Journal of Pediatric Surgery Case Reports最新文献

{"title":"Imperforate anus, multiple intestinal atresia and unilateral facial hypoplasia: A case series","authors":"Joy Ayemoba ,&nbsp;Carmelle Romain ,&nbsp;Kathryn J. Rowland","doi":"10.1016/j.epsc.2025.103076","DOIUrl":"10.1016/j.epsc.2025.103076","url":null,"abstract":"<div><h3>Introduction</h3><div>Imperforate anus and intestinal atresia are rare but well understood congenital disorders which affect the alimentary tract. Like intestinal atresia, facial hypoplasia is another congenital anomaly likely secondary to a vascular injury in utero.</div></div><div><h3>Case presentation</h3><div>Case 1 discusses a female born at 32 weeks with a prenatal diagnosis of duodenal atresia and discovery of imperforate anus and unilateral maxillary hypoplasia at birth. She was emergently taken to the operating room for bowel obstruction. During that operation, she underwent repair of multiple segments of atresia, a duodenoduodenostomy, and creation of an end ileostomy and mucus fistula. At two months of age, she returned to the operating room to restore continuity of the distal atretic bowel. At six months old she presented with a partial bowel obstruction secondary to a jejunal duplication cyst. Case 2 discusses a full-term male presenting with unilateral facial hypoplasia and imperforate anus at birth. Given failure to pass meconium and worsening abdominal distension he was taken to surgery, where multiple segments of intestinal atresia were identified. During this operation he was left in discontinuity following creation of a diverting loop ileostomy and colostomy. Two months later, he underwent repeat exploratory laparotomy during which multiple segments of atretic bowel were repaired. At four months of age, he underwent reversal of the diverting loop ileostomy followed by completion of posterior sagittal anorectoplasty at nine months old.</div></div><div><h3>Conclusion</h3><div>Intestinal atresias should be highly suspected in patients who present with anorectal malformations in conjunction with facial hypoplasia.</div></div>","PeriodicalId":45641,"journal":{"name":"Journal of Pediatric Surgery Case Reports","volume":"121 ","pages":"Article 103076"},"PeriodicalIF":0.2,"publicationDate":"2025-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144772302","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":"Three-dimensional modelling and printing for preoperative planning in the resection of an ischiorectal epithelioid sarcoma: a case report","authors":"Rachel J. Livergant ,&nbsp;Trevor D. Hamilton ,&nbsp;Daniel G. Rosenbaum ,&nbsp;Sima Zakani ,&nbsp;John Jacob ,&nbsp;Shahrzad Joharifard","doi":"10.1016/j.epsc.2025.103079","DOIUrl":"10.1016/j.epsc.2025.103079","url":null,"abstract":"<div><h3>Introduction</h3><div>Epithelioid sarcomas are rare malignant mesenchymal tumours, accounting for approximately 3–4 % of pediatric soft-tissue sarcomas, and present unique surgical challenges due to their infiltrative nature and proximity to critical anatomical structures. While three-dimensional modelling has emerged as a valuable adjunct in preoperative planning for complex tumours, its use in pediatric soft-tissue sarcomas is rare, with no described cases involving epithelioid sarcomas.</div></div><div><h3>Case presentation</h3><div>A 13-year-old girl presented with a year-long history of perineal pain and a palpable mass. Imaging revealed a tumour involving the rectum and external sphincter, abutting the posterior vaginal wall. Biopsy confirmed epithelioid sarcoma and staging showed indeterminate pulmonary nodules. She underwent neoadjuvant chemoradiotherapy. Two surgical options were considered: abdominoperineal resection with hysterectomy or vaginal preservation with increased risk of residual disease. A three-dimensional model with 2cm margins was created to aid decision-making. After multidisciplinary review and model consultation, the patient opted for vaginal preservation. She underwent abdominoperineal resection with VRAM flap reconstruction. Final pathology confirmed negative margins. Nearly three years later, she developed a pancreatic tail metastasis and progressive pulmonary lesions, which were treated with distal pancreatectomy, splenectomy, radiotherapy, and cryoablation. Additional metastases in the stomach, scalp, retroperitoneum, and flank are being managed with palliative radiotherapy.</div></div><div><h3>Conclusion</h3><div>Three-dimensional printed models can be helpful in the preoperative planning for the resection of tumours of the ischiorectal region.</div></div>","PeriodicalId":45641,"journal":{"name":"Journal of Pediatric Surgery Case Reports","volume":"121 ","pages":"Article 103079"},"PeriodicalIF":0.2,"publicationDate":"2025-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144772350","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":"Awake thoracoscopic mediastinal biopsy in a teenager: a case report","authors":"Morgan L. Brown,&nbsp;Samantha M. Koenig,&nbsp;Vincent Mortellaro,&nbsp;Mike K. Chen,&nbsp;Elizabeth A. Beierle","doi":"10.1016/j.epsc.2025.103078","DOIUrl":"10.1016/j.epsc.2025.103078","url":null,"abstract":"<div><h3>Introduction</h3><div>Mediastinal masses are a common pathology encountered by pediatric surgeons. These masses may cause airway compression that precludes the use of general anesthesia; however, pathologic diagnosis may depend upon tissue obtained only through a surgical biopsy. We describe an innovative technique to obtain adequate tissue for diagnosis from an anterior mediastinal mass in the setting of airway compression.</div></div><div><h3>Case presentation</h3><div>A 13-year-old child presented with three months of chest pain and weakness. Initial workup with chest x-ray identified a mediastinal mass. A chest computerized tomography (CT) revealed a 14.5 by 9.7 cm anterior mediastinal mass causing tracheal compression. Bone marrow and lymph node biopsies were non-diagnostic, and a three-day trial of oral prednisone (40 mg twice daily) had minimal effect on airway compromise. Prominent vasculature precluded a window for safe percutaneous biopsy or through a Chamberlain approach. The patient was taken to the operating room for an awake thoracoscopic biopsy of the mediastinal mass using intravenous ketamine and local anesthesia. The patient was placed in left lateral decubitus position. A 5-mm trocar was placed in the posterior axillary line with two additional 5-mm trocars triangulated posteriorly. Loss of negative intrathoracic pressure allowed for visualization of the mass. Biopsies were taken using laryngeal biopsy forceps and a chest tube was left in place. The patient was discharged home on the first postoperative day after chest tube removal. The pathology was consistent with classic Hodgkin lymphoma, intermediate risk, Stage IIA. The patient was treated with chemotherapy per the AHOD0031 protocol and continues to be followed by the oncology service.</div></div><div><h3>Conclusion</h3><div>Awake, video-assisted thoracoscopic surgery seems to be a feasible option for incisional biopsies in teenagers that have mediastinal tumors causing airway compression precluding the use of general anesthesia.</div></div>","PeriodicalId":45641,"journal":{"name":"Journal of Pediatric Surgery Case Reports","volume":"121 ","pages":"Article 103078"},"PeriodicalIF":0.2,"publicationDate":"2025-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144772351","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":"Lateral proximal esophagostomy and bouginage for the management of type-A esophageal atresia: a case series","authors":"Pastor Escárcega-Fujigaki ,&nbsp;Guillermo Hernández-Peredo-Rezk ,&nbsp;Haydee Vélez-Blanco ,&nbsp;Guadalupe-Gisela Caltzontzin-Basurto ,&nbsp;Carlos-Alberto Mesa-Aguirre ,&nbsp;Carlos Gutiérrez-Avalos","doi":"10.1016/j.epsc.2025.103070","DOIUrl":"10.1016/j.epsc.2025.103070","url":null,"abstract":"<div><h3>Introduction</h3><div>Type A esophageal atresia (EA) is a rare congenital anomaly. Multiple surgical approaches and techniques have been proposed for its treatment, highlighting the complexity of its correction.</div></div><div><h3>Case presentation</h3><div>Case 1 was of a female infant delivered at 35 weeks of gestation (weight, 2.7 kg; height, 47 cm; Apgar, 8–8), diagnosed with Type A EA and duodenal atresia. At 4 days of age, lateral proximal esophagostomy (LPE), duodenal membrane resection, and gastrostomy were performed. The patient was discharged after 36 days, with the parents instructed to perform bouginage. Owing to the pandemic, esophageal anastomosis was performed at 2 years of age. Subsequently, two esophageal dilatations were required; Nissen fundoplication with closure of gastrostomy and LPE were performed 4 months later. At approximately 5 years of age, the patient showed no difficulties in feeding. Case 2 was of a male infant delivered at 37 weeks of gestation (weight, 2.8 kg; height, 50 cm; Apgar, 8–9), diagnosed with Type A EA with VACTERL association. Gastrostomy and LPE were performed at 6 and 26 days of age, respectively; the patient was also discharged, with the parents instructed to perform bouginage. Due to malnutrition, esophagoplasty was performed at 1 year and 10 months. Subsequently, two esophageal dilations were performed, followed by closure of gastrostomy and LPE after 2 and 7 months, respectively. At the 3-year follow-up, the patient exhibited no feeding difficulties.</div></div><div><h3>Conclusion</h3><div>Lateral proximal esophagostomy and bouginage appear to be a feasible option for the management of type-A esophageal atresia.</div></div>","PeriodicalId":45641,"journal":{"name":"Journal of Pediatric Surgery Case Reports","volume":"121 ","pages":"Article 103070"},"PeriodicalIF":0.2,"publicationDate":"2025-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144739570","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":"L-shaped sternotomy for the resection of a large thoracic tumor in a 10-year-old child: a case report","authors":"Saeyoung Lee ,&nbsp;Alberto Jarrin Lopez ,&nbsp;Gabriella Grisotti ,&nbsp;Vinod Sebastian ,&nbsp;Sunghoon Kim","doi":"10.1016/j.epsc.2025.103075","DOIUrl":"10.1016/j.epsc.2025.103075","url":null,"abstract":"<div><h3>Introduction</h3><div>In pediatric patients, large intrathoracic tumors have a broad differential and varied presentation. Based on patient anatomy, the size of the tumor, and malignant potential, adequate intra-operative exposure must be balanced with long-term functional recovery.</div></div><div><h3>Case presentation</h3><div>A previously healthy 10-year-old girl presented with a 2-month history of dyspnea, left shoulder pain, heart murmur, and significant weight loss. Physical examination revealed diminished breath sounds on the left side and a systolic murmur on auscultation, as well as an asymmetric chest. Elevated inflammatory markers were noted, with imaging showing a large heterogeneous tumor occupying most of the left thoracic cavity, 13.5 x 10.3 × 13.3 cm, including cystic and adipose tissue with calcifications. The tumor exerted mass effect on the left pulmonary vessels, lung, and left ventricle, causing mediastinal shift and pleural effusion. Surgical resection was performed using an L-shape sternotomy, with curvilinear left lateral extension in the anticipated inframammary crease and division of the 6th intercostal space, allowing complete en bloc excision without spillage. Pain management included intercostal nerve cryoablation, facilitating early mobilization out of bed, and minimizing the need for narcotic analgesia. Postoperatively, the patient recovered well, with pain managed by Tylenol, Ibuprofen, oxycodone, and Dilaudid. Follow-up after six months showed no recurrence of the tumor, and biopsies revealed a cystic mature teratoma with chronic inflammation in surrounding tissues.</div></div><div><h3>Conclusion</h3><div>The L-shaped sternotomy seems to be an effective approach for the resection of large thoracic tumors in children.</div></div>","PeriodicalId":45641,"journal":{"name":"Journal of Pediatric Surgery Case Reports","volume":"121 ","pages":"Article 103075"},"PeriodicalIF":0.2,"publicationDate":"2025-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144739572","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":"Familial intestinal malrotation and cleft lip and palate: A case report","authors":"Kamela Loo ,&nbsp;Krista Lai ,&nbsp;Vidhi Shah","doi":"10.1016/j.epsc.2025.103072","DOIUrl":"10.1016/j.epsc.2025.103072","url":null,"abstract":"<div><h3>Introduction</h3><div>The etiology of intestinal malrotation is unknown and it can occur in isolation or with other congenital anomalies. Although case reports have reported genetic etiologies of intestinal malrotation, association with cleft lip and palate is rare.</div></div><div><h3>Case presentation</h3><div>A 37 1/7-week male infant was born via C-section with a birth weight of 3270g and a prenatal diagnosis of cleft lip and palate. His Apgar scores at 1 and 5 minutes were 7 and 8, respectively, and he briefly required continuous positive airway pressure in the delivery room before weaning to room air. The infant was admitted to the neonatal intensive care unit for hypoglycemia and poor feeding. On day of life twelve, he developed bloody stools, metabolic acidosis, and abdominal distention, which progressed to respiratory failure, coagulopathy, and hypovolemic shock. Abdominal x-rays demonstrated a stomach bubble with paucity of distal gas. An abdominal ultrasound demonstrated inversion of the superior mesenteric vein and artery, which was highly suggestive of an intestinal malrotation with midgut volvulus. The patient underwent an emergent Ladd procedure without bowel resection. He had an uneventful postoperative recovery, with progression to full enteral feedings. The patient's older half sibling also had cleft lip and palate, experienced recurrent vomiting, and was diagnosed with malrotation requiring an elective Ladd procedure.</div></div><div><h3>Conclusion</h3><div>This case study suggests that the association of cleft lip and palate and intestinal malrotation may have a genetic background. Newborns who have cleft lip and palate who have siblings with this association should undergo imaging studies to rule out intestinal malrotation.</div></div>","PeriodicalId":45641,"journal":{"name":"Journal of Pediatric Surgery Case Reports","volume":"121 ","pages":"Article 103072"},"PeriodicalIF":0.2,"publicationDate":"2025-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144739569","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":"Bilateral abdominoscrotal hydroceles causing vascular compression in an infant: a case report","authors":"Nzuekoh N. Nchinda ,&nbsp;Caitlin A. Smith ,&nbsp;Sarah L.M. Greenberg","doi":"10.1016/j.epsc.2025.103073","DOIUrl":"10.1016/j.epsc.2025.103073","url":null,"abstract":"<div><h3>Introduction</h3><div>An abdominoscrotal hydrocele is a rare condition characterized by a large fluid-filled mass that spans scrotal, inguinal and intrabdominal components. Early surgical management is recommended in order to prevent complications from compression or torsion.</div></div><div><h3>Case presentation</h3><div>A previously healthy two-month-old male initially presented to a surgery clinic with asymptomatic congenital bilateral scrotal hydroceles; this was managed conservatively. He presented again at five months of age to the emergency department with acute right lower extremity swelling and mild discoloration. Testicular ultrasound showed large bilateral abdominoscrotal hydroceles. Magnetic resonance imaging angiogram additionally showed right external iliac vein opacification adjacent to the ipsilateral abdominoscrotal hydrocele, suggestive of compression or thrombosis. Duplex ultrasound of the iliac vessels showed significant narrowing of the right external iliac vein with associated turbulent, high-velocity flow. The patient underwent bilateral hydrocelectomy via open inguinal incisions and recovered well. Follow-up Doppler ultrasound was performed two weeks postoperatively and showed resolution of the prior right external iliac vein compression.</div></div><div><h3>Conclusion</h3><div>Bilateral abdominoscrotal hydroceles are rare and can present with vascular complications. Surgical management is recommended in symptomatic and complicated cases of abdominoscrotal hydroceles.</div></div>","PeriodicalId":45641,"journal":{"name":"Journal of Pediatric Surgery Case Reports","volume":"121 ","pages":"Article 103073"},"PeriodicalIF":0.2,"publicationDate":"2025-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144725019","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":"Intestinal obstruction due to ileo-sigmoid knotting in a child: a case report","authors":"Ephrem Nidaw Kerego ,&nbsp;Yonatan Solomon Eshetu","doi":"10.1016/j.epsc.2025.103071","DOIUrl":"10.1016/j.epsc.2025.103071","url":null,"abstract":"<div><h3>Introduction</h3><div>Ileo-sigmoid knotting is a rare cause of intestinal obstruction in which the ileum twists around the base of the sigmoid colon, or vice versa, forming a knot that creates a double closed-loop obstruction and can lead to bowel ischemia and necrosis.</div></div><div><h3>Case presentation</h3><div>A 7-year-old boy presented with a 12-hour history of worsening abdominal pain, initially colicky and central, later becoming diffuse, accompanied by bilious vomiting. On examination, the child appeared acutely ill and lethargic, with signs of hypovolemic shock including tachycardia (145 bpm), hypotension (80/45 mmHg), feeble pulses, and dry mucous membranes. The abdominal examination revealed marked distention and generalized tenderness. X-ray of the abdomen showed multiple centrally located air fluid levels. Laboratory results showed leukocytosis with neutrophilia. After fluid resuscitation and stabilization, he was taken to the operating room for an emergency laparotomy. We found a 100cm-long segment of ischemic ileum caused by a counterclockwise knot formed by a redundant sigmoid colon. The knot was untwisted, and the gangrenous ileum was resected. Because there was only a very short segment of healthy ileum proximal to the ileocecal valve, we did a limited right hemicolectomy and an ileo-colic anastomosis. The child recovered well and was discharged on the fifth postoperative day. He remained asymptomatic on the last follow up visit, one month after the operation.</div></div><div><h3>Conclusion</h3><div>Ileo-sigmoid knotting should be included in the differential diagnosis of children who develop acute abdominal pain with signs of intestinal obstruction.</div></div>","PeriodicalId":45641,"journal":{"name":"Journal of Pediatric Surgery Case Reports","volume":"121 ","pages":"Article 103071"},"PeriodicalIF":0.2,"publicationDate":"2025-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144722784","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":"Intussusception secondary to a double Meckel's diverticulum in a 2-month-old infant: a case report","authors":"Natalia Guzmán Alfonso ,&nbsp;Jorge Ricardo Beltrán Chitiva ,&nbsp;Juan J. Valero ,&nbsp;Esteban Felipe Patiño Calderón ,&nbsp;Álvaro Andrés Trujillo Ceballos ,&nbsp;Carlos Andrés Cadavid Restrepo","doi":"10.1016/j.epsc.2025.103052","DOIUrl":"10.1016/j.epsc.2025.103052","url":null,"abstract":"<div><h3>Introduction</h3><div>Double Meckel's diverticulum is extremely rare. Only five cases have been reported in the pediatric population, none of which were associated with intestinal intussusception.</div></div><div><h3>Case presentation</h3><div>A 2-month-old, full-term infant born at 37 weeks of gestation was admitted with a one-day history of vomiting and blood-streaked stool. Laboratory tests were within normal limits. Abdominal x-ray showed distended bowel loops. Abdominal ultrasound showed findings suggestive of an Ileocolic intussusception. Due to the duration of symptoms, an enema reduction was not attempted. He was taken to the operating room for an exploratory laparoscopy. We used a single-port technique through a small incision at the umbilicus. We found an ileo-ileal intussusception and exteriorized the involved segment through the umbilical incision. The intussusception was manually reduced, and we found two Meckel's diverticula on the antimesenteric border of the affected segment, one measuring 1.5 cm by 2 cm, and the other one 1 cm by 1 cm. The larger one served as the leading point for the intussusception. We resected the affected segment that included the two diverticula and did a primary anastomosis. Because the bowel was somewhat compromised, we planned to do a second look. The patient remained the intermediate care unit, extubated. We took him back to the operating room 72 hours later and confirmed that the anastomosis was intact. He resumed enteral feedings three days after the last operation and was discharged home two days later. The pathological examination confirmed two true Meckel's diverticula with no evidence of heterotopic gastric mucosa.</div></div><div><h3>Conclusion</h3><div>Patients who are found to have a Meckel's diverticulum should have their entire small bowel inspected to rule out a second Meckel's diverticulum, which although rare, has been reported.</div></div>","PeriodicalId":45641,"journal":{"name":"Journal of Pediatric Surgery Case Reports","volume":"121 ","pages":"Article 103052"},"PeriodicalIF":0.2,"publicationDate":"2025-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144694935","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":"Corrigendum to “Congenital H-type recto-vaginal fistula with normal anus: a case report” [J Pediatric Surg Case Rep 120 (2025) 1–4 103054]","authors":"Samuel Kefiyalew Kelbessa,&nbsp;Berhanu Nigusse Bikila,&nbsp;Amanuel Mesfin Oljira","doi":"10.1016/j.epsc.2025.103067","DOIUrl":"10.1016/j.epsc.2025.103067","url":null,"abstract":"","PeriodicalId":45641,"journal":{"name":"Journal of Pediatric Surgery Case Reports","volume":"121 ","pages":"Article 103067"},"PeriodicalIF":0.2,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145104426","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}