Urinary ascites in a preterm female neonate: a rare case report
Here we report a rare case of urinary ascites due to spontaneous bladder rupture in a preterm female neonate. The baby presented with respiratory distress, abdominal distension, anuria, and renal insufficiency. The diagnosis of bladder rupture was confirmed by peritoneal fluid aspiration with biochemical analysis and ultrasonography abdomen. The patient was managed successfully by establishing urinary outflow with indwelling Foley’s catheterization of the urinary bladder. (Source: Annals of Pediatric Surgery)
Source: Annals of Pediatric Surgery - October 1, 2017 Category: Surgery Tags: Case Reports Source Type: research
Management of supernumerary testis: a rare case of polyorchidism in a 2-year-old boy
We report the case of a 2-year-old boy with intermittent left-sided scrotal swelling and an ipsilateral undescended testis. During the operation, a left cryptorchid testis was found at the external ring, with further dissection revealing a second vas deferens attached to an additional intrascrotal testis. The cryptorchid testis was pexied in the left hemiscrotum with the second descended testis left in place. A review of the literature reveals over 150 cases of supernumeracy testis. Triorchidism is the most common form with the third testis typically located within the scrotal sac. Supernumeracy testis is frequently associ...
Source: Annals of Pediatric Surgery - October 1, 2017 Category: Surgery Tags: Case Reports Source Type: research
Abdominoplasty for Ladd’s procedure: optimizing access and esthetics
Rotational anomalies occur when there is an abnormal arrest of rotation in the embryonic gut during development. The characteristic population affected is considered to be infants or young children, but in clinical practice, can be found in older children and adults as well. In these patients, the Ladd procedure is performed, whereby the abdomen is opened using traditional incisions, such as the midline laparotomy, for full visualization of the abdominal cavity. Despite providing excellent visualization, approaches such as this carry both increased surgical-site morbidity and an often-displeasing incision and visible scar....
Source: Annals of Pediatric Surgery - October 1, 2017 Category: Surgery Tags: Case Reports Source Type: research
Assessment of lower urinary tract function in children before and after transanal endorectal pull through for Hirschsprung’s disease
Conclusion: In HD, neurovesical dysfunction may exist preoperatively, and, although the incidence of postoperative changes in neurovesical function may appear high, children who present with urinary problems after surgery should be assessed urodynamically. (Source: Annals of Pediatric Surgery)
Source: Annals of Pediatric Surgery - October 1, 2017 Category: Surgery Tags: Original Articles Source Type: research
Gonadal infection: a risk factor for the development of adolescent varicocele
Objective: The aim of this study was to determine whether a relationship between previous gonadal infections and adolescent varicocele occurrence exists.
Patients and methods: All adolescents who presented with varicocele at Tanta Urology Department during the period from January 2006 to March 2011 were included in this study. Patients were evaluated for age, clinical presentation, previous history of epididymitis or epididymo-orchitis, laterality, and grading of varicocele. Examination of testicular consistency and ultrasound measurement of testicular volume were carried out for all patients to define those with testicul...
Source: Annals of Pediatric Surgery - October 1, 2017 Category: Surgery Tags: Original Articles Source Type: research
Sacrococcygeal teratoma excision: a vertical rather than transverse wound closure
Conclusion: The vertical posterior sagittal approach for excision of SCT is both feasible and advantageous in terms of the cosmetic outcome. It provides a well-hidden scar in the natal cleft and preserves normal contouring of the buttocks. (Source: Annals of Pediatric Surgery)
Source: Annals of Pediatric Surgery - October 1, 2017 Category: Surgery Tags: Original Articles Source Type: research
Current management of anorectal malformation in Egypt: a survey of members of the Egyptian pediatric surgical association
Conclusion: The current EPSA survey indicates that most surgeons still use the invertogram as the principal preoperative diagnostic study. Posterior sagittal anorectoplasty is the preferable definitive surgical technique for high ARM in males. Most surgeons prefer primary repair for rectovestibular fistulas. Laparoscopic approach for the management of high ARM is currently practiced by only a few surgeons. (Source: Annals of Pediatric Surgery)
Source: Annals of Pediatric Surgery - October 1, 2017 Category: Surgery Tags: Original Articles Source Type: research
Pneumatic versus hydrostatic reduction in the treatment of intussusception in children
Conclusion: Pneumatic reduction is safe, simple, fast, less messy and as effective as hydrostatic reduction. (Source: Annals of Pediatric Surgery)
Source: Annals of Pediatric Surgery - October 1, 2017 Category: Surgery Tags: Original Articles Source Type: research
Laparoscopic versus open splenectomy in children with benign hematological diseases in children: a single-center experience
Conclusion: Although both LS and OS achieved the same goal for the children with benign hematological disease, the advantages of minimal invasive surgery made LS the standard approach for treatment of children with benign hematological diseases. However, the main concern is the high economic burden of LS when compared with OS. (Source: Annals of Pediatric Surgery)
Source: Annals of Pediatric Surgery - October 1, 2017 Category: Surgery Tags: Original Articles Source Type: research
Congenital pyloric atresia: clinical features, diagnosis, associated anomalies, management and outcome
Conclusion: CPA is a very rare malformation that can be familial and inherited as an autosomal recessive. It can either occur as an isolated lesion with an excellent prognosis, or be associated with other anomalies. The overall prognosis of CPA, however, is still poor, and this is due to the frequent-and often fatal-associated anomalies. (Source: Annals of Pediatric Surgery)
Source: Annals of Pediatric Surgery - October 1, 2017 Category: Surgery Tags: Original Articles Source Type: research
Congenital Morgagni’s hernia in infants and children: a national review
Conclusion: CMH is rare and the presentation is nonspecific and variable but the majority present with repeated attacks of chest infection. Physicians caring for these patients should be aware of this, and infants and children with repeated attacks of chest infection should be investigated. It is also important to evaluate these patients for possible associated anomalies, including an echocardiogram. Once the diagnosis of CMH is confirmed, they should be repaired surgically regardless of whether symptomatic or asymptomatic. The laparoscopic-assisted approach is a simple, safe, and sound technique, and leaving the hernia sa...
Source: Annals of Pediatric Surgery - October 1, 2017 Category: Surgery Tags: Original Articles Source Type: research
Bowel management in children: how to keep children clean
Conclusion: To improve a child’s quality of life an antegrade continence enema can be considered. Before surgery it has to be shown that a bowel management with rectal irrigations works. The indication for a surgical approach for bowel management has to be set carefully. Conservative measures must be tried first. (Source: Annals of Pediatric Surgery)
Source: Annals of Pediatric Surgery - October 1, 2017 Category: Surgery Tags: Review Article Source Type: research
Ectopic thoracic kidney in a child presenting with recurrent cough: a case report and review of literature
Ectopic thoracic kidney is a rare clinical entity in pediatric patients. It is usually an incidental finding on evaluation of patients with recurrent cough or mediastinal mass. Its clinical course is benign. We are presenting a case of right ectopic intrathoracic kidney diagnosed incidentally on contrast-enhanced computed tomography chest during evaluation of a child with recurrent cough. (Source: Annals of Pediatric Surgery)
Source: Annals of Pediatric Surgery - July 1, 2017 Category: Surgery Tags: Case Reports Source Type: research
Intestinal obstruction due to ileal metastasis of Ewing’s sarcoma
We present a case report of intestinal obstruction caused by ileal metastasis of Ewing’s sarcoma. The invasive tumoral segment of the ileum was removed and the bowel continuity was provided with end-to-end anastomosis. Histopathologic examination showed tumoral invasion of the ileal mucosa and ileal wall by small blue round cells of Ewing’s sarcoma. (Source: Annals of Pediatric Surgery)
Source: Annals of Pediatric Surgery - July 1, 2017 Category: Surgery Tags: Case Reports Source Type: research
Double sigmoid atresia with meconium pseudocyst masquerading as a mesenteric cyst
We report an antenatally diagnosed mesenteric cyst in a neonate that was subsequently diagnosed as a meconium pseudocyst with double sigmoid atresia. A localized type 4 atresia or a colonic atresia associated with meconium pseudocyst has not been reported in the literature to date. (Source: Annals of Pediatric Surgery)
Source: Annals of Pediatric Surgery - July 1, 2017 Category: Surgery Tags: Case Reports Source Type: research
