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Journal of Pediatric Surgery Case Reports 21건

  1. [해외논문]   Malignant struma ovarii in an 11-year-old girl  

    Moayerifar, Mani (Pediatrics Growth Disorders Research Center, School of Medicine, 17th Shahrivar Hospital, Guilan University of Medical Sciences, Rasht, Iran ) , Koohmanaee, Shahin (Pediatrics Growth Disorders Research Center, School of Medicine, 17th Shahrivar Hospital, Guilan University of Medical Sciences, Rasht, Iran ) , Moayerifar, Maziar (School of Medicine, Razi Hospital, Guilan University of Medical Sciences, Rasht, Iran ) , Nakhochari, Ali Moradi (Al-zahra Gyn- Obs Hospital, Guilan University of Medical Sciences, Rasht, Iran ) , Rad, Afagh Hassanzadeh (Pediatrics Growth Disorders Research Center, School of Medicine, 17th Shahrivar Hospital, Guilan University of Medical Sciences, Rasht, Iran ) , Dalili, Setila (Pediatrics Growth Disorders Research Center, School of Medicine, 17th Shahrivar Hospital, Guilan University of Medical Sciences, Rasht, Iran)
    Journal of Pediatric Surgery Case Reports v.29 ,pp. 1 - 4 , 2018 ,

    초록

    Abstract Struma ovarii is a highly specialized form of mature ovarian teratoma in which contains greater than 50% thyroid tissue and absence of uniform diagnostic criteria combined with the rarity of the tumor contributes to the large discrepancy in the reported frequency. When the characteristic features of thyroid carcinoma are present, the lesion is termed malignant struma ovarii. An 11-year-old girl presented with palpitation and right lower pain that was diagnosed with right ovarian mass and was ultimately treated by right abdominal salpingo-oophorectomy. Postoperatively, she was diagnosed with a malignant struma ovarii. The patient was subsequently treated with thyroidectomy and is currently disease free. Malignant struma ovarii is a medical rarity and previous studies have reported cases with struma ovarii in adults and to our best knowledge this is the first describing struma ovarii in a girl before puberty. Conclusion according to results, Struma ovarii should be considered in the differential diagnosis of female presenting with hyperthyroidism and without clear etiology; and radioactive uptake and scan and thyroglobulin levels can be useful diagnostic tools. Highlights What is known: Struma ovarii is a highly specialized form of mature ovarian teratoma. Malignant struma ovarii is a medical rarity. What is New: • Lack of probable response to medical therapy in hyperthyroidism is an indication of struma ovarii. • Concurrence of hyperthyroidism and abdominal pain can highlight the possibility of struma ovarii.

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  2. [해외논문]   Pre- and post-operative visualization of neonatal esophageal atresia/tracheoesophageal fistula via magnetic resonance imaging  

    Higano, Nara S. (Center for Pulmonary Imaging Research, Imaging Research Center and Department of Pulmonary Medicine, Cincinnati Children's Hospital, OH, 45229, USA ) , Bates, Alister J. (Center for Pulmonary Imaging Research, Imaging Research Center and Department of Pulmonary Medicine, Cincinnati Children's Hospital, OH, 45229, USA ) , Tkach, Jean A. (Department of Radiology, Cincinnati Children's Hospital, OH, 45229, USA ) , Fleck, Robert J. (Upper Airway Center, Cincinnati Children's Hospital, OH, 45229, USA ) , Lim, Foong Y. (Divisions of Pediatric General, Thoracic, and Fetal Surgery, Cincinnati Children's Hospital, OH, 45229, USA ) , Woods, Jason C. (Center for Pulmonary Imaging Research, Imaging Research Center and Department of Pulmonary Medicine, Cincinnati Children's Hospital, OH, 45229, USA ) , Kingma, Paul S. (Division of Neonatology and Pulmonary Biology, Cincinnati Children's Hospital, OH, 45229, USA)
    Journal of Pediatric Surgery Case Reports v.29 ,pp. 5 - 8 , 2018 ,

    초록

    Abstract Esophageal atresia (EA) is a relatively uncommon congenital anomaly, often observed in conjunction with tracheoesophageal fistula (TEF). Surgical repair in neonates typically takes place with little information about the pre-existing EA/TEF structure because there are currently no acceptable tools for evaluating EA/TEF anatomy prior to repair; chest x-ray radiograph does not identify malformation sub-type or gap length, while x-ray computed tomography (CT) demonstrates an unacceptably high exposure to ionizing radiation. There is a need for safe imaging methods to evaluate pre-operative EA/TEF anatomy, which would add value in surgical planning; this need may be met with high-resolution structural MRI. We report three cases of Type-C EA/TEF in neonates. Patients were imaged prior to surgical repair using high-resolution ultrashort echo time (UTE) magnetic resonance imaging (MRI) to visualize tracheoesophageal anatomy and allow for informed surgical planning and risk management. One of the three patients was imaged post-repair to evaluate surgical efficacy and evolution of the tracheoesophageal anatomy. Highlights Esophageal atresia/tracheal esophageal fistula is a rare congenital anomaly. Structural MRI allows for improved surgical planning and parental counseling. Detailed anatomical MRI may identify infants at risk for EA/TEF complications. UTE MRI provides high-quality images without sedation or ionizing radiation.

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    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

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  3. [해외논문]   Ewing Sarcoma in the cervical trachea of a pediatric patient: A case report and review of the literature  

    Wineland, Andre M. (University of Arkansas School for Medical Sciences, Department of Otolaryngology –) , Turpin, Brian (Head & Neck Surgery, Division of Pediatric Otolaryngology, Arkansas Children's Hospital, Little Rock, AR, USA ) , Gupta, Anita (Cincinnati Children's Hospital Medical Center, Division of Hematology-Oncology, Cincinnati, OH, USA ) , de Alarcon, Alessandro (University of Cincinnati School of Medicine, Department of Pathology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA )
    Journal of Pediatric Surgery Case Reports v.29 ,pp. 9 - 13 , 2018 ,

    초록

    Abstract Malignant pediatric tracheal tumors are rare and often present with non-specific findings. Here we present the first case of a primary Ewing tracheal sarcoma in a pediatric patient. Initial presentation, surgical management, post-operative care, and a review of the literature are discussed.

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    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

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  4. [해외논문]   Recurrent pyloric stenosis: a form of the incomplete pyloromyotomy  

    Chiu, Sherwin S. (University of Alabama School of Medicine –) , Gilbert, James C. (Huntsville Regional Medical Campus, 301 Governors Drive SW, Huntsville, AL, 35801, USA )
    Journal of Pediatric Surgery Case Reports v.29 ,pp. 14 - 17 , 2018 ,

    초록

    Abstract Post-pyloromyotomy emesis is common and may be secondary to non-surgical conditions such as pyloric edema, gastroparesis, pylorospasm, or gastroesophageal reflux. Early persistent postoperative emesis is typically attributed to an incomplete pyloromyotomy; whereas delayed postoperative emesis after an asymptomatic period with weight gain has been attributed to recurrent pyloric stenosis. We report a case of an incomplete pyloromyotomy, fulfilling all the criteria of recurrent pyloric stenosis, that suggests recurrent pyloric stenosis is not a separate entity, but a form of the incomplete pyloromyotomy with a failure of the hypertrophied pyloric muscle to regress after an unsuccessful pyloromyotomy.

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    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

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  5. [해외논문]   Operative Management of a Complicated Intercostal Arteriovenous Malformation in a Pediatric Patient: A case report  

    Quintero-Á (Universidad Central del Caribe, United States ) , lvarez, Hé (San Juan City Hospital, Pediatric Residency Program, United States ) , ctor (University of Puerto Rico, Medical Sciences Campus, University Pediatric Hospital, Department of Pediatric Surgery, Puerto Rico Children's Hospital, United States) , Vá , zquez-Coló , n, Zasha , Ortiz-Justiniano, Victor N.
    Journal of Pediatric Surgery Case Reports v.29 ,pp. 18 - 21 , 2018 ,

    초록

    Abstract Arteriovenous malformations (AVMs) are rare lesions that may mimic giant hemangiomas. The most common location is the head and neck region, although very few reports of thoracic AVMs have been described. These lesions grow through childhood and adulthood and can lead to serious complications, such as tissue ischemia, ulceration, and bleeding. Magnetic Resonance Imaging (MRI) and angiography (MRA) are useful to assess extent of lesion. Treatment most commonly consists of embolization alone or in combination with surgical excision. In this report, we present a 7-year-old girl with a giant intercostal AVM of the right chest wall, including rib cage and intercostal spaces with overlying muscle involvement. The treatment approach was embolization followed by surgical resection and reconstruction of the chest wall. There were no complications in the postoperative period and the patient was discharged with minimal compensatory scoliosis and no functional impairment. Highlights Intercostal AVMs are lesions that grow throughout life that tend to be destructive and require surgical intervention. Hemangiomas are vascular lesions that are present at birth and involute in the first decade of life. Successful management of intercostal AVM can be achieved by embolization, surgical excision and reconstruction of chest wall.

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    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

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  6. [해외논문]   Prenatal diagnosis of a large abdominal cyst – Recommendations and management  

    Abramsky, Ramy (Department of Pediatrics, Soroka University Medical Centre, Beersheba, Po Box 151, Israel ) , Ben Haim, Admit (Neonatal Unit, Department of Pediatrics, Soroka University Medical Centre, Beersheba, Po Box 151, Israel ) , Marks, Kyla (Neonatal Unit, Department of Pediatrics, Soroka University Medical Centre, Beersheba, Po Box 151, Israel ) , Maor, Esther (Department of Pathology, Soroka University Medical Centre, Beersheba, Po Box 151, Israel ) , Tirosh, Dan (Department of Obstetrics and Gynaecology, Soroka University Medical Centre, Beersheba, Po Box 151, Israel ) , Hershkovitz, Reli (Department of Obstetrics and Gynaecology, Soroka University Medical Centre, Beersheba, Po Box 151, Israel ) , Shelef, Ilan (Department of Radiology, Soroka University Medical Centre, Beersheba, Po Box 151, Israel ) , Kravarusic, Dragan (Department of Pediatric Surgery, Soroka University Medical Centre, Beersheba, Po Box 151, Israel ) , Di Veroli, Antonella Nahom (Department of Pediatric Surgery, Soroka University Medical Centre, Beersheba, Po Box 151, Israel)
    Journal of Pediatric Surgery Case Reports v.29 ,pp. 22 - 25 , 2018 ,

    초록

    Abstract This case report describes a twin fetus diagnosed in the third trimester with an enlarging abdominal mass that was confirmed on fetal magnetic resonance imaging (MRI) to be a hepatic mesenchymal hamartoma (HMH) without involvement of the placenta. Serial ultrasonography demonstrated progressive enlargement of the mass and infant was delivered at 33 + 6 weeks gestational age following maternal complications. On the fifth day, at laparotomy, a huge mass connected to the lower portion of the liver was completely resected. Microscopic evaluation confirmed a hepatic mesenchymal hamartoma. Postoperative recovery was uneventful and the infant was discharged at 4 weeks. The antenatal diagnosis of the hepatic mesenchymal hamartoma by fetal MRI and subsequent follow-up by serial ultrasonography emphasizes the importance of combining these 2 modalities for optimal management of the pregnancy to allow a favorable outcome.

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    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

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  7. [해외논문]   Traumatic pulmonary pseudocysts mimicking a congenital malformation of the lung  

    Ngoo, Alexander (Paediatrics Department, Townsville Hospital, Australia ) , Slaney, Charlotte (Queensland X-Ray, Townsville, Australia ) , Mariyappara, Bhanu (Paediatric Surgery Department, Townsville Hospital, Australia ) , Stalewski, Harry (Paediatric Surgery Department, Townsville Hospital, Australia ) , Carroll, Daniel (Paediatric Surgery Department, Townsville Hospital, Australia)
    Journal of Pediatric Surgery Case Reports v.29 ,pp. 26 - 29 , 2018 ,

    초록

    Abstract Traumatic Pulmonary Pseudocysts (TPPs) are a rare consequence of thoracic trauma that is seen disproportionately in young adults and paediatric populations. In this case report, we detail a case of a TPP initially misdiagnosed on imaging as a Congenital Cystic Adenomatoid Malformation (CCAM). Conservative management and monitoring for resolution of TPP is highly effective as in most cases it self-resolves without issue or need for intervention. This contrasts with the surgical treatment often indicated for symptomatic CCAMs. Clearly, failure to recognize TPP as a rare but important differential of pulmonary cystic lesions in the context of trauma can lead to significant distress for the patient's family, over investigation and unnecessary or harmful interventions. We also review in this article the literature surrounding the radiological appearances, clinical features and management of both conditions.

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    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

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  8. [해외논문]   Infantile fibrosarcoma associated with giant congenital melanocytic nevus  

    Yang, Tianyou (Corresponding author. No: 9 Jinsui Road, Tianhe District, Guangzhou, 510623, China.) , Zou, Yan , Li, Jiahao , Yang, Jiliang , Tan, Tianbao , Pan, Jing , Hu, Chao
    Journal of Pediatric Surgery Case Reports v.29 ,pp. 30 - 31 , 2018 ,

    초록

    Abstract Traumatic Pulmonary Pseudocysts (TPPs) are a rare consequence of thoracic trauma that is seen disproportionately in young adults and paediatric populations. In this case report, we detail a case of a TPP initially misdiagnosed on imaging as a Congenital Cystic Adenomatoid Malformation (CCAM). Conservative management and monitoring for resolution of TPP is highly effective as in most cases it self-resolves without issue or need for intervention. This contrasts with the surgical treatment often indicated for symptomatic CCAMs. Clearly, failure to recognize TPP as a rare but important differential of pulmonary cystic lesions in the context of trauma can lead to significant distress for the patient's family, over investigation and unnecessary or harmful interventions. We also review in this article the literature surrounding the radiological appearances, clinical features and management of both conditions.

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    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

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  9. [해외논문]   Giant sigmoid colon diverticulum  

    Frye, Christian Corbin (Department of Surgery, Washington University School of Medicine, St. Louis, MO, USA ) , Landman, Matthew Paul (Riley Hospital for Children, Indiana University School of Medicine, Indianapolis, IN, USA)
    Journal of Pediatric Surgery Case Reports v.29 ,pp. 32 - 35 , 2018 ,

    초록

    Abstract Giant colonic diverticula are uncommon in all age groups and are especially rare within the pediatric population, with only one known previously reported case in a child. In this case presentation, we report a rare case of a pediatric GCD, review relevant epidemiology and histology, and discuss diagnostic and treatment options. The patient was an 11-year old female with worsening chronic constipation, abdominal pain, and vomiting. CT found a large pelvic mass that was removed via sigmoidectomy and found to be a Type 3 (true diverticula) GCD, which make up only 12% of all GCD's. Pediatric GCD's can be mistaken for the much more common enteric duplication cyst, but both pathologies require surgery. Because of the uncommon nature of GCD, the authors recommend CT as the diagnostic modality of choice because of its high sensitivity and ability to aid in preoperative planning. The authors also recommend treating pediatric GCD with segmental colectomy to avoid recurrence and even a remote risk of colonic adenocarcinoma.

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    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

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  10. [해외논문]   Hydrocele of the canal of Nuck  

    ALSaleh, Nourah (Bachelor Degree of Medicine and General Surgery (MBBS), Umm Al-Qura University, Makkah, Saudi Arabia ) , ALMaghrabi, Abdulrahman (Maternity and Children Hospital, Department of Pediatric Surgery, Makkah, Saudi Arabia ) , Banaja, Abdulaziz (Maternity and Children Hospital, Department of Pediatric Surgery, Makkah, Saudi Arabia)
    Journal of Pediatric Surgery Case Reports v.29 ,pp. 36 - 38 , 2018 ,

    초록

    Abstract Hydrocele of the canal of Nuck is a rare condition in female children caused by a failure of complete obliteration of the canal of Nuck. The canal of Nuck is an abnormal patent pouch of the peritoneum extending anterior to the round ligament of the uterus into the labia majora. Incomplete obliteration of this canal (patent processus vaginalis) can result in either an inguinal hernia or a hydrocele. Here, we report two cases of hydrocele of the canal of Nuck presented within a two-month period. In the first case, incarcerated right-sided inguinal hernia was suspected while the second case was clinically diagnosed as encysted hydrocele of canal of Nuck. Both patients underwent surgical exploration. Hydrocelectomy with high ligation was also performed. One month after the surgery, the first patient showed signs of hydrocele on contralateral side, while the other patient showed no sign of contralateral hydrocele or hernia.

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    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

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