Pub Date : 2023-10-23DOI: 10.1186/s43159-023-00270-y
Anna-Kaelle K. J. Ramos, Tori R. Teramae, Collin G. Z. Liang, Miriam L. Brazer, Russell K. Woo
Abstract Background Extralobar pulmonary sequestration–a congenital lung malformation characterized by nonfunctional lung tissue with its own visceral pleura and without a connection to the normal tracheobronchial tree–is often surgically resected given the potential for infectious complications. We report a case of a child with extralobar pulmonary sequestration in a rare and challenging intradiaphragmatic location, which made preoperative identification and planning difficult. Case presentation A 2-year-old boy presented for follow-up of a large left extralobar pulmonary sequestration initially diagnosed on an antenatal ultrasound. Follow-up imaging, including prenatal MRI and postnatal CT angiography, was inconclusive on the precise location of the extralobar pulmonary sequestration in relation to the diaphragm but did reveal a subdiaphragmatic arterial supply from a branch off the celiac trunk. Planned resection with diagnostic thoracoscopy revealed the mass to seemingly be below the diaphragm; however, subsequent abdominal laparoscopy identified it to be within the diaphragm. Once the supplying vessel off the celiac trunk was controlled and divided, the mass was circumferentially excised from the edges of the diaphragmatic muscle. The remaining diaphragmatic defect was then closed, and the patient did well postoperatively. Conclusions This case demonstrates the difficulty of making a definitive diagnosis of intradiaphragmatic extralobar pulmonary sequestration without operative intervention. CT angiography and identification of the sequestration’s arterial supply may not be conclusive in determining the precise location if in close proximity to the diaphragm.
{"title":"The complexities in diagnosing intradiaphragmatic extrapulmonary sequestration: a case report","authors":"Anna-Kaelle K. J. Ramos, Tori R. Teramae, Collin G. Z. Liang, Miriam L. Brazer, Russell K. Woo","doi":"10.1186/s43159-023-00270-y","DOIUrl":"https://doi.org/10.1186/s43159-023-00270-y","url":null,"abstract":"Abstract Background Extralobar pulmonary sequestration–a congenital lung malformation characterized by nonfunctional lung tissue with its own visceral pleura and without a connection to the normal tracheobronchial tree–is often surgically resected given the potential for infectious complications. We report a case of a child with extralobar pulmonary sequestration in a rare and challenging intradiaphragmatic location, which made preoperative identification and planning difficult. Case presentation A 2-year-old boy presented for follow-up of a large left extralobar pulmonary sequestration initially diagnosed on an antenatal ultrasound. Follow-up imaging, including prenatal MRI and postnatal CT angiography, was inconclusive on the precise location of the extralobar pulmonary sequestration in relation to the diaphragm but did reveal a subdiaphragmatic arterial supply from a branch off the celiac trunk. Planned resection with diagnostic thoracoscopy revealed the mass to seemingly be below the diaphragm; however, subsequent abdominal laparoscopy identified it to be within the diaphragm. Once the supplying vessel off the celiac trunk was controlled and divided, the mass was circumferentially excised from the edges of the diaphragmatic muscle. The remaining diaphragmatic defect was then closed, and the patient did well postoperatively. Conclusions This case demonstrates the difficulty of making a definitive diagnosis of intradiaphragmatic extralobar pulmonary sequestration without operative intervention. CT angiography and identification of the sequestration’s arterial supply may not be conclusive in determining the precise location if in close proximity to the diaphragm.","PeriodicalId":43372,"journal":{"name":"Annals of Pediatric Surgery","volume":"2 8","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135365393","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}
Pub Date : 2023-10-20DOI: 10.1186/s43159-023-00267-7
Sergey Klyuev, Mustafa Azizoğlu
Abstract Introduction Amyand hernia (AH) is a rare disease, so there are no standard strategies and there are many different aspects at each stage of its management. Based on our own experience, we encountered these differences even in a small number of cases and therefore sought to review the literature to highlight the diversity of approaches to this pathology. This review of the literature was not intended to describe the statistical findings found in the clinical case series, but rather to highlight the clinical and surgical difficulties of AH in children. Nevertheless, we conducted an introductory statistical study based on data from PubMed and Google Scholar to understand the global prevalence of AH. Materials and methods The search for the key terms Amyand hernia, Amyand’s hernia, and “children” between 2003 and 2023 resulted in 52 PubMed and 548 Google Scholar articles. Results After the exclusion of irrelevant studies, 101 articles were found. A total of 83 case reports describing 182 pediatric patients were used to understand the demographic distribution of this pathology. Given the impossibility of further comprehensive statistical analysis (due to heterogeneous data), a narrative design was used to describe the remaining aspects of AH management. Finally, three clinical cases demonstrated the mentioned aspects. Discussion As a result of the search, conclusions were drawn about the main difficulties in the management of AH in children, which were discussed.
{"title":"Challenges in strategies for Amyand hernia in children: literature review with clinical illustrations","authors":"Sergey Klyuev, Mustafa Azizoğlu","doi":"10.1186/s43159-023-00267-7","DOIUrl":"https://doi.org/10.1186/s43159-023-00267-7","url":null,"abstract":"Abstract Introduction Amyand hernia (AH) is a rare disease, so there are no standard strategies and there are many different aspects at each stage of its management. Based on our own experience, we encountered these differences even in a small number of cases and therefore sought to review the literature to highlight the diversity of approaches to this pathology. This review of the literature was not intended to describe the statistical findings found in the clinical case series, but rather to highlight the clinical and surgical difficulties of AH in children. Nevertheless, we conducted an introductory statistical study based on data from PubMed and Google Scholar to understand the global prevalence of AH. Materials and methods The search for the key terms Amyand hernia, Amyand’s hernia, and “children” between 2003 and 2023 resulted in 52 PubMed and 548 Google Scholar articles. Results After the exclusion of irrelevant studies, 101 articles were found. A total of 83 case reports describing 182 pediatric patients were used to understand the demographic distribution of this pathology. Given the impossibility of further comprehensive statistical analysis (due to heterogeneous data), a narrative design was used to describe the remaining aspects of AH management. Finally, three clinical cases demonstrated the mentioned aspects. Discussion As a result of the search, conclusions were drawn about the main difficulties in the management of AH in children, which were discussed.","PeriodicalId":43372,"journal":{"name":"Annals of Pediatric Surgery","volume":"63 6","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135567274","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}
Pub Date : 2023-10-19DOI: 10.1186/s43159-023-00265-9
Lucas Rossato Chrun, Paulo Acácio Egger, Lia Yoneka Toda, Aquiles Henrique, Orlando Ribeiro Prado Filho, Larissa Rossato Chrun Costa, Victor Hugo Silva Nezo
Abstract Background Congenital megalourethra is a rare male genital malformation, with less than 100 cases reported in literature. Urethrocutaneous fistula, in turn, has only 65 cases described, which what makes the association between these two anomalies an even rarer condition. Case presentation The patient was male and born at 37 weeks of gestational age. At birth, the testicles were impalpable, and he had a penile malformation compatible with scaphoid megalourethra associated with congenital urethrocutaneous fistula, with urine output exclusively through a small orifice in the ventral region of the penis. When the child completed 7 months and 22 days, underwent the first surgery, laparoscopically. The first Fowler-Stephens was performed, and the gonadal vessels were ligated, with reconstruction of the penis. Nine months later, the second Fowler-Stephens procedure was performed, with bilateral orchidopexy and penoplasty to improve penis aesthetics. The urethra region was not approached. The postoperative period of the second surgery progressed uneventfully. Nowadays, the patient presents adequate urinary stream. Conclusion The scaphoid megalourethra associated with congenital urethrocutaneous fistula is an extremely rare pathology, with very few cases reported in the literature to date. The obstetric USG is important to increasing the chances of early diagnosis and treatment.
{"title":"Scaphoid megalourethra associated with congenital urethrocutaneous fistula: a case report of a rare association","authors":"Lucas Rossato Chrun, Paulo Acácio Egger, Lia Yoneka Toda, Aquiles Henrique, Orlando Ribeiro Prado Filho, Larissa Rossato Chrun Costa, Victor Hugo Silva Nezo","doi":"10.1186/s43159-023-00265-9","DOIUrl":"https://doi.org/10.1186/s43159-023-00265-9","url":null,"abstract":"Abstract Background Congenital megalourethra is a rare male genital malformation, with less than 100 cases reported in literature. Urethrocutaneous fistula, in turn, has only 65 cases described, which what makes the association between these two anomalies an even rarer condition. Case presentation The patient was male and born at 37 weeks of gestational age. At birth, the testicles were impalpable, and he had a penile malformation compatible with scaphoid megalourethra associated with congenital urethrocutaneous fistula, with urine output exclusively through a small orifice in the ventral region of the penis. When the child completed 7 months and 22 days, underwent the first surgery, laparoscopically. The first Fowler-Stephens was performed, and the gonadal vessels were ligated, with reconstruction of the penis. Nine months later, the second Fowler-Stephens procedure was performed, with bilateral orchidopexy and penoplasty to improve penis aesthetics. The urethra region was not approached. The postoperative period of the second surgery progressed uneventfully. Nowadays, the patient presents adequate urinary stream. Conclusion The scaphoid megalourethra associated with congenital urethrocutaneous fistula is an extremely rare pathology, with very few cases reported in the literature to date. The obstetric USG is important to increasing the chances of early diagnosis and treatment.","PeriodicalId":43372,"journal":{"name":"Annals of Pediatric Surgery","volume":"21 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135666861","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}
Pub Date : 2023-10-16DOI: 10.1186/s43159-023-00264-w
Ahmed K. Ali, Islam M. Abdelhamid, Abdelrahman Hamdy Mohamed, Tarek Abdelazeem Sabra
Abstract Background Chylolymphatic cysts are benign pathology in lymphatic vessels due to obstruction in the lymphatic system. Their incidence is still unknown. However, they account for approximately 3 to 9% of all pediatric lymphangiomas. Most of these lesions are asymptomatic and are discovered accidentally. They can be presented with nonspecific abdominal pain, vomiting, and changes in bowel habits. Rarely, chylolymphatic cysts can as intestinal obstruction, volvulus or even torsion. Case presentation A 3-month-old male presented to our unit with manifestations of acute intestinal obstruction. Abdominal examination revealed signs of generalized peritonitis and intestinal obstruction. Abdominal ultrasound revealed minimal turbid intraperitoneal collections and no motility of bowel loops. Plain erect abdominal radiograph revealed multiple small bowel air fluid levels. Abdominal exploration revealed a large chylolymphatic cyst causing acute intestinal obstruction. Excision of the cysts was done with preservation of adjacent bowel loop. The patient was discharged in good health on the 6th day postoperative. A chylolymphatic cyst with a diameter of 5 cm was identified by histological investigation. Conclusions Most chylolymphatic cysts in infants are asymptomatic, but they can cause fatal complications such as intestinal obstruction, volvulus, or even torsion.
{"title":"Chylolymphatic cyst as a rare cause of acute intestinal obstruction in infants","authors":"Ahmed K. Ali, Islam M. Abdelhamid, Abdelrahman Hamdy Mohamed, Tarek Abdelazeem Sabra","doi":"10.1186/s43159-023-00264-w","DOIUrl":"https://doi.org/10.1186/s43159-023-00264-w","url":null,"abstract":"Abstract Background Chylolymphatic cysts are benign pathology in lymphatic vessels due to obstruction in the lymphatic system. Their incidence is still unknown. However, they account for approximately 3 to 9% of all pediatric lymphangiomas. Most of these lesions are asymptomatic and are discovered accidentally. They can be presented with nonspecific abdominal pain, vomiting, and changes in bowel habits. Rarely, chylolymphatic cysts can as intestinal obstruction, volvulus or even torsion. Case presentation A 3-month-old male presented to our unit with manifestations of acute intestinal obstruction. Abdominal examination revealed signs of generalized peritonitis and intestinal obstruction. Abdominal ultrasound revealed minimal turbid intraperitoneal collections and no motility of bowel loops. Plain erect abdominal radiograph revealed multiple small bowel air fluid levels. Abdominal exploration revealed a large chylolymphatic cyst causing acute intestinal obstruction. Excision of the cysts was done with preservation of adjacent bowel loop. The patient was discharged in good health on the 6th day postoperative. A chylolymphatic cyst with a diameter of 5 cm was identified by histological investigation. Conclusions Most chylolymphatic cysts in infants are asymptomatic, but they can cause fatal complications such as intestinal obstruction, volvulus, or even torsion.","PeriodicalId":43372,"journal":{"name":"Annals of Pediatric Surgery","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136077596","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}
Pub Date : 2023-08-31DOI: 10.1186/s43159-023-00263-x
A. Gómez Sánchez, J. R. Redondo Sedano, M. E. Martí Carrera, J. M. Caro Teller, Andrés Gómez Fraile, M. D. Delgado Muñoz
{"title":"Otoplasty in patients with helix valgus: quality of life and satisfaction","authors":"A. Gómez Sánchez, J. R. Redondo Sedano, M. E. Martí Carrera, J. M. Caro Teller, Andrés Gómez Fraile, M. D. Delgado Muñoz","doi":"10.1186/s43159-023-00263-x","DOIUrl":"https://doi.org/10.1186/s43159-023-00263-x","url":null,"abstract":"","PeriodicalId":43372,"journal":{"name":"Annals of Pediatric Surgery","volume":" ","pages":""},"PeriodicalIF":0.4,"publicationDate":"2023-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43246695","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}
Pub Date : 2023-08-30DOI: 10.1186/s43159-023-00261-z
R. Keilani, Raed Al Taher, Ghayda‘ Bader, Leen Hajeer, Taima Bader, Balqis Alfreijat
{"title":"Tubular colonic duplication: a case report and brief review of the literature","authors":"R. Keilani, Raed Al Taher, Ghayda‘ Bader, Leen Hajeer, Taima Bader, Balqis Alfreijat","doi":"10.1186/s43159-023-00261-z","DOIUrl":"https://doi.org/10.1186/s43159-023-00261-z","url":null,"abstract":"","PeriodicalId":43372,"journal":{"name":"Annals of Pediatric Surgery","volume":" ","pages":""},"PeriodicalIF":0.4,"publicationDate":"2023-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47450787","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}
Pub Date : 2023-08-14DOI: 10.1186/s43159-023-00262-y
Ampaipan Boonthai, P. Losty
{"title":"Utility of the Kimura technique for the definitive management of high jejunal atresia","authors":"Ampaipan Boonthai, P. Losty","doi":"10.1186/s43159-023-00262-y","DOIUrl":"https://doi.org/10.1186/s43159-023-00262-y","url":null,"abstract":"","PeriodicalId":43372,"journal":{"name":"Annals of Pediatric Surgery","volume":" ","pages":""},"PeriodicalIF":0.4,"publicationDate":"2023-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49412321","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}
Pub Date : 2023-08-07DOI: 10.1186/s43159-023-00255-x
B. Wroblewski, F. C. Lopes, W. Boothe, L. Diaz
{"title":"A case report of extensive condyloma acuminata in a pediatric patient clearing with compounded 3% cidofovir gel","authors":"B. Wroblewski, F. C. Lopes, W. Boothe, L. Diaz","doi":"10.1186/s43159-023-00255-x","DOIUrl":"https://doi.org/10.1186/s43159-023-00255-x","url":null,"abstract":"","PeriodicalId":43372,"journal":{"name":"Annals of Pediatric Surgery","volume":" ","pages":""},"PeriodicalIF":0.4,"publicationDate":"2023-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46885227","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}
Pub Date : 2023-08-01DOI: 10.1186/s43159-023-00256-w
Shazia Jalil, M. Azhar, Tarek Talaat Harb Elkadi, Khalid A. Alfaifi, Saad Al Hamidi, Moath Al Saiady, A. Ali, F. Wahid
{"title":"Paediatric gastrointestinal trichobezoar—an uncommon entity: a case series with recent literature review","authors":"Shazia Jalil, M. Azhar, Tarek Talaat Harb Elkadi, Khalid A. Alfaifi, Saad Al Hamidi, Moath Al Saiady, A. Ali, F. Wahid","doi":"10.1186/s43159-023-00256-w","DOIUrl":"https://doi.org/10.1186/s43159-023-00256-w","url":null,"abstract":"","PeriodicalId":43372,"journal":{"name":"Annals of Pediatric Surgery","volume":" ","pages":""},"PeriodicalIF":0.4,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43441860","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}
Pub Date : 2023-07-17DOI: 10.1186/s43159-023-00259-7
T. Fakhry, Ahmed Rabee, M. Lolah, A. Nabil
{"title":"Laparoscopic-assisted versus complete transanal pull-through using Swenson technique in treatment of Hirschsprung’s disease","authors":"T. Fakhry, Ahmed Rabee, M. Lolah, A. Nabil","doi":"10.1186/s43159-023-00259-7","DOIUrl":"https://doi.org/10.1186/s43159-023-00259-7","url":null,"abstract":"","PeriodicalId":43372,"journal":{"name":"Annals of Pediatric Surgery","volume":" ","pages":""},"PeriodicalIF":0.4,"publicationDate":"2023-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49152697","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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