation guided prenatal surveillance. At 31 2/7 weeks’ gestation, evolving hydrops and severe maternal pre-eclampsia necessitated cesarean delivery. Twin B required intubation for airway compression and remained hemodynamically stable. MRI confirmed a complex and extensive LVM with an extensive venous component. After multidisciplinary discussion, she was treated with rapamycin and later underwent limited resection, drainage and vacuum assisted closure of the left neck lesion, leading to resolution of the lesion with subsequent extubation by day of life (DOL) 43. She subsequently underwent limited aspiration, drainage, and vacuum assisted closure of the left chest wall. She demonstrated clinical improvement with early initiation of supportive therapies.</div></div><div><h3>Conclusion</h3><div>Large fetal lymphovascular malformations require close monitoring and imaging surveillance throughout gestation due to the risk of potential lesion progression and hydrops fetalis.</div></div>","PeriodicalId":45641,"journal":{"name":"Journal of Pediatric Surgery Case Reports","volume":"123 ","pages":"Article 103126"},"PeriodicalIF":0.2,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145323967","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
Raising awareness of the CDH1 mutation for the pediatric surgeon and the use of robotic assisted surgery in pediatric general surgery as demonstrated by a total gastrectomy: a case report 提高儿科外科医生对CDH1突变的认识,并通过全胃切除术证明机器人辅助手术在儿科普通外科中的应用:一份病例报告
IF 0.2
Journal of Pediatric Surgery Case Reports Pub Date : 2025-12-01 Epub Date: 2025-10-30 DOI: 10.1016/j.epsc.2025.103141
Melanie Elhafid , Kristopher Milbrandt , Richard Bigsby
{"title":"Raising awareness of the CDH1 mutation for the pediatric surgeon and the use of robotic assisted surgery in pediatric general surgery as demonstrated by a total gastrectomy: a case report","authors":"Melanie Elhafid ,&nbsp;Kristopher Milbrandt ,&nbsp;Richard Bigsby","doi":"10.1016/j.epsc.2025.103141","DOIUrl":"10.1016/j.epsc.2025.103141","url":null,"abstract":"<div><h3>Introduction</h3><div>CDH1 mutation is a rare autosomal dominant mutation. Individuals with this mutation have a lifetime risk of up to 70 % for developing diffuse gastric cancer, often at a young age, and many undergo prophylactic total gastrectomies.</div></div><div><h3>Case presentation</h3><div>We present the case of a teenage girl with a known CDH1 mutation, identified through family screening. Her family history was significant for diffuse gastric carcinoma, with multiple relatives, including her mother, having previously undergone total gastrectomies due to malignancy. On her first surveillance gastroscopy at age 13, multiple small foci of signet ring cells were discovered despite the absence of clinical symptoms. In collaboration with our adult thoracic surgical team, we conducted a 6-h robotic-assisted total gastrectomy, with Roux-en-Y reconstruction using 4 robotic ports (one of which was an umbilical 10 mm camera port) and one laparoscopic assistant port. Both the esophagojejunal and jejunojejunal anastomoses were create with a robotic stapler. The procedure was successful, and the patient had a favorable postoperative course. The patient resumed gradual enteral feeds post-op day 1 and was discharged home on post-op day 8 tolerating her regular diet. Final pathology confirmed the presence of scattered signet ring cell foci, with negative margins and lymph nodes. The patient continues to do well at one year follow-up, with ongoing nutritional and psychological support. This case is unique as, to the best of our knowledge, it represents one of only a handful of robotic-assisted total gastrectomies reported in pediatric patients worldwide.</div></div><div><h3>Conclusion</h3><div>Robotic-assisted surgery seems to be a feasible option for teenagers who require a prophylactic total gastrectomy due to a CDH1 mutation.</div></div>","PeriodicalId":45641,"journal":{"name":"Journal of Pediatric Surgery Case Reports","volume":"123 ","pages":"Article 103141"},"PeriodicalIF":0.2,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145419384","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
Large aneurysmal dermatofibroma mimicking melanoma in an adolescent: A case report 青少年大动脉瘤性皮肤纤维瘤模拟黑色素瘤:1例报告
IF 0.2
Journal of Pediatric Surgery Case Reports Pub Date : 2025-12-01 Epub Date: 2025-11-06 DOI: 10.1016/j.epsc.2025.103145
Emma Lim , Andreana Bütter
{"title":"Large aneurysmal dermatofibroma mimicking melanoma in an adolescent: A case report","authors":"Emma Lim ,&nbsp;Andreana Bütter","doi":"10.1016/j.epsc.2025.103145","DOIUrl":"10.1016/j.epsc.2025.103145","url":null,"abstract":"<div><h3>Introduction</h3><div>Hemosiderotic dermatofibroma (HDF) is an infrequent variant of dermatofibroma, made up of small blood vessels, hemosiderin deposits, and extravasated erythrocytes. HDF closely resembles melanoma, with irregular borders and colour changes on clinical examination and atypical cell organization on dermoscopy and can pose a diagnostic dilemma.</div></div><div><h3>Case presentation</h3><div>We report the case of a large (5cm) subcutaneous hemosiderotic/aneurysmal DF (H/ADF) that appeared on the flank of 17-year-old, otherwise healthy, male patient. The mass evolved over two years, with purple discoloration noticed three months prior. Clinical examination revealed a palpable moveable mass overlying the left hip in the subcutaneous tissues measuring approximately 4 x 4 cm. Because of both the substantial size of the mass and diagnostic uncertainty, the decision was made to proceed with surgical resection. The lesion was resected without complication, although there was copious bleeding initially. Pathological findings showed a dermatofibroma, cellular subtype, with aneurysmal change. Sections showed a solid, cellular proliferation composed of plump ovoid to spindle cells arranged in a storiform pattern and short fascicles punctuated by areas of hemorrhage and associated hemosiderin pigment deposition. Occasional multinucleated giant cells were seen. At 1 month follow-up, the patient was in good condition, and completely asymptomatic. There was no recurrence.</div></div><div><h3>Conclusion</h3><div>Pediatric surgeons should be aware that rare dermatofibroma variants, such as aneurysmal dermatofibroma, can clinically resemble melanoma and should be treated with excisional biopsy. Diagnosis should always be confirmed with histopathology and immunohistochemistry.</div></div>","PeriodicalId":45641,"journal":{"name":"Journal of Pediatric Surgery Case Reports","volume":"123 ","pages":"Article 103145"},"PeriodicalIF":0.2,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145526282","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
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