Pygomelia with genitalia duplication at Treichville Teaching Hospital: two new cases
Pygomelia is a rare deformity (1/100 000) defined by the presence of one or more supernumerary members in the pelvic region. In this article, we report two new cases, including one that was successfully operated upon in our unit. The first case was characterized by the presence of two additional lower limbs postioned in the hypogastric region and a third vestigial epigastric upper limb associated with visceral deformations. Surgical treatment was successfully accomplished. The clinical examination of the second case objectified the third lower limb at the level of the left buttock with a rudimentary pelvis, a sacrococcygea...
Source: Annals of Pediatric Surgery - January 1, 2017 Category: Surgery Tags: Case Reports Source Type: research
Presentation of an ingested foreign body as a vesical calculus: a common condition, but uncommon presentation
Vesical calculus is a common entity in children of developing countries. Foreign body ingestion is a common occurrence in the pediatric population. An ingested foreign body eroding into the urinary bladder and leading to the formation of a vesical calculus is an extremely rare condition. We encountered a 14-year-old girl who presented with a vesical calculus and a history of ingestion of a nut bolt 7 years earlier. After cystolithotomy and retrieval of the calculus, we noticed that the nut bolt formed its core. As it is an extremely uncommon presentation, it is being reported here, with a brief review of the literature. (S...
Source: Annals of Pediatric Surgery - January 1, 2017 Category: Surgery Tags: Case Reports Source Type: research
Vasopressin in perioperative management of congenital diaphragmatic hernia: a case report
The objective of this study was to report the usefulness of vasopressin infusion in improving pulmonary and systemic haemodynamics in an infant with congenital diaphragmatic hernia. Oxygenation failure, pulmonary hypertension and refractory systemic hypotension in infants with diaphragmatic hernia are managed by ventilation and conventional inotropes (dobutamine and dopamine). Vasopressin is a recent addition that exerts vasodilatory effects on the pulmonary circulation and vasotonic effects on the systemic circulation. The net effect is a reduction in pulmonary vascular resistance and improvement in cardiac output and red...
Source: Annals of Pediatric Surgery - January 1, 2017 Category: Surgery Tags: Case Reports Source Type: research
Recurrence of floor of the mouth dysontogenic cyst in childhood
We present a case of a teratoid cyst of the floor of the mouth in an 8-month-old boy, which was initially operated on the suspicion of ranula. A year after the operation a recurrent teratoid cyst was detected, with a sinus tract to the floor of the mouth. A recurrent dysontogenic cyst is very rare, with only five cases reported, and only one during childhood. The presence of tracts or adhesions not identified during the primary excision could explain the recurrence. (Source: Annals of Pediatric Surgery)
Source: Annals of Pediatric Surgery - January 1, 2017 Category: Surgery Tags: Case Reports Source Type: research
The use of pedicled prepucial skin flap urethroplasty for proximal bulbomembraneous urethral stricture in children: an easy alternative to transpubic urethroplasty
Conclusion: The pedicled prepucial flap technique for proximal bulbomembranous urethral stricture in children is simple and easy to perform with good overall outcome. (Source: Annals of Pediatric Surgery)
Source: Annals of Pediatric Surgery - January 1, 2017 Category: Surgery Tags: Original Articles Source Type: research
Urethral advancement procedure in the treatment of primary distal hypospadias: a series of 20 cases
Conclusion: Urethral advancement can be used safely in the mobilization of the distal urethra with wide glanular dissection and wide lateral mobilization of glanular wings. However, it should be stressed that in the presence of hypoplastic distal urethra and/or persistent ventral curvature, another technique should be adopted. The majority of our patients had very good cosmetic results and minimal complication. However, the technique requires further studies with a larger number of patients and longer follow-up periods to draw more precise and final conclusions. (Source: Annals of Pediatric Surgery)
Source: Annals of Pediatric Surgery - January 1, 2017 Category: Surgery Tags: Original Articles Source Type: research
Short-term outcome of posterior anorectal myectomy for treatment of children with intractable idiopathic constipation
Conclusion: Anorectal myectomy is an effective and technically simple procedure in selected patients with intractable IC. (Source: Annals of Pediatric Surgery)
Source: Annals of Pediatric Surgery - January 1, 2017 Category: Surgery Tags: Original Articles Source Type: research
Implementation of a bowel management program in the treatment of incontinence in children for primary healthcare providers
Conclusion: Most of the cases suffering from constipation with pseudoincontinence can be treated properly by BMPs, whereas the minority suffering from true incontinence need multidisciplinary work to achieve acceptable results. (Source: Annals of Pediatric Surgery)
Source: Annals of Pediatric Surgery - January 1, 2017 Category: Surgery Tags: Original Articles Source Type: research
Laparoscopic versus open appendectomy in children with complicated appendicitis
Conclusion: LA was a suitable, effective and safe procedure in complicated cases that did not involve the base. It was associated with lower complications rate with all the advances of minimal invasive surgery when compared to the conventional open appendectomy. (Source: Annals of Pediatric Surgery)
Source: Annals of Pediatric Surgery - January 1, 2017 Category: Surgery Tags: Original Articles Source Type: research
Incidence and treatment of adhesive bowel obstruction after gastroschisis closure
Conclusion: In this study, 16% of the patients born with gastroschisis within a 7-year period presented with a adhesive obstruction. Occurrence of obstruction was unrelated to the method of closure or the severity of the defect. Although conservative management with nasogastric tube decompression may be effective initially, over half of patients with occlusion will need eventual surgery for lysis of adhesions. (Source: Annals of Pediatric Surgery)
Source: Annals of Pediatric Surgery - January 1, 2017 Category: Surgery Tags: Original Articles Source Type: research
Classification of first branchial cleft anomalies: is it clinically relevant?
Conclusion: The current classification systems used for first branchial cleft anomalies have little clinical relevance apart from providing extensive descriptions to aid in diagnosis. We advise instead that clinicians use imaging techniques to gain as much information as possible about these lesions before excision and be aware of the risk to the facial nerve at the time of excision. A description of the lesion’s relation with the facial nerve at the time of excision may provide more information on the likely outcomes compared with the classifications currently in use. (Source: Annals of Pediatric Surgery)
Source: Annals of Pediatric Surgery - January 1, 2017 Category: Surgery Tags: Original Articles Source Type: research
Oral versus topical propranolol for management of superficial infantile hemangiomas: a comparative study
Conclusion: Oral propranolol is an effective, safe, and fast-acting drug for treating IH and can be monitored on an outpatient basis. Topical propranolol is an easily prepared drug and seems to be an alternative therapeutic option for superficial cutaneous hemangioma. However, the optimal dosing and duration of treatment are still to be defined. (Source: Annals of Pediatric Surgery)
Source: Annals of Pediatric Surgery - January 1, 2017 Category: Surgery Tags: Original Articles Source Type: research
A missed complicated Morgagni–Larrey’s hernia
No abstract available (Source: Annals of Pediatric Surgery)
Source: Annals of Pediatric Surgery - October 1, 2016 Category: Surgery Tags: Letter to the Editor Source Type: research
Crossed testicular ectopia: a case report and review of the literature
We report a case of CTE in a 2-year-old boy who presented with left-sided inguinal hernia with concurrent nonpalpable right testis. Diagnosis was made during diagnostic laparoscopy followed by left open inguinal exploration during which high ligation of the left hernia and trans-septal orchiopexy, contralateral transposition tension-free for each testis was done. (Source: Annals of Pediatric Surgery)
Source: Annals of Pediatric Surgery - October 1, 2016 Category: Surgery Tags: Case Reports Source Type: research
Idiopathic perinatal hepatic infarct as a cause of liver mass
We present the case of a 2-week-old male infant who presented with an asymptomatic liver mass and underwent surgical resection because of suspicion of malignancy after extensive radiological study with ultrasonography, computed tomography, and MRI. Pathological examination revealed a peripheral hepatic infarct with calcifications and a rim of peripheral organization suggestive of being at least 2 weeks old. This case reviews the scarce cases of hepatic infarct in newborns and highlights the fact that, although untreated perinatal hepatic infarction usually progresses to atrophy of the affected area with compensation by the...
Source: Annals of Pediatric Surgery - October 1, 2016 Category: Surgery Tags: Case Reports Source Type: research
