H. Emir, E. Yeşildağ, I. Sahin, G. Tekant, O. F. Senyuz
We report on a 10-year old boy suffering from chronic abdominal pain. Clinical examination and imaging modalities revealed that the patient had mesenteric cysts. Exploratory laparotomy revealed two mesenteric cysts of various size and multiple enlarged mesenteric lymph nodes. M. tuberculosis was identified and histology of the specimens proved the existence of abdominal tuberculosis.
{"title":"A Case of Mesenteric Cysts Caused by Abdominal Tuberculosis","authors":"H. Emir, E. Yeşildağ, I. Sahin, G. Tekant, O. F. Senyuz","doi":"10.1055/s-2008-1072401","DOIUrl":"https://doi.org/10.1055/s-2008-1072401","url":null,"abstract":"We report on a 10-year old boy suffering from chronic abdominal pain. Clinical examination and imaging modalities revealed that the patient had mesenteric cysts. Exploratory laparotomy revealed two mesenteric cysts of various size and multiple enlarged mesenteric lymph nodes. M. tuberculosis was identified and histology of the specimens proved the existence of abdominal tuberculosis.","PeriodicalId":269806,"journal":{"name":"European Journal of Pediatric Surgery (EJPS)","volume":"54 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2000-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121583046","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}
Summary Bowel continence is one of the most difficult challenges for pa tients with spina bifida. Incontinence acts as a social stigma for children and a barrier for adults seeking employment. We present an algorithm for stepwise decision-making in construction of per sonalized continence programs for greater Iikelihood of success. The protocol contains 13 assessment points including; stool con sistency, frequency and amount; mobility; level of paraplegia: diet; medication; anal/rectal canal tone; prior programs at tempted; family routines; age; accessibility; and learning issues. Based on outcomes of these assessments, an individualized bowel program is constructed. The algorithm helps the practitioner and patient decide on components and indicators of a successful con tinence program. The recommended program might include timed toileting, suppo sitory, continence enema, and ACE procedure, or a combination. Evaluation and patient education address adequate fluid/fiber, appropriate toileting equipment, and use of stool softeners/laxa tives. Descriptions are available. Key elements in monitoring a continuing plan for continence in c1ude: the degree of constipation and its etiology; changing age; family availability for assistance until interdependence is optimal; wheelchair accessibility of the toilet; and ability to transfer to and from the toilet. Use of the algorithm allows for careful decision-making based on information from the patient and family. This has led to greater success in bowel continence in children with spina bifida.
{"title":"Decision-Making for a Successful Bowel Continence Program","authors":"Susan Leibold1, Elaine Ekmark1, Richard Adams1,2","doi":"10.1055/s-2008-1072410","DOIUrl":"https://doi.org/10.1055/s-2008-1072410","url":null,"abstract":"Summary Bowel continence is one of the most difficult challenges for pa tients with spina bifida. Incontinence acts as a social stigma for children and a barrier for adults seeking employment. We present an algorithm for stepwise decision-making in construction of per sonalized continence programs for greater Iikelihood of success. The protocol contains 13 assessment points including; stool con sistency, frequency and amount; mobility; level of paraplegia: diet; medication; anal/rectal canal tone; prior programs at tempted; family routines; age; accessibility; and learning issues. Based on outcomes of these assessments, an individualized bowel program is constructed. The algorithm helps the practitioner and patient decide on components and indicators of a successful con tinence program. The recommended program might include timed toileting, suppo sitory, continence enema, and ACE procedure, or a combination. Evaluation and patient education address adequate fluid/fiber, appropriate toileting equipment, and use of stool softeners/laxa tives. Descriptions are available. Key elements in monitoring a continuing plan for continence in c1ude: the degree of constipation and its etiology; changing age; family availability for assistance until interdependence is optimal; wheelchair accessibility of the toilet; and ability to transfer to and from the toilet. Use of the algorithm allows for careful decision-making based on information from the patient and family. This has led to greater success in bowel continence in children with spina bifida.","PeriodicalId":269806,"journal":{"name":"European Journal of Pediatric Surgery (EJPS)","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2000-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129928776","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}
A. Mboyo, V. Flurin, P. Allamand, T. Fenni, B. Bour, B. Dohin, D. Weil
Two pediatric cases of isolated pancreatic injury treated by internal drainage into an Onlay-Roux-en-Y jejunal loop are reported. The discussion concerns the difficulties of early diagnosis, the importance of endoscopic retrograde cholangiopancreatography (ERCP) in surgery and the reasons for the choice of internal drainage by Onlay-Roux-en-Y jejunal loop in our two cases.
{"title":"Internal Drainage into an Onlay-Roux-en-Y Jejunal Loop in Isolated Pancreatic Injury with Ductal Transection: Short-Term and Long-Term Follow-Up in Two Pediatric Cases","authors":"A. Mboyo, V. Flurin, P. Allamand, T. Fenni, B. Bour, B. Dohin, D. Weil","doi":"10.1055/s-2008-1072400","DOIUrl":"https://doi.org/10.1055/s-2008-1072400","url":null,"abstract":"Two pediatric cases of isolated pancreatic injury treated by internal drainage into an Onlay-Roux-en-Y jejunal loop are reported. The discussion concerns the difficulties of early diagnosis, the importance of endoscopic retrograde cholangiopancreatography (ERCP) in surgery and the reasons for the choice of internal drainage by Onlay-Roux-en-Y jejunal loop in our two cases.","PeriodicalId":269806,"journal":{"name":"European Journal of Pediatric Surgery (EJPS)","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2000-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125296463","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}
P. Courville, O. Cappele, B. Bachy, J. Hemet, J. Métayer
Type 1-primary cutaneous meningioma is a rare and often clinically unsuspected lesion of the scalp, forehead or paravertebral region which occurs at birth or during childhood. The pathogenesis of these lesions still remains uncertain. Several authors have emphasized that type 1-cutaneous meningiomas are not real tumors but sequestrated meningoceles or heterotopic meningeal nodules of the skin. Nevertheless, the search for an intracranial or intravertebral connection should be carried out. We describe the clinical and pathological features of a congenital type 1-meningioma of the vertex. No cranial defect or intracranial tumor was found. However, the cutaneous lesion was directly linked to a large cranial vein. The purpose of this study was to illustrate this rare lesion and to indicate the possible surgical risks and the pathological characteristics.
{"title":"Type 1-Primary Cutaneous Meningioma of the Scalp","authors":"P. Courville, O. Cappele, B. Bachy, J. Hemet, J. Métayer","doi":"10.1055/s-2008-1072397","DOIUrl":"https://doi.org/10.1055/s-2008-1072397","url":null,"abstract":"Type 1-primary cutaneous meningioma is a rare and often clinically unsuspected lesion of the scalp, forehead or paravertebral region which occurs at birth or during childhood. The pathogenesis of these lesions still remains uncertain. Several authors have emphasized that type 1-cutaneous meningiomas are not real tumors but sequestrated meningoceles or heterotopic meningeal nodules of the skin. Nevertheless, the search for an intracranial or intravertebral connection should be carried out. We describe the clinical and pathological features of a congenital type 1-meningioma of the vertex. No cranial defect or intracranial tumor was found. However, the cutaneous lesion was directly linked to a large cranial vein. The purpose of this study was to illustrate this rare lesion and to indicate the possible surgical risks and the pathological characteristics.","PeriodicalId":269806,"journal":{"name":"European Journal of Pediatric Surgery (EJPS)","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2000-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125075418","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}
Ph. Galinier1, C. Scheiner2, J. Bardot1, D. Vasse1, F. Rimareix1, T. Faissal1, G. Magalon1
We describe two cases of giant-cell fibroblastoma (GCF) with dermato fibro sarcoma protuberans (DFSP) component, occurring in two children in a chest wall localization. One case recurred 1 year fater. The two patients were tumor-free 12 and 8 years later. GCF is a rare mesenchymaf cutaneous and subcutaneous tumor reported mostly in the first two decades of life. Derrnato fibro sarcoma protuberans, occurring preferentially in adults, is a rare skin tumor with a pronounced tendency to local recurrence. Some cases of association of recurrence of GFC under the form of DFSP have been reported, raising the question of a continuum between the two tumors. The treatment of choice of the two tumors is a wide local excision.
{"title":"Giant-Cell Fibroblastoma and Dermato Fibro Sarcoma Protuberans: The Same Tumoral Spectrum?","authors":"Ph. Galinier1, C. Scheiner2, J. Bardot1, D. Vasse1, F. Rimareix1, T. Faissal1, G. Magalon1","doi":"10.1055/s-2008-1072398","DOIUrl":"https://doi.org/10.1055/s-2008-1072398","url":null,"abstract":"We describe two cases of giant-cell fibroblastoma (GCF) with dermato fibro sarcoma protuberans (DFSP) component, occurring in two children in a chest wall localization. One case recurred 1 year fater. The two patients were tumor-free 12 and 8 years later. GCF is a rare mesenchymaf cutaneous and subcutaneous tumor reported mostly in the first two decades of life. Derrnato fibro sarcoma protuberans, occurring preferentially in adults, is a rare skin tumor with a pronounced tendency to local recurrence. Some cases of association of recurrence of GFC under the form of DFSP have been reported, raising the question of a continuum between the two tumors. The treatment of choice of the two tumors is a wide local excision.","PeriodicalId":269806,"journal":{"name":"European Journal of Pediatric Surgery (EJPS)","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2000-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123622830","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":"The Patterns of Late Deterioration in Patients with Transitional Lipomyelomeningocele","authors":"D. Cochrane, C. Finley, J. Kestle, P. Steinbok","doi":"10.1055/s-2008-1072406","DOIUrl":"https://doi.org/10.1055/s-2008-1072406","url":null,"abstract":"Introduction: Objective: Methods: Results: Conclusions:","PeriodicalId":269806,"journal":{"name":"European Journal of Pediatric Surgery (EJPS)","volume":"39 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2000-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114450763","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}
Aim: Introduction: Materials and Methods: Results: Conclusions:
前言:材料与方法:结果:结论:
{"title":"Why Do Adults with Spina Bifida and Hydrocephalus Die? A Clinic-Based Study","authors":"G. McDonnell, J. McCann","doi":"10.1055/S-2008-1072411","DOIUrl":"https://doi.org/10.1055/S-2008-1072411","url":null,"abstract":"Aim: Introduction: Materials and Methods: Results: Conclusions:","PeriodicalId":269806,"journal":{"name":"European Journal of Pediatric Surgery (EJPS)","volume":"435 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2000-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116011353","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}
C. M. Dillon, B. Davis, S. Duguay, K. Seidel, D. Shurtleff
There are limited data concerning the life expectancy for individuals born with myelomeningocele (MM), with and without hydrocephalus. To ascertain such data was our first purpose. We have selected all patients with MM in our computer database, The Patient Data Management System (PDMS/fx). Data were transferred to Excel for primary and SPSS/PC for final analysis by Kaplan-Meier life survival curves. Of the 1,054 patients with MM in the Birth Defects Clinic and the University of Washington Medical Center (UWMC) of Seattle, 505 are now over the age of 21 (391) or have died (114). Follow-up information was available since 1994 for 132, 62% of whom we have had contact within the past 2 years. The second purpose was to identify potential health factors associated with long-term outcome of patients with MM. Patient variables chosen as relevant to survival included hydrocephalus, treatment before or after 1975, and health maintenance determined by outcome for those receiving care within the last 5 years or those last seen before. Age at last appointment and reason for visit were determined in order to identify age-specific health care needs of the adult population. Survival and medical needs were obtained from the UWMC's computer database, Mindscape, and by telephone survey for adult patients not seen in the last 2 years. Death is more frequent earlier in life for those MM patients with hydrocephalus. Ordinary degenerative disorders affect MM patients earlier in life than normals. Our data extend life expectancy for patients with MM and hydrocephalus to age 40 years with some reliability for those treated from 1957 to 1974, but only 24 years for those treated with modern techniques after 1974. More data is needed to determine long-term survival.
{"title":"Longevity of Patients Born with Myelomeningocele","authors":"C. M. Dillon, B. Davis, S. Duguay, K. Seidel, D. Shurtleff","doi":"10.1055/S-2008-1072412","DOIUrl":"https://doi.org/10.1055/S-2008-1072412","url":null,"abstract":"There are limited data concerning the life expectancy for individuals born with myelomeningocele (MM), with and without hydrocephalus. To ascertain such data was our first purpose. We have selected all patients with MM in our computer database, The Patient Data Management System (PDMS/fx). Data were transferred to Excel for primary and SPSS/PC for final analysis by Kaplan-Meier life survival curves. Of the 1,054 patients with MM in the Birth Defects Clinic and the University of Washington Medical Center (UWMC) of Seattle, 505 are now over the age of 21 (391) or have died (114). Follow-up information was available since 1994 for 132, 62% of whom we have had contact within the past 2 years. The second purpose was to identify potential health factors associated with long-term outcome of patients with MM. Patient variables chosen as relevant to survival included hydrocephalus, treatment before or after 1975, and health maintenance determined by outcome for those receiving care within the last 5 years or those last seen before. Age at last appointment and reason for visit were determined in order to identify age-specific health care needs of the adult population. Survival and medical needs were obtained from the UWMC's computer database, Mindscape, and by telephone survey for adult patients not seen in the last 2 years. Death is more frequent earlier in life for those MM patients with hydrocephalus. Ordinary degenerative disorders affect MM patients earlier in life than normals. Our data extend life expectancy for patients with MM and hydrocephalus to age 40 years with some reliability for those treated from 1957 to 1974, but only 24 years for those treated with modern techniques after 1974. More data is needed to determine long-term survival.","PeriodicalId":269806,"journal":{"name":"European Journal of Pediatric Surgery (EJPS)","volume":"83 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2000-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115688199","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}
It is with great pleasure and appreciation of the honor that I present this 44th year of the Society for Research into Hydrocephalus and Spina Bifida Presidential address. I thank both the Executive Committee of, and the Society itself, for providing me this opportunity to serve you over the past three years. My objeetives for these three years were: 1) publicize the prevention of neural tube defects, 2) identify and develop solutions to the problems of adults born with 'Spina Biflda' and 3) involve representatives of the third-world nations and younger persons in our Society. By sponsoring this meeting, the Center for Prevention and Disease Control ofthe Federal Government of the United States has given us the financial resourees to achieve these goals. Thank you.
{"title":"44 Years Experience with Management of Myelomeningocele: Presidential Address, Society for Research into Hydrocephalus and Spina Bifida","authors":"D. Shurtleff","doi":"10.1055/s-2008-1072404","DOIUrl":"https://doi.org/10.1055/s-2008-1072404","url":null,"abstract":"It is with great pleasure and appreciation of the honor that I present this 44th year of the Society for Research into Hydrocephalus and Spina Bifida Presidential address. I thank both the Executive Committee of, and the Society itself, for providing me this opportunity to serve you over the past three years. My objeetives for these three years were: 1) publicize the prevention of neural tube defects, 2) identify and develop solutions to the problems of adults born with 'Spina Biflda' and 3) involve representatives of the third-world nations and younger persons in our Society. By sponsoring this meeting, the Center for Prevention and Disease Control ofthe Federal Government of the United States has given us the financial resourees to achieve these goals. Thank you.","PeriodicalId":269806,"journal":{"name":"European Journal of Pediatric Surgery (EJPS)","volume":"107 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2000-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125041531","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}
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