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Journal of Pediatric Surgery Case Reports 25건

  1. [해외논문]   Segmental absence of intestinal musculature with metachronous bowel perforations in an infant  

    Oyachi, Noboru (Department of Pediatric Surgery, Yamanashi Prefectural Central Hospital, Kofu, Japan ) , Suzuki, Takeyuki (Department of Pediatric Surgery, Yamanashi Prefectural Central Hospital, Kofu, Japan ) , Emura, Takaki (Department of Pediatric Surgery, Yamanashi Prefectural Central Hospital, Kofu, Japan ) , Obana, Kazuko (Department of Pediatric Surgery, Yamanashi Prefectural Central Hospital, Kofu, Japan ) , Nemoto, Atsushi (Department of Neonatology, Yamanashi Prefectural Central Hospital, Kofu, Japan ) , Naito, Atsushi (Department of Neonatology, Yamanashi Prefectural Central Hospital, Kofu, Japan ) , Oyama, Toshio (Department of Pathology, Yamanashi Prefectural Central Hospital, Kofu, Japan)
    Journal of Pediatric Surgery Case Reports v.30 ,pp. 1 - 3 , 2018 ,

    초록

    Abstract Segmental absence of intestinal musculature is a rare condition. A female patient was born at 39 weeks gestational age with birth weight of 2,900 g. The patient was prenatally diagnosed as having segmental bowel distension in the fetal stage. She manifested bilious emesis with abdominal distension at day 1. Although excretion of viscous meconium was observed by gastrografin enema, gastrointestinal perforation developed. Emergency laparotomy and peritoneal drainage was required at that time and further laparotomy was performed on day 15. Multiple perforations were recognized discontinuously from the jejunum to the transverse colon, and jejunostomy was constructed. Additional bowel perforations occurred and re-exploration was required at day 43. We found newly formed small perforations in the proximal jejunum, ileum and the transverse colon and a tube jejunostomy and a colostomy were established. The patient required prolonged TPN management, which induced correlated cholestasis and liver failure, and died at day 143. Pathologic findings showed partial hypoplasia of the intrinsic muscle layer in the small intestine and diagnosed as segmental absence of intestinal musculature. Her disorder was unusual in its presentation, which included prenatal bowel dilatation, metachronous superimposed bowel perforation, and extensive discrete lesions from the jejunum to the transverse colon. Highlights Segmental absence of intestinal musculature (SAIM) is a rare condition. We report here a female neonatal patient with this condition. Her disorder was unusual in its presentation and the clinical course. Prenatal bowel dilatation and metachronous superimposed perforation was occurred. Extensive discrete lesions were found from the jejunum to the transverse colon.

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  2. [해외논문]   Congenital urethral polyp in a preterm neonate  

    Morare, Nolitha T. (Corresponding author.) , Rangaka, Thomas , Gonzales, Ricardo
    Journal of Pediatric Surgery Case Reports v.30 ,pp. 4 - 6 , 2018 ,

    초록

    Abstract A congenital urethral polyp is a benign soft tissue lesion that rarely manifests in young males presenting with lower urinary tract symptoms [1]. Until 2004 there were only 181 reported cases with an age range from 21 days to 90 years [2]. In February 2017 only the fifth neonatal case was reported [3]. The occurrence in neonates from birth is extremely uncommon and more so in a preterm infant, hence this publication [2,5]. When suspected, the diagnosis is usually confirmed on micturition cystourethrogram, ultrasound or cystoscopy [1]. The following case study will explore the presentation of fibro-epithelial polyp on a preterm male newborn presenting with a visible transurethral mass, which was successfully excised.

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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.

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  3. [해외논문]   Selective surgical ligation for post-traumatic arterio-biliary fistula  

    Abdelrahim, Walid Elhaj (Department of Surgery, Faculty of Medicine, University of Khartoum, P.O. Box 102, Sudan ) , Dabora, Abdelrahim Ali (Department of Surgery, Faculty of Medicine, University of Khartoum, P.O. Box 102, Sudan ) , Elsiddig, Kamal Elzaki (Department of Surgery, Faculty of Medicine, University of Khartoum, P.O. Box 102, Sudan ) , Papamichail, Michail (Lahey Clinic, Department of Transplantation, 41 Mall Road, Burlington, MA 01805, USA ) , Khalil, Eltahir Awad Gasim (Institute of Endemic Diseases, University of Khartoum, POB 45235, Sudan ) , Akoad, Mohamed Elhassan (Lahey Clinic, Department of Transplantation, 41 Mall Road, Burlington, MA 01805, USA)
    Journal of Pediatric Surgery Case Reports v.30 ,pp. 7 - 10 , 2018 ,

    초록

    Abstract Blunt abdominal trauma is a rare cause of intra-hepatic arterio-biliary fistula and pseudo-aneurysm. Surgery often indicated in cases that fail transcatheter arterial embolization (TAE). In this report we present a case of post-traumatic arterio-biliary fistula with intra-hepatic pseudo-aneurysm in a 10-year-old female patient. She presented with two episodes of massive hematemesis/melena and severe colicky epigastric pain of 5 days duration. Following informed consent from guardians, intra-operative ultrasound-guided selective clamping and ligation of liver segment 4 arterial and portal branches was performed. In conclusion, blunt abdominal trauma to liver can results in life-threatening arterio-biliary fistula and/or peudo-aneurysm. Selective ligation of pseudo-aneurysm feeders under intra-operative ultrasound guidance is recommended in resource–limited settings when interventional radiology is not available. Highlights Blunt abdominal trauma to liver can result in life-threatening arterio-biliary fistula and/or peudo-aneurysm. A ten years old girl presented with colicky abdominal pain and hematemesis following trauma. Intra-operative ultrasound-guided selective clamping and ligation of liver segment 4 arterial branches was performed. The patient was discharged 5 days later without evidence of biliary tract abnormalities or recurrent pseudoaneurysm.

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  4. [해외논문]   Extremity lipoblastoma in an adolescent  

    Rios Perez, Mayrim V. (University of Puerto Rico, Medical Sciences Campus, Department of Surgery, San Juan, PR 00936, Puerto Rico ) , Centeno, Nelimar Cruz (University of Puerto Rico, Medical Sciences Campus, School of Medicine, San Juan, PR 00936, Puerto Rico ) , Correa Rivas, Maria S. (University of Puerto Rico, Medical Sciences Campus, Department of Pathology and Laboratory Medicine, San Juan, PR 00936, Puerto Rico ) , Justiniano, Victor Ortiz (University of Puerto Rico, Medical Sciences Campus, Department of Surgery, Pediatric Surgery Division, San Juan, PR 00936, Puerto Rico)
    Journal of Pediatric Surgery Case Reports v.30 ,pp. 11 - 13 , 2018 ,

    초록

    Highlights Lipoblastoma is a benign neoplasm that originates from immature fat cells. It rarely presents on patients older than 3 years of age. Radical excision is the best treatment to avoid recurrence.

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  5. [해외논문]   Resection of hepatic tumors with central venous and right atrial extension using cardiopulmonary bypass  

    LaQuaglia, Michael J. (Boston Children's Hospital, Department of Surgery and Harvard Medical School, 300 Longwood Ave, Boston, MA, 02115, USA ) , Kim, Heung Bae (Boston Children's Hospital, Department of Surgery and Harvard Medical School, 300 Longwood Ave, Boston, MA, 02115, USA ) , Fynn-Thompson, Francis (Boston Children's Hospital, Department of Cardiothoracic Surgery and Harvard Medical School, 300 Longwood Ave, Boston, MA, 02115, USA ) , Baird, Christopher (Boston Children's Hospital, Department of Cardiothoracic Surgery and Harvard Medical School, 300 Longwood Ave, Boston, MA, 02115, USA ) , Vakili, Khashayar (Boston Children's Hospital, Department of Surgery and Harvard Medical School, 300 Longwood Ave, Boston, MA, 02115, USA)
    Journal of Pediatric Surgery Case Reports v.30 ,pp. 14 - 18 , 2018 ,

    초록

    Abstract Background Pediatric liver tumors occasionally present with vascular invasion. Standard anatomic resections usually result in complete resection when tumor is intra-hepatic; however, direct tumor extension into the inferior vena cava (IVC) and right atrium (RA) requires additional considerations. Here we present our surgical approach to resection of primary liver tumors directly extending into the IVC and RA. Methods A retrospective analysis of patients undergoing hepatic resection of primary liver tumors with direct extension into the IVC and RA from 1/2013-4/2015 was performed. Results Three patients were identified with tumors arising from the left hepatic lobe, extending into the suprahepatic IVC and RA. Two underwent in-situ parenchymal division, followed by cardiopulmonary bypass (CPB) for en-bloc resection of the intra-atrial tumor. The third had a congested right lobe due to venous obstruction by tumor, thereby requiring total hepatectomy, en-bloc intra-caval tumor excision, ex-situ left hemihepatectomy, and auto-transplantation of the right lobe. All patients required partial IVC or RA resection and reconstruction. Postoperatively, one patient died from metastatic disease at 5 months and two patients were alive after 50 months and 33 months. Conclusion Cardiopulmonary bypass provides a safe, controlled approach for en-bloc resection of hepatic tumors extending into the IVC and RA. This minimizes the risk of tumor fracture or spillage, allowing for complete gross resection.

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

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  6. [해외논문]   Pilomatrixoma of the right cheek in a young girl  

    A Tallaa, Amjad Tallaa (University of Hail, Saudi Arabia ) , Madni, Misheal (Department at King Khalid Hospital –Hail, Saudi Arabia ) , Seada, Laila Salah (King Khalid Hospital –Hail, Saudi Arabia ) , Alfayez, Adel Ahmed (University of Hail, Saudi Arabia ) , Alateeq, Mohammed Fahad (University of Hail, Saudi Arabia)
    Journal of Pediatric Surgery Case Reports v.30 ,pp. 19 - 21 , 2018 ,

    초록

    Abstract Objective We report a case of pilomatrixoma of the right cheek in a healthy 4 years old girl. Method Case report and review of the English language literature (using PubMed, Ovid and Proquest databases). Results Case of right cheek pilomatrixoma occurred in a young girl to be reported in the English language literature. Conclusion Pilomatrixoma is a cutaneous neoplasm that is one of most common causes of superficial head and neck masses in children. Although the presurgical diagnosis may be difficult in some cases, pilomatrixoma must be kept in the differential of superficial head and neck masses in children. The present case highlights the importance of considering pilomatrixoma in the clinical and pathologic differential diagnosis of dermal or subcutaneous nodule even in locations other than head and neck region. Surgical excision is almost always curative.

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

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  7. [해외논문]   Late onset Infantile Hypertrophic Pyloric Stenosis  

    Al-Mayoof, Ali F. (Surgery Department, College of Medicine, Al-Mustansiriya University, Baghdad, Iraq ) , Doghan, Ibraheem K. (Department of Surgery, Alyarmook Teaching Hospital, Baghdad, Iraq)
    Journal of Pediatric Surgery Case Reports v.30 ,pp. 22 - 24 , 2018 ,

    초록

    Abstract Infantile Hypertrophic Pyloric Stenosis (IHPS) is one of the most common surgical conditions of the newborn. It occurs at a rate of 1–4 per 1000 live births. Males are affected more often with a 4:1 male-to-female ratio. Risk factors for IHPS include family history, gender, younger maternal age, being a first-born infant, and maternal feeding patterns. The classic presentation of IHPS is nonbilious, projectile vomiting in a full-term neonate who is between 2 and 8 weeks old. Premature infants are diagnosed with IHPS later than term or post-term infants. The authors are reporting a case of IHPS in a 7 month old female baby weighing 3.8 kg presented with nonbilious vomiting, where history, examination and investigations support the diagnosis and Ramstedt's pyloromyotomy was performed. The case history is presented and discussed.

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  8. [해외논문]   Oropharyngeal teratoma in association with a diaphragmatic hernia  

    Al-Naimi, Amal (Department of Pediatrics, Hamad Medical Corporation, Doha, Qatar ) , Ali, Salwa S. (Department of Pediatrics, Hamad Medical Corporation, Doha, Qatar ) , Zarroug, Abdalla E. (Department of Surgery, Sidra Medical and Research Center, Doha, PO box 26999, Qatar)
    Journal of Pediatric Surgery Case Reports v.30 ,pp. 25 - 27 , 2018 ,

    초록

    Abstract Pediatric germ cell tumors (GCT) rarely occur in the head and neck region and they are rarely associated with congenital anomalies. A 17 month old girl presented with a history of cough and change in voice for one month. Her chest x-ray and cross sectional imaging was suggestive of a mediastinal mass, right diaphragmatic hernia, and rib abnormality. Serologic and biomarkers were all negative for tumors. Surgical resection occurred with clear margins revealing a mass arising from the left hypopharnx via a pedunculated stalk. Histopathology was consistent with a mature teratoma including significant amounts of parathyroid tissue. She remains tumor free at 18 months follow up. To the best of our knowledge our patient is the third case in which a diaphragmatic hernia was reported in association with hypopharyngeal teratoma and our patient is the first to survive; this provides an opportunity to counsel families when this association is encountered. Highlights This report documents a child with a known association of hypo pharyngeal teratoma, diaphragmatic hernia, and rib malformation. All previous reports of this association have ended in the patient's death, and this is the first report of survival. This report helps counsel families and patients that survival is possible.

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  9. [해외논문]   Multisurgical approach for recurrent fetus-in-fetu of the skull  

    Fievet, L. (Department of Pediatric Surgery, La Timone Hospital, Assistance Publique - Hôpitaux de Marseille, France ) , Serratrice, N. (Department of Neurosurgery, La Timone Hospital, Assistance Publique - Hôpitaux de Marseille, France ) , Degardin, N. (Department of Pediatric Surgery, La Timone Hospital, Assistance Publique - Hôpitaux de Marseille, France ) , Pech Gourg, G. (Department of Pediatric Neurosurgery, La Timone Hospital, Assistance Publique - Hôpitaux de Marseille, France ) , Lena, G. (Department of Pediatric Neurosurgery, La Timone Hospital, Assistance Publique - Hôpitaux de Marseille, France ) , Scavarda, D. (Department of Pediatric Neurosurgery, La Timone Hospital, Assistance Publique - Hôpitaux de Marseille, France)
    Journal of Pediatric Surgery Case Reports v.30 ,pp. 28 - 31 , 2018 ,

    초록

    Abstract Foetus in fetu is a rare tumor of the child. CT and/or MRI suggest this diagnosis. Differential diagnosis with mature multicellular teratoma can be difficult. Here we reported the case of a girl born at 37 weeks, that presented a voluminous mastoId mass on the left side treatment by initially by surgery. Until age of 9 years, she developed a tumor recurrence localized at the skull base near the left cerebello ponting angle requiring a neurosurgical approach with a good following. The pathology was finally a teratoma. Total removal must be a goal of the initial surgical treatment but a long term follow up is mandatory to avoid recurrence.

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  10. [해외논문]   Laparoscopic excision of an atypical Meckel's diverticulum  

    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.30 ,pp. 32 - 33 , 2018 ,

    초록

    Abstract Foetus in fetu is a rare tumor of the child. CT and/or MRI suggest this diagnosis. Differential diagnosis with mature multicellular teratoma can be difficult. Here we reported the case of a girl born at 37 weeks, that presented a voluminous mastoId mass on the left side treatment by initially by surgery. Until age of 9 years, she developed a tumor recurrence localized at the skull base near the left cerebello ponting angle requiring a neurosurgical approach with a good following. The pathology was finally a teratoma. Total removal must be a goal of the initial surgical treatment but a long term follow up is mandatory to avoid recurrence.

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