| 1. |
- Al-Mashhadi, Ammar Nadhom Farman, et al.
(author)
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Rhabdomyomatous mesenchymal hamartoma presenting in a child as a perineal mass
- 2019
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In: Journal of Pediatric Surgery Case Reports. - : ELSEVIER. - 2213-5766. ; 47
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Journal article (peer-reviewed)abstract
- Rhabdomyomatous mesenchymal hamartoma (RMH) is a rare hamartomatous lesion in the dermis and subcutaneous tissue. It is mostly found in the face and neck region of children. We report a case of solitary RMH located in the perineum of an 8-month-old boy. Microscopic examination of specimen showed a disordered collection of mature adipose tissue, skeletal muscle, adnexal elements and nerve bundles, and immunohistochemistry confirmed a RMH. This case emphasizes the possibility of RMH in the perineum of the children. Even if RMH is a rare condition in the perineum it should be considered as a differential diagnosis of a perineal mass in children.
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| 2. |
- Angsten, Gertrud, et al.
(author)
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Resolution of infantile intestinal pseudo-obstruction in a boy
- 2017
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In: Journal of Pediatric Surgery Case Reports. - : Elsevier. - 2213-5766. ; 24, s. 28-34
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Journal article (peer-reviewed)abstract
- A term boy with spontaneous passage of meconium exhibited episodes of abdominal distension and diarrhea. Due to failure to thrive and suspicion of Hischsprung's disease he was referred to our university hospital at five months of age. Rectal biopsies were normal. Laparotomy revealed dilation of the small bowel and colon without any mechanical obstruction. Full thickness bowel biopsies were taken and a loop ileostomy was constructed. Histopathology revealed fibrosing myopathy, Cajal cell hypertrophy, and neuronal degeneration in both the large and small bowel. The small bowel showed mastocytosis without inflammation. A central venous catheter was placed for vascular access, replaced three times and later switched to a subcutaneous venous port. Catheters were locked after use with vancomycin-heparin and later taurolidine. The individually tailored home parenteral nutrition contained unsaturated fatty acid lipids to reduce cholestasis. Initial insufficient growth was improved after correction of partial parenteral nutrition based on a metabolic balance study. The ileostomy was revised once and finally taken down at 11 years of age following one year without parenteral support. At follow-up at 13 years of age he has episodes of moderate abdominal pain and has entered puberty and reports a high quality of life. (C) 2017 The Authors. Published by Elsevier Inc.
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| 3. |
- Gondal, Mudassar Fiaz, et al.
(author)
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Appendiceal band syndrome as a cause of mechanical intestinal obstruction : A case report
- 2022
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In: Journal of Pediatric Surgery Case Reports. - : Elsevier BV. - 2213-5766. ; 87
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Journal article (peer-reviewed)abstract
- Introduction and importanceAcute appendicitis is a common surgical emergency we encounter on surgical floor. Adynamic obstruction due to appendicitis and its related complications are seen very often; however, the mechanical obstruction is a rare happening associated with acute appendicitis.Case presentationWe reported a case of 7 years old boy, who presented with generalized abdominal pain more marked in right iliac fossa and abdominal distension as well. On clinical examination tenderness in RIF and guarding in lower abdomen was present. Complete blood picture was showing the leucocytosis and neutrophilia and rest of the laboratory findings were reference ranges. After making the patient clinically stable the retrograde appendectomy was performed. At operation, the vermiform appendix was found encircling a loop of terminal ileum like a band. The tip of appendix was gangrenous. The postoperative recovery was uneventful.Clinical discussionThis case was a rare happening of appendiceal band syndrome which is a rare diagnosis because its been not considered to have mechanical intestinal obstruction following a appendicular pathology. And having appendiceal band syndrome or tie it self is rare happening, however; having association with mechanical intestinal obstruction make this case even more interesting that need emergency appendectomy to relieve the symptoms and prevent complications.ConclusionAppendiceal band syndrome is a rare happening that may cause acute intestinal obstruction and gut may become gangrenous due to break in blood supply and should be diagnosed at earliest and treated with open appendectomy.
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| 4. |
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| 5. |
- Lilja, Helene Engstrand, et al.
(author)
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Repair of giant omphalocele in a premature neonate with non-cross-linked porcine acellular dermal matrix (Strattice Tissue Matrix)
- 2016
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In: Journal of Pediatric Surgery Case Reports. - : Elsevier BV. - 2213-5766. ; 12, s. 27-30
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Journal article (peer-reviewed)abstract
- The management of giant omphalocele (GO) is a major challenge in pediatric surgery and there are many different surgical strategies described. Here we report a complicated case in which the abdominal wall in a premature neonate (gestational age 33 + 2 weeks and 1700 g) with GO was reconstructed with a non-cross-linked acellular porcine dermal matrix (Strattice (TM)) combined with vacuum therapy. This strategy can be an alternative method in the repair of GO in premature neonates with high risk of infection, underdeveloped abdominal cavity and insufficient native tissue.
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| 6. |
- Lundqvist, Peter
(author)
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Jaboulay gastroduodenostomy for pyloric obstruction after corrosive ingestion
- 2020
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In: Journal of Pediatric Surgery Case Reports. - : Elsevier BV. - 2213-5766. ; 63
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Journal article (peer-reviewed)abstract
- Strong acid accidental ingestion is a common case in rural society and children. The effect of strong acids may cause injuries of the gastrointestinal tract. We present a case obstruction in the distal part of gastric after accidental sulfuric acid ingestion in children. Sulfuric acid ingestion is potential in children since its commercial product physical appearance looks like drink water. Then the patient was diagnosed with pyloric obstruction after barium meal examination and was treated using Jaboulay gastroduodenostomy procedure.
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| 7. |
- Stenström, Pernilla, et al.
(author)
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Laser speckle contrast imaging for perfusion monitoring during surgical reconstruction of anorectal malformations
- 2021
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In: Journal of Pediatric Surgery Case Reports. - : Elsevier BV. - 2213-5766. ; 66
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Journal article (peer-reviewed)abstract
- Anorectal malformations (ARM) are a spectrum of congenital malformations, specifically defined by the absence of a normal anal opening. These conditions are treated surgically by posterior sagittal anorectoplasty and, in cases with perineal fistulas, perineal skin advancement is required to cover the tissue defect. Complications involving wound dehiscence are frequent, and may be due to stretching of the skin, although the exact cause has not been determined. We have used laser speckle contrast imaging to monitor the surgical repair of a recto-prostatic ARM in a 5-week-old boy, and found that perfusion is reduced upon stretching the perineal skin. The lack of oxygen and nutrients to the wound edge may impair healing and increase the risk of infection. The use of perfusion monitoring during surgical reconstruction of ARM may facilitate surgical decision-making and reduce complications in the future.
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| 8. |
- Stenström, Pernilla, et al.
(author)
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Perfusion monitoring using laser speckle contrast imaging during endorectal pull-through for Hirschsprung's disease
- 2022
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In: Journal of Pediatric Surgery Case Reports. - : Elsevier BV. - 2213-5766. ; 76, s. 1-4
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Journal article (peer-reviewed)abstract
- Surgical treatment of Hirschsprung's disease commonly involves resection of the aganglionic segment of the colon and endorectal pull-through. Postoperative complications include anastomotic leakage and/or stricture, both believed to be caused by inadequate perfusion of the mobilized bowel or high tension in the anastomosis, but this has never been investigated. In this case, laser speckle contrast imaging (LSCI) was used for the first time to monitor colonic perfusion during endorectal pull-through. A 6-week-old child with a 24-cm aganglionosis underwent laparoscopic-assisted endorecto pull-through with mobilization of the left colonic flexure to be able to reach the anus. LSCI perfusion monitoring showed that perfusion was 41% in the tip of the colon without tension, and was reduced 17% by a stretching force of 2 N. In conclusion, perfusion of the colonic end can be monitored by LSCI during surgery for Hirschsprung's disease. This provides new opportunities to evaluate the effects of such surgical interventions in the future.
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| 9. |
- Valind, Anders, et al.
(author)
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ZMIZ1-associated neurodevelopmental disorder and Hirschsprung disease
- 2021
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In: Journal of Pediatric Surgery Case Reports. - : Elsevier BV. - 2213-5766. ; 71
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Journal article (peer-reviewed)abstract
- De novo mutations in the gene encoding transcription factor ZMIZ1, located on chromosome 10q22, were recently found to be associated with a novel neurodevelopmental syndrome [1]. In this case report we present a patient with developmental delay and Hirschsprung disease, who carries a de novo mutation in ZMIZ1. Utilizing public gene expression data from mouse we confirm that ZMIZ1 is indeed expressed in progenitors of the enteric nervous system (ENS) as well as in a subpopulation of ENS neurons in the adult mouse and based on this we then propose that ZMIZ1 is a novel putative risk gene for HD.
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