Double-site antegrade and retrograde idiopathic intussusception in an infant: a case report and review of literature
Intussusception is a very common surgical problem in infants. Double intussusception, however, is very rare in children. The authors report the successful management of a case of double-site antegrade and retrograde idiopathic intussusception in an 11-month-old boy. (Source: Annals of Pediatric Surgery)
Source: Annals of Pediatric Surgery - July 1, 2018 Category: Surgery Tags: Case Reports Source Type: research
Posterior urethral valves in fraternal twins: case report and review of the literature
We report a pair of dizygotic twins with type 1 posterior urethral valves. Concomitant and discordant presentation of posterior urethral valves in twins is rare, with a handful of cases in the literature. The occurrence of identical pathology in dizygotic twins probably suggests the possibility of an inherited trait as it does exist in monozygotic twins. (Source: Annals of Pediatric Surgery)
Source: Annals of Pediatric Surgery - July 1, 2018 Category: Surgery Tags: Case Reports Source Type: research
A case report and literature review of the late presenting congenital diaphragmatic hernia
Late presenting congenital diaphragmatic hernia is a disease associated with defective diaphragm and penetration of different organs into the thoracic cavity. In the present case, a 3-year-old boy was referred to our hospital complaining of acute abdominal pain. No other gastrointestinal symptoms including nausea, vomiting, or constipation were observed. The patient represented no respiratory problems such as dyspnea or respiratory distress syndrome. Radiograph of the thoracic and abdominal cavities showed bowel loops occupying the entire space of the left hemithorax and right-shifted mediastinum. The patient was referred ...
Source: Annals of Pediatric Surgery - July 1, 2018 Category: Surgery Tags: Case Reports Source Type: research
Infantile hypertrophic pyloric stenosis in monozygotic twins: a case report and review of genetic and modifiable risk factors
Infantile hypertrophic pyloric stenosis is the most common surgical pathology resulting in emesis presenting in infancy and is usually encountered between the second and eighth weeks of life. It is the most common indication for surgery in infants less than 1 month of age. Prior to the pyloromyotomy developed by Ramstedt in 1911, the mortality for the condition exceeded 50%. Current epidemiologic data indicate that the ailment affects between two and five infants per 1000 live births. Despite the incidence of the condition, the etiologic factors, genetic or environmental, have yet to be clearly elucidated. The incidence in...
Source: Annals of Pediatric Surgery - July 1, 2018 Category: Surgery Tags: Case Reports Source Type: research
Unusual traumatic uterine injury: first reported cervicouterine transection
We report a case of traumatic cervicouterine transection in teenager patient who presented with amenorrhea and hematometra. She was primarily investigated and found to have intact full length cervical canal, normal uterus, and urinary system. Operative management confirmed our diagnosis of transection rather than agenesis with her history of trauma at the age of 3 years. We report our case with medical diagnostic approach and management. (Source: Annals of Pediatric Surgery)
Source: Annals of Pediatric Surgery - July 1, 2018 Category: Surgery Tags: Case Reports Source Type: research
Predicting surgical outcome of pediatric percutaneous nephrolithotomy
Purpose
The aim was to evaluate the outcome of pediatric percutaneous nephrolithotomy (PCNL) guided by Guy’s stone score grading system.
Patients and methods
This was a prospective study of children with renal calculi more than 2 cm. They were younger than 18 years and were a candidate for PCNL at our University Hospitals from January 2013 until July 2016. All of them had a low-dose noncontrast enhanced computed tomography. The procedure was performed under general anesthesia with the patients in the prone position guided by fluoroscopy. The stone-free rate and the presence and type of complications were estimated...
Source: Annals of Pediatric Surgery - July 1, 2018 Category: Surgery Tags: Original Articles Source Type: research
Upper lip myomucosal flap for the repair of anterior oronasal fistula
This study included 10 patients with age ranging from 15 to 72 months. The size of the fistula was less than 1 cm in six patients and more than 1 cm in four patients. The flap was used as an additional layer repair in seven patients and as the only layer for the repair in three patients. This technique was found to be successful in 70% of the patients with good healing without any recurrent fistula. We concluded that the use of this technique is feasible; however, its efficacy should be tested in larger number of patients to be considered as an option for the treatment of anterior oronasal fistula. (Source: Annals of Pediatric Surgery)
Source: Annals of Pediatric Surgery - July 1, 2018 Category: Surgery Tags: Original Articles Source Type: research
Medical conditions mimicking the acute surgical abdomen in children
Conclusion
Although eight patients with negative laparotomy result constitute only 0.5% of all the surgeries and 2.7% of all the laparotomies, it still forms the bulk (i.e. 8/16=50%) of the patients with underlying medical cause of the surgical abdomen. There were two deaths, representing a mortality of 12.5% (2/16=12.5%), with one in the operated group and one in the nonoperated group. This is why we want to stress the importance of caution and sound clinical judgement in evaluating this subset of patients. (Source: Annals of Pediatric Surgery)
Source: Annals of Pediatric Surgery - July 1, 2018 Category: Surgery Tags: Original Articles Source Type: research
Patterns of surgical causes of inguinoscrotal lesions in neonates in Sohag, Upper Egypt: a single-center experience
Conclusion
ISL in neonates carries a wide range of varieties. Although congenital inguinal hernia is the commonest, other causes should be kept in mind for differential diagnosis. (Source: Annals of Pediatric Surgery)
Source: Annals of Pediatric Surgery - July 1, 2018 Category: Surgery Tags: Original Articles Source Type: research
Foreign body ingestion in children: unusual presentations and timely intervention
Conclusion
Children who ingested uncommon FBs or presented late with symptoms of complications of impaction needed intervention (surgically or endoscopically) to extract these FBs. (Source: Annals of Pediatric Surgery)
Source: Annals of Pediatric Surgery - July 1, 2018 Category: Surgery Tags: Original Articles Source Type: research
Modified partial circumcision for phimosis: techniques and surgical outcomes
Conclusion
The described surgical technique of modified partial circumcision for the correction of pathological phimosis appears cosmetically well accepted, safe, and simple with low rate of late postoperative complications. (Source: Annals of Pediatric Surgery)
Source: Annals of Pediatric Surgery - July 1, 2018 Category: Surgery Tags: Original Articles Source Type: research
Usefulness of laparoscopy for determining the location of transitional zone in patients with inconclusive barium enema for Hirschsprung’s disease: a prospective clinical trial
Conclusion
Laparoscopy was found to be a useful diagnostic and therapeutic tool for such patients. (Source: Annals of Pediatric Surgery)
Source: Annals of Pediatric Surgery - July 1, 2018 Category: Surgery Tags: Original Articles Source Type: research
Evaluation and comparison of two different cartilage-sparing techniques in 356 otoplasties performed in children
Conclusion
None of the compared otoplasty techniques showed better results than the other. Notwithstanding, otoplasty shows to be an effective treatment with high success rates (independent of the technique utilized) for patients with prominent ears. (Source: Annals of Pediatric Surgery)
Source: Annals of Pediatric Surgery - July 1, 2018 Category: Surgery Tags: Original Articles Source Type: research
Presacral tumors of the Currarino triad: teratomas or hamartomas?
Conclusion
In the Currarino triad, several clinical and histopathological observations would suggest the excised presacral tumors to be developmental cysts (retrorectal hamartomas) rather than neoplastic teratomas. (Source: Annals of Pediatric Surgery)
Source: Annals of Pediatric Surgery - July 1, 2018 Category: Surgery Tags: Original Articles Source Type: research
Cut-edge mucoperiosteal flap for anterior fixation of palatal flap in palatoplasty
Conclusion
We found that cut-edge mucoperiosteal flap for anterior fixation of two-flap palatoplasty is a simple step at the end of cleft palate repair procedure which allows easy fixation of the palatal flap with short time and good opposition of the tissue edges, allowing better healing. (Source: Annals of Pediatric Surgery)
Source: Annals of Pediatric Surgery - July 1, 2018 Category: Surgery Tags: Original Articles Source Type: research
