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Validation of the Indonesian version of the thyroid cancer-specific quality of life as a tool to assess the quality of life among pediatric thyroid cancer patients Ann. Pediatr. Surg. Pub Date : 2023-12-12 Yohana Azhar, Dimyati Achmad, Reno Rudiman, Valeska Siulinda Candrawinata
Diagnosis and management of pediatric cancer develop a major life event that might impact psychosocial functioning and quality of life (QoL) even long after the initial therapy has been completed. Treatment outcomes have been measured in terms of survival time, but they also significantly impact survivors’ quality of life. The pediatric differentiated thyroid carcinoma survivors’ QoL has rarely been
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Non-hypertrophic gastric outlet obstruction in the paediatric population: a case series with focus on management Ann. Pediatr. Surg. Pub Date : 2023-12-11 Naser El-Mefleh, Muhammad Eyad Ba’Ath
Non-hypertrophic gastric outlet obstruction (GOO) in children is rare and usually presents beyond infancy. Aetiology is variable, and management is not well established due to its rarity. We aimed to conduct a descriptive study of these cases within our geographic area. It is a retrospective chart review of all children with non-hypertrophic gastric outlet obstruction presenting to three hospitals
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Safety and efficacy of central line removal by guidewire extraction technique in children Ann. Pediatr. Surg. Pub Date : 2023-12-05 Mary Froehlich, Spencer Schulte, Shirong Chang, Alan Ikeda, Michael G. Scheidler
This study reviews a university pediatric surgery practice for the incidence of stuck subcutaneous port catheter (SSPC) removal and the efficacy of a guidewire extraction technique. We reviewed all central catheter removals between 2018 and 2020. A SSPC was defined as resistance to removal after dissection of the subcutaneous tissue with signs of impending device fracture. Details of the catheter duration
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Epidemiologic factors associated with neonatal bowel perforations in Uganda: experience from a single tertiary referral hospital Ann. Pediatr. Surg. Pub Date : 2023-12-05 Innocent Okello, Nasser Kakembo, Phyllis Kisa, Stella Nimanya, Caroline Q. Stephens, Ava Yap, Anne S. Wesonga, Rovine Naluyimbazi, John Sekabira
Neonatal bowel perforations pose a significant disease burden for pediatric surgeons around the world. However, very little is known about these perforations in low-income settings. This study aims to investigate the epidemiology of neonatal perforations at a tertiary hospital in Uganda. Twenty neonates with bowel perforation who were admitted to a single national referral hospital from May 2020 to
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Management of a double H-type tracheoesophageal fistula without esophageal atresia: a case report Ann. Pediatr. Surg. Pub Date : 2023-12-01 Chiraz Regaieg, Taycir Cheikhrouhou, Mahdi Ben Dhaou, Mariam Ammar, Nadia Kolsi, Riadh Mhiri, Afef Ben Thabet, Nadia Hmida
Double congenital tracheoesophageal fistula (TEF) without esophageal atresia, known as double H-type fistula, is an extremely uncommon malformation. Due to its nonspecific symptoms and the small size of the fistula in infancy, H-type tracheoesophageal fistula is rarely diagnosed in the neonatal period and is also challenging to repair. We report a rare case of double H-type tracheoesophageal fistula
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Extrahepatic bile duct fibroma in an infant: a case report Ann. Pediatr. Surg. Pub Date : 2023-11-16 Md. Samiul Hasan, S. M. Nazmul Islam, Umama Huq, Mashud Parvez, Hasiba Mahshed Khan, Refoyez Mahmud, Ashrarur Rahman
Extrahepatic bile duct tumor in neonates and infants is extremely rare. Fibroma in neonates and infants has been reported in different body parts but not in the bile duct. We report a 2-month-old girl with common bile duct (CBD) fibroma. A 2-month-old girl presented with jaundice and pale stool for 15 days. Her perinatal period was uneventful. On examination, we found the girl deeply icteric and having
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Epigastric heteropagus twinning with dextrocardia: a case report Ann. Pediatr. Surg. Pub Date : 2023-11-14 Ayesha Siddiqua, Noor-ul-Sabah, Muhammad Ramzan Bhutta
Heteropagus twinning is a rare birth defect in 1 in million live births. Epigastric heteropagus is the most frequent type, in which a smaller dependent (parasite twin) is attached to the body of the host (autosite twin) to the thorax and umbilicus. Several congenital anomalies have been previously described in the host twin. We describe the first case of epigastric heteropagus twinning with dextrocardia
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An unusual location of newborn huge dermoid cyst: a case report and literature review Ann. Pediatr. Surg. Pub Date : 2023-11-08 Mahaman Sani Rabiou, Maman Roufai Hamissou Moussa, Hassane Ali Amadou, Stachys Beranger Hounkpatin Seton
Dermoid cysts are benign germ cell tumors with ectodermal and mesodermal components. It is a slow-growing lesion that commonly arises in the midline of the head and neck. The last location represented 7%, and the periorbital region was the most frequently arising area. True lateral neck dermoid cysts are rare. We present an unusual location of a dermoid cyst in a newborn. We report an unusual location
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High magnification versus optical magnification in hypospadias surgery: a randomized controlled trial Ann. Pediatr. Surg. Pub Date : 2023-11-06 Moemen Mohamed Farouk Radwan, Sherif Nabhan Kaddah, Gamal Hasan ElTagy, Khaled S. Abdullateef
Hypospadias is the most common congenital abnormality of the urethra affecting live male births. The incidence is rising with the increasing pollution. During the last 50 years, developments in surgical instrumentation and optical systems allowed surgeons to increasingly undertake microsurgical procedures. Optical magnification is essential in pediatric surgery. Magnifying loupes are the most frequently
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Biliary atresia with rare associations: a case report Ann. Pediatr. Surg. Pub Date : 2023-11-01 Tarek Abdelazeem Sabra, Sarah Magdy Abdelmohsen, Basel Abdelazeem
It is not often written in medical journals that preduodenal portal vein, biliary atresia, intestinal malrotation, and situs inversus totalis are all related. This is a rare association. A 2-month-old female infant had biliary atresia type III, situs inversus totalis, midgut malrotation, and a preduodenal portal vein. She had been operated on by the Kasai procedure (hepato-portoenterostomy). It is
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The complexities in diagnosing intradiaphragmatic extrapulmonary sequestration: a case report Ann. Pediatr. Surg. Pub Date : 2023-10-23 Anna-Kaelle K. J. Ramos, Tori R. Teramae, Collin G. Z. Liang, Miriam L. Brazer, Russell K. Woo
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,
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Challenges in strategies for Amyand hernia in children: literature review with clinical illustrations Ann. Pediatr. Surg. Pub Date : 2023-10-20 Sergey Klyuev, Mustafa Azizoğlu
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
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Scaphoid megalourethra associated with congenital urethrocutaneous fistula: a case report of a rare association Ann. Pediatr. Surg. Pub Date : 2023-10-19 Lucas Rossato Chrun, Paulo Acácio Egger, Lia Yoneka Toda, Aquiles Henrique, Orlando Ribeiro Prado Filho, Larissa Rossato Chrun Costa, Victor Hugo Silva Nezo
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. 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
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Chylolymphatic cyst as a rare cause of acute intestinal obstruction in infants Ann. Pediatr. Surg. Pub Date : 2023-10-16 Ahmed K. Ali, Islam M. Abdelhamid, Abdelrahman Hamdy Mohamed, Tarek Abdelazeem Sabra
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
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Otoplasty in patients with helix valgus: quality of life and satisfaction Ann. Pediatr. Surg. Pub Date : 2023-08-31 Alicia Gómez Sánchez, Jesús Vicente Redondo Sedano, María Eunate Martí Carrera, Jose Manuel Caro Teller, Andrés Gómez Fraile, María Dolores Delgado Muñoz
Importance of helix valgus lies in the psychological and social effect it could have on the patient. Our objective was to assess the impact of otoplasty on the quality of life of children with prominent ears and to establish possible predictors of post-surgical outcomes. A retrospective review of children with prominent ears who underwent otoplasty between 2016 and 2018 was conducted. Demographical
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Tubular colonic duplication: a case report and brief review of the literature Ann. Pediatr. Surg. Pub Date : 2023-08-30 Rasem Keilani, Raed Al Taher, Ghayda‘ Bader, Leen Hajeer, Taima Bader, Balqis Alfreijat
The occurrence of complete tubular colonic duplication is exceedingly rare. In most cases, resection of the duplicated colon may not be possible because of common blood supply with a single mesentery shared between the duplication and associated original bowel (Karkera et al., Pediatr Gastroenterol Hepatol Nutr 18:197-201, 2015). In this paper, we present a case of a 9-month-old girl who was noticed
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Utility of the Kimura technique for the definitive management of high jejunal atresia Ann. Pediatr. Surg. Pub Date : 2023-08-14 Ampaipan Boonthai, Paul D. Losty
Operative management of high jejunal atresia may be challenging due to significant size discrepancy between the dilated proximal jejunum and distal atretic bowel. We report a female newborn infant with a high type 1 proximal jejunal atresia located precariously at the duodenojejunal flexure which was successfully corrected with the Kimura operation, i.e., jejunojejunostomy as originally first described
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A case report of extensive condyloma acuminata in a pediatric patient clearing with compounded 3% cidofovir gel Ann. Pediatr. Surg. Pub Date : 2023-08-07 Ben Wroblewski, Fabiana Castro Porto Silva Lopes, William David Boothe, Lucia Z. Diaz
Management and treatment of condyloma acuminata in children are often challenging. The mode of transmission is not always traceable and a sexual abuse investigation should be considered. Treatment ranges from no intervention to reconstructive surgery depending on the extent and symptoms. We are reporting a case of an 18-month-old female with extensive symptomatic condyloma acuminata who was able to
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Paediatric gastrointestinal trichobezoar—an uncommon entity: a case series with recent literature review Ann. Pediatr. Surg. Pub Date : 2023-08-01 Shazia Jalil, Mohammed Azhar, Tarek Talaat Harb ElKadi, Khalid AlFaifi, Saad Al Hamidi, Moath Al Saiady, Abdelbasit E. Ali, Fazal N. Wahid
Gastrointestinal (GI) tract bezoars are aggregates or concretions of inedible and undigested material mostly found in the stomach but can also be found elsewhere in the gastrointestinal tract. Trichobezoar, an infrequent form of bezoar seen mostly in young females, consists of a compact mass of swallowed hair. It is primarily located in the stomach but may extend through the pylorus into the duodenum
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Laparoscopic-assisted versus complete transanal pull-through using Swenson technique in treatment of Hirschsprung’s disease Ann. Pediatr. Surg. Pub Date : 2023-07-17 Tamer Fakhry, Ahmed Rabee, Magdy Lolah, Ahmed Nabil
The aim of this study is to compare outcomes for neonates and infants with Hirschsprung’s disease undergoing a laparoscopically assisted transanal pull-through (LAPT) with those undergoing a complete transanal pull-through (TERPT) using Swenson procedure in both groups. Forty patients with Hirschsprung’s disease were operated between January 2018 and January 2022. Twenty patients underwent transanal
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An interesting presentation of a foreign body in the esophagus: a case report of awake central apnea Ann. Pediatr. Surg. Pub Date : 2023-07-10 Mehmet Çetin, Fazilet Şahin Kocaöz
Foreign body in the esophagus is most commonly observed at the cervical esophagus level and is often detected in pediatric patients. Esophagoscopy is the definitive diagnosis and treatment instrument in foreign body ingestion, and the procedure should not be delayed to avoid serious complications such as late tracheoesophageal fistula and perforation. While sore throat, difficulty in swallowing, and
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Ultrasound findings to predict failure of conservative treatment in the appendix testis torsion Ann. Pediatr. Surg. Pub Date : 2023-07-03 Neil Di Salvo, Giovanni Parente, Dario Benivegna, Marco Di Mitri, Eduje Thomas, Mario Lima
Torsion of the appendix testis (TAT) is considered the most common cause of acute scrotum in childhood. When clinical and ultrasound (US) findings agree with the diagnosis, after testicular torsion has been excluded, conservative therapy is attempted whereas scrotal exploration and removal of the hydatid are required when medical therapy has failed. We hypothesized there are US features that can predict
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Waiting times for elective surgery in an African paediatric surgery department Ann. Pediatr. Surg. Pub Date : 2023-06-26 Mahamoud Omid Ali Ada, Hellé Moustapha, Oumarou Habou, Inès Arlette Siewe Emaleu, Salahoudine Idrissa, Habibou Abarchi
Long waiting time (WT) for elective surgery is a frequent and important issue in many countries. This study examined the factors affecting the WT for elective surgery in a paediatric surgery department in a tertiary healthcare hospital in Niger, Africa. This descriptive retrospective study examined patients aged 0–15 years who underwent elective surgery in the paediatric surgery department of National
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Difficult removal of implantable venous access system: stepladder approach with wire stenting of a catheter—single-center experience Ann. Pediatr. Surg. Pub Date : 2023-06-12 Muhammed Younas Awan, Zahra Almatar, Mohammad Anas AlShawa, Saud Alshanafey
Port-a-catheter insertion and removal are common procedures performed for children with chronic disease or cancer. Although its removal is usually straightforward, some difficulties during the procedure can be encountered. Several methods have been described in the literature to handle those cases where lines have become stuck. To describe our simple technique in dealing with stuck port-a-catheters
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Benign hepatic tumors in childhood: surgical resection and outcomes Ann. Pediatr. Surg. Pub Date : 2023-06-05 Alaa Younes, Ahmed Elgendy, Sayed Fadel, Habiba Elfandy, Marwa Romeih, Madeeha Elwakeel, Gehad Ahmed
Primary hepatic neoplasms in pediatric age are rare entities. Clinical and survival data in children with benign liver tumors who were treated by surgery are still negligible. We aimed to present a tertiary oncological center experience regarding surgical management and outcomes of pediatric benign hepatic tumors. A retrospective chart review was performed including all children with benign liver tumors
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The so-called Y-type urethral duplication: anatomical insights through controversial terminology Ann. Pediatr. Surg. Pub Date : 2023-05-29 Amr Abdelhamid AbouZeid, Shaimaa Abdelsattar Mohammad
Y-type urethral duplication is a term frequently used to describe a rare condition in the male associated with double urinary stream: a weak interrupted urinary stream through a hypoplastic penile urethra, while the main urine flow is through the anus/perineum via accessory posterior channel. Fortunately, the advent of MRI has provided a powerful tool to study these anomalies in depth and on multiple
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Successful prioritisation of inguinal herniotomies in children during the COVID-19 pandemic to minimise emergency presentations Ann. Pediatr. Surg. Pub Date : 2023-05-01 Mahmoud Marei Marei, Ahmed Sobhy Hassan, Mohamed Kamel, Aiden Moore, Olugbenga Michael Aworanti
The coronavirus disease 2019 (COVID-19) disrupted the delivery of elective surgery in children. We introduced guidance to mitigate this impact. By reviewing the outcomes for inguinal herniotomies, we aimed to determine if this guidance has enabled us to prevent an increase in the elective surgery wait time and therefore the need for emergency surgery for incarcerated hernias. This report aims to share
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Gastro-esophageal and respiratory morbidity in children after esophageal atresia repair: a 23-year review from a single tertiary institution in Asia Ann. Pediatr. Surg. Pub Date : 2023-04-24 Jayne Chiang, Te-Lu Yap, Shaista Arif, Candy S. C. Choo, A. K. Pugalenthi, Biju Thomas, Anette S. Jacobsen, Lin Yin Ong
Improved survival of neonates with esophageal atresia with/without tracheoesophageal fistula (EA/TEF) has resulted in increased prevalence of gastro-esophageal and respiratory-related morbidities. However, long-term outcome data on these patients remains limited, making it difficult to substantiate any guidelines on their chronic care. The purpose of our study is to report on their post-operative outcomes
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Evaluation of Hem-o-lok clips in controlling the splenic pedicle in laparoscopic splenectomy in children Ann. Pediatr. Surg. Pub Date : 2023-04-20 Mahmoud Mohamed Eid, Khalid Mohammad Elshimy, Akram Mohamed Elbatarny, Mohamed Fathy Metwally
Splenectomy is an established therapeutic intervention for benign haematological disorders (BHD) in children. Laparoscopic splenectomy (LS) has become accepted as the preferred alternative to the open procedure. The aim of this study was to evaluate the Hem-o-lok clips in controlling the splenic hilum during laparoscopic splenectomy in children as regards feasibility, safety, operative time, cost,
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Spontaneous urinary bladder perforation presenting as bowel obstruction in a child: a case report Ann. Pediatr. Surg. Pub Date : 2023-04-19 Abdallah AlAbadla, Najeh AlOmari, Salameh Al-Halaseh, Dua’a Al Hanaqtah, Mohammad AlBalwa
Spontaneous perforation of the urinary bladder is a rare disease entity. Due to its rarity, it is often hard to diagnose. We present a case of a 2-year-old patient who presented with bowel obstruction and renal failure after scheduled correctional vertebroplasty due to congenital kyphosis. During exploratory laparotomy, two perforations were found at the dome of the urinary bladder, and an idiopathic
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Comparison of cardiogenic NEC and classical NEC in the fourth level neonatal intensive care center Ann. Pediatr. Surg. Pub Date : 2023-04-17 Tülin Öztaş, Salim Bilici, Nilüfer Matur Okur
The most common inflammatory gastrointestinal disorder in newborn infants is necrotizing enterocolitis (NEC). Despite the multifactorial etiology of NEC, its pathogenesis is the same regardless of the etiology—a decrease in enteric perfusion that results in enteritis, dysmotility, necrosis, and sepsis. This study aims to evaluate whether the characteristics of NEC in infants with congenital heart disease
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Surgical management of a giant paratubal cyst: a case report and review of the literature Ann. Pediatr. Surg. Pub Date : 2023-04-12 S. Archer, V. I. Alaniz, P. S. Huguelet
Surgical management of giant paratubal cysts can be challenging in the pediatric and adolescent population. Larger adnexal masses can heighten suspicion for malignancy, placing the ovary at risk of unwarranted removal, and larger masses sometimes necessitate larger surgical incisions which can increase postoperative pain and delay return to school and regular activities. We present the evaluation and
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Misinterpretation of a giant idiopathic concealed right iliac artery aneurysm as infantile pelvic tumor imaged by non-angiographic computed tomography: a case report Ann. Pediatr. Surg. Pub Date : 2023-03-27 Thipsumon Tangsiwong, Tipsuda Tangsriwong
Idiopathic pediatric artery aneurysm is extremely rare and sometimes behaves like a pelvic neoplasm. As it is associated with a high mortality while ruptured, the accurate diagnosis is indispensable to avoid life-threatening complications. Angiographic imaging is the gold standard for diagnosis and treatment planning of the aneurysm. Due to the considerably higher radiation sensitivity of children
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Complex management of a large retroperitoneal undifferentiated sarcoma encasing the abdominal aorta in a pediatric patient: a case report and review Ann. Pediatr. Surg. Pub Date : 2023-03-09 Martha E. Teke, Jillian C. Jacobson, Kevin Mutore, Joseph T. Murphy
Retroperitoneal undifferentiated sarcomas are rare, highly aggressive mesenchymal tumors with limited available treatment options. Surgical resection ± chemoradiation remains standard of care. However, in unique cases, challenging tumor biology, advanced tumor stage, and the morbidity required of an R0 resection can prohibit management and ultimate cure. Targeted therapies have an increasing role in
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Secondary cutaneous aspergillosis in a child with Behçet’s disease: a case-based update Ann. Pediatr. Surg. Pub Date : 2023-03-02 Soumia Nachate, Mouad El Mouhtadi, Yousra Zouine, Mohamed Amine Haouane, Mohamed Amine Azami, Mohamed Oulad Saiad, Dounia Basraoui, Hicham Jalal, Houda Nassih, Rabiy Elqadiry, Aicha Bourrahouat, Imane Ait Sab, Awatif El Hakkouni
Invasive aspergillosis (IA) is one of the rarest opportunistic fungal infections and has increased in frequency worldwide in recent years. It is a life-threatening infection associated with high mortality rates. Invasive pulmonary aspergillosis (IPA) is the most severe form of the disease. Extrapulmonary forms can develop as a primary infection or occur as part of a disseminated infection from the
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Management of a very rare case of polyorchidism: a case report Ann. Pediatr. Surg. Pub Date : 2023-03-02 Wissam Jamal Al Tamr, Kareem Omran, Rajebhosale Prashan, Agraw al Pooja
Polyorchidism is a rare genetic anomaly characterized by the patient having more than two testicles. In the literature, only around two hundred cases have been reported. We present an unusual new case which does not conform to the traditional classifications of polyorchidism or previously reported cases. We discuss our diagnostic techniques as well as management decisions for this case and aim to raise
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Laparoscopic assisted removal of large ovarian mass causing precocious puberty in an infant—a case report Ann. Pediatr. Surg. Pub Date : 2023-02-25 Amar Shah, Abdelilah Lahmar, Elina Momin, Shabbir Momin, Anirudh Shah
Sex cord and stromal tumors are a heterogeneous group of tumors that arise from gonadal sex cord cells, gonadal stromal cells, or both. They are divided into pure stromal tumors, pure sex cord tumors, and mixed tumors. Some of these tumors are hormonally active, producing androgens and estrogens, and may therefore exhibit virilization or excess estrogen. Sertoli-Leydig cell tumors are rare tumors belonging
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Congenital anterior urethral diverticulum in children: case series and review of the literature Ann. Pediatr. Surg. Pub Date : 2023-02-25 Rajat Piplani, Samir K. Acharya, Deepak Bagga
Congenital anterior urethral diverticulum (CAUD) is a rare condition in children. This condition can present at any age; however, it is more commonly identified in infants and older children. The patient may present with difficulty in micturition, dribbling of urine, poor urinary stream, or urinary tract infection. Children with large anterior urethral diverticulum with poor spongiosal support may
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Comparative study of laparoscopic Nissen fundoplication versus Hill-Snow procedure for the treatment of gastroesophageal reflux disease in children: a single-blinded randomized controlled trial Ann. Pediatr. Surg. Pub Date : 2023-02-07 Mostafa Ahmed Gad, Mohamad Mahmoud Qinawy, Osama Abdelazim, Sherif Nabhan Kaddah, Mohamed Magdy Elbarbary, Mahmoud Asem Elfiky
Gastroesophageal reflux disease (GERD) is a common condition in children. Complete fundoplication provides better reflux control but it results in more dysphagia and gas-bloat symptoms. Antireflux surgery without wrap has fewer adverse effects but a higher failure rate in controlling reflux. Until now, there is little evidence as to whether complete or partial fundoplication is the optimal procedure
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Open and percutaneous pediatric tracheostomy: comorbidities and in-hospital mortality Ann. Pediatr. Surg. Pub Date : 2023-02-01 Jeffrey Schemm, David O’Neil Danis, Daniel Howard, Erika Rodriguez, Kaylin Dong, Sherwin Fazelpour, Jessica R. Levi
Tracheostomy procedures are used to establish a surgical airway in patients when non-invasive methods fail to offer adequate support. In pediatric patients, this procedure is relatively rare, and data on patients is scarce, limiting the ability of physicians to contextualize patient outcomes and identify those most at risk. This can be crucial, as research has shown that early tracheostomy in pediatric
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Clinical challenge: a case of testicular tumor disguised as a prenatal testicular torsion Ann. Pediatr. Surg. Pub Date : 2023-01-12 Fugaru, Ioana, Moryousef, Joseph, Nguyen, Van-Hung, El-Sherbiny, Mohamed
Neonatal tumors account for a minority of prepubertal testicular tumors. Similarly, testicular torsion in the neonate within the intrauterine or postnatal period is a rare event with an estimated incidence of 6 per 100,000. Testicular salvage is almost never achieved in cases of prenatal testicular torsion and there is still no consensus on the ideal management. A neonate with prenatal testicular torsion
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Has the frequency of complicated appendicitis changed in children in the first year of the COVID-19 pandemic? Ann. Pediatr. Surg. Pub Date : 2023-01-11 Öztaş, Tülin, Bilici, Salim, Dursun, Ahmet
The COVID-19 pandemic period suggests that the rate of complications may have increased in patients requiring surgical treatment due to the fact that they could not come to the hospital at the onset of the symptom. This study aims to evaluate the difference in the frequency of complicated appendicitis and postoperative complications in the COVID-19 pandemic. Patients included those who underwent appendectomy
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Clinical and manometric evaluation of postoperative anorectal function in patients after trans-anal pull-through for Hirschsprung disease Ann. Pediatr. Surg. Pub Date : 2023-01-10 Foroutan, Hamidreza, Homapour, Farhad, Dehghani, Mohsen, Niazkar, Hamid Reza, Sufi, Hoda, Zibaee, Behdad
Transanal endorectal pull-through (TEPT) surgery is a new trend in the treatment of Hirschsprung disease, and evaluating its functional outcome is difficult. The purpose of this study is to evaluate the defecation pattern after TEPT surgery in pediatrics. In this cross-sectional survey, 40 patients with Hirschsprung disease were studied. They underwent a one-stage transanal pull-through procedure from
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Analyzing complications and implementing solutions in a pediatric inguinal hernia cooperation program in Equatorial Guinea: a prospective cohort study Ann. Pediatr. Surg. Pub Date : 2023-01-10 Rodríguez de Alarcón García, Jaime, Úbeda Pascual, Amalia, Fanjul Gómez, María, Morató Robert, Pablo, Espinosa Góngora, Rocío, Martínez García, Ernesto, Román Guerrero, Carlos, Abaga Abaga, Santiago Jaime, Soto Beauregard, Carmen
Few studies have evaluated the efficacy of short-term medical missions. This study was aimed to evaluate complication rates and determine the effects of protocol changes in a pediatric inguinal hernia campaign in Equatorial Guinea and analyze post-operative follow-up capacity. In this prospective observational cohort study, we evaluated two patient cohorts (group A, 2017–2018; group B, 2019) treated
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Persistent urogenital sinus with recto-vaginal fistula: the new variant in which the anus is normally positioned and literature review Ann. Pediatr. Surg. Pub Date : 2023-01-09 Zeytun, Hikmet, Demez, Ahmet, Ozokutan, Bulent Hayri
Persistent urogenital sinus is a rare cloacal anomaly in which the urinary and genital tracts cannot be differentiated during embryonic development. However, the presence of concomitant recto-urogenital sinus or recto-vaginal fistula is much rarer. In the literature, only two cases with accompanying fistula have been presented so far. We present the diagnosis and treatment management of a persistent
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Fluorescent in situ hybridization (FISH)—a quick screening tool for female children with palpable gonads for excluding androgen insensitivity syndrome Ann. Pediatr. Surg. Pub Date : 2023-01-05 Arora, Mrinal, Zargar, Noor Ullah, Krishna, Anurag
The incidence of inguinal hernia in the pediatric population is 0.8–4.4% with a male to female ratio of 5:1.The reported incidence of sliding hernia containing an ovary in female infants and children is 15–20%.The complete androgen insensitivity syndrome occurs in 1–2% of girls with an inguinal hernia. Thus, the incidence of CAIS in females with hernias and palpable gonads is 4/1,000,000. This is a
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A Survey of IPEG-Middle East Chapter members to ascertain their perceptions of, and changes to, the Nissen's wrap design and the outcomes Ann. Pediatr. Surg. Pub Date : 2023-01-03 Seleim, Hamed M., Magdy, Basma, Hashish, Amel
Nissen's description of fundoplication has proven seminal in our understanding of anti-GERD surgeries. This survey aimed to ascertain the perceptions of, and changes to, the Nissen's wrap design among the IPEG-ME surgeons and their outcomes. During the months of February and March 2021, all IPEG-ME members were contacted via WhatsApp and asked to complete an anonymous online survey. Google Forms was
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Outcome and morbidity of liver surgery in children: a single-centre, 47-year experience Ann. Pediatr. Surg. Pub Date : 2022-12-20 Zaidan, Hind, Said, Hanan, Mortell, Alan, AlShafei, Abdulrahman, Breatnach, Finn, Heaton, Nigel, Corbally, Martin T.
The outcome and survival of children with both benign and malignant liver tumours, over a 47-year period was recorded at The National Paediatric Cancer Centre, Our Lady’s Children’s Hospital (OLCHC), Crumlin. The retrospective study documents the impact of improved chemotherapy, multidisciplinary team approach and specific paediatric hepatobiliary surgical training on morbidity, outcome and survival
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Bilateral congenital lobar emphysema: a rare entity and a therapeutic challenge Ann. Pediatr. Surg. Pub Date : 2022-12-19 Garge, Saurabh, Mahalik, Santosh, Jain, Pradeep
Bilateral congenital lobar emphysema is an extremely rare condition, and detailed workup of these patients is very important. Operative intervention is usually based on radiological, biochemical, and clinical details. Bronchoscopy gives an added advantage in cases with diagnostic dilemmas and makes the treatment more evidence based. We here present three cases and review the literature for this rare
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Incidence of metachronous contralateral mature ovarian teratoma in childhood and adolescence—a single-centre 20-year experience Ann. Pediatr. Surg. Pub Date : 2022-12-19 Malik, Tom, Samaraweera, Sahan, Keys, Charles, Wheeler, Robert, Gray, Juliet, Hall, Nigel J.
Despite complete resection of mature ovarian teratoma, there remains a risk of metachronous contralateral disease with implications for further surgery and fertility. Current estimates of this risk are wide and practice regarding surveillance varies. We aimed to identify the incidence of metachronous contralateral disease in girls presenting with unilateral mature ovarian teratoma and to describe current
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Management of severe symptomatic abdominal lymphatic malformation complicated by abscess formation, protein-losing gastroenteropathy, and bleeding Ann. Pediatr. Surg. Pub Date : 2022-12-16 Ono, Hitoshi, Honda, Shohei, Miyagi, Hisayuki, Minato, Masashi, Ara, Momoko, Kondo, Takafumi, Okumura, Kazuyoshi, Okada, Tadao, Taketomi, Akinobu
The optimal strategy for the management of patients with severe symptomatic abdominal lymphatic malformation (ALM) complicated by abscess formation, protein-losing gastroenteropathy, and bleeding has not yet been established. The present study aimed to determine an appropriate management for patients with severe symptomatic ALM, particularly for those with abdominal complications. Eight infants and
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Giant foreign body granuloma after endoscopic management of vesicoureteric reflux: a case report Ann. Pediatr. Surg. Pub Date : 2022-12-15 Davera, Saket, Dhua, Anjan, Agarwal, Shipra, Sulaiman, Mohamed
Deflux®, a dextranomer/hyaluronic acid copolymer, is extensively used as an endoscopic bulking agent for management of vesicoureteric reflux (VUR). The complications following Deflux® treatment as described in the literature are clinically insignificant transient obstruction and infections of the urinary tract. We report a rare case of a giant Deflux® granuloma presenting as an intraoperative surprise
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Retrovesical cysts in boys—case series and literature review Ann. Pediatr. Surg. Pub Date : 2022-12-15 Pakkasjärvi, Niklas, Mönttinen, Tiia, Hokkinen, Lasse, Mäkelä, Eija, Taskinen, Seppo
Retrovesical cysts present with varying etiologies. We initiated this study to provide insights into retrovesical cysts in boys through a case series and systematic literature review and to aid in treatment alternatives. Case series of seven patients from the in-hospital register with a systematic literature review on retrovesical cysts in children. We identified seven patients from the in-hospital
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Simple division of rectourethral fistula as an alternative to ligation during laparoscopic repair of anorectal malformation Ann. Pediatr. Surg. Pub Date : 2022-12-14 Al Matar, Zahra, Maqbool, Sabreen, Zakaria, Habib, Alassiri, Ali
Various techniques are described to manage the rectourethral fistula during laparoscopic repair of anorectal malformation (LAARP). The fistula can be ligated with sutures, clips, staplers, or simply divided flushed with the urethra. The aim of our study is to share our experience of simply dividing the rectourethral fistula during LAARP without ligation. A retrospective chart review conducted between
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Catheter-related atrial thrombosis: prevalence and risk factors in the pediatric age group—a retrospective study Ann. Pediatr. Surg. Pub Date : 2022-12-12 Nassereldine, Hasan, Hajj-Ali, Adel, Hassanieh, Joelle, Hamideh, Dima, Jaafar, Rola F., Akel, Samir, Zaghal, Ahmad
Catheter-related right atrial thrombosis (CRAT) is an under-studied complication of a long-term implantable venous access devices (IVAD), particularly in children with incidence rates extrapolated from the adult literature ranging between 2 and 29%. This is a single-center retrospective review of electronic medical records of children who underwent insertion of IVADs and had at least one echocardiogram
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Long-term evaluation of patient satisfaction and quality of life in pectus excavatum repair Ann. Pediatr. Surg. Pub Date : 2022-12-07 Di Salvo, Neil, Ruggeri, Giovanni, Thomas, Eduje, Parente, Giovanni, Di Mitri, Marco, Lima, Mario
The aim of our study was to evaluate long-term patient satisfaction and quality-of-life improvement in grown-up patients treated for pectus excavatum with the Nuss procedure in the pediatric age, searching for correlation between preoperative characteristics and long-term outcomes. At first, we performed a retrospective analysis of pediatric patients undergoing the Nuss procedure in a 5-year period
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Vertical wound closure following sacrococcygeal teratoma excision: an approachable aesthetic solution Ann. Pediatr. Surg. Pub Date : 2022-12-06 AbouZeid, Amr Abdelhamid, Radwan, Ahmed Bassiouny, Elghandour, Mostafa Mohamed, Guirguis, Nader Nassef, Bersy, Mohamed Ali
Sacrococcygeal teratoma is a rare tumour, usually presenting in the neonatal period. The benign nature of most tumours and the high survival rates would emphasise on the importance of both cosmetic and functional outcomes. We report on our extended experience with more cases concentrating on the aesthetic outcome of vertical wound closure following excision of large irregular sacrococcygeal tumours
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Preferred technique of creating pneumoperitoneum for laparoscopy by pediatric surgeons Ann. Pediatr. Surg. Pub Date : 2022-11-29 Shah, Amar A., Shah, Anirudh V.
Minimally invasive pediatric surgery has gained popularity over open conventional surgery as it offers benefits to both patients and health care practitioners. Creation of pneumoperitoneum is a must for any laparoscopic procedure. Different pediatric surgeons have their individual preferences regarding the technique to create pneumoperitoneum prior to laparoscopy. The aim of this study was to evaluate
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Symptomatic giant solitary bile cyst with intracystic bleeding in a 13-year-old girl: a case report and literature review Ann. Pediatr. Surg. Pub Date : 2022-11-28 Junqueira, José Otávio Guedes, de Pinho, João Henrique Sendrete, de Oliveira Junqueira, Thaís Bandeira, de Oliveira Junqueira, Bruna Bandeira, Vidigal, Fernando Mendonça, Furtado, Maria Cristina Vasconcelos, de Souza, Gláucio Silva
Simple hepatic cyst is a rare disease in childhood. They occur in the general population with a prevalence of up to 5%. The incidence and size of cysts increase dramatically in adults older than 50 years. We performed a systematic literature review of all cases of simple hepatic cysts in the pediatric population undergoing surgical treatment. We found 52 cases reported in literature with a mean age
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Unused opioid prescription prevalence after pediatric ambulatory surgery: a survey study Ann. Pediatr. Surg. Pub Date : 2022-11-28 Dixit, Anjali A., Ho, Nhi, Inglis-Arkell, Christina, Chen, Catherine L., Ferschl, Marla, Manuel, Solmaz P.
Surgery is a risk factor for opioid initiation, persistent use, and subsequent misuse in pediatric patients. The objective of this study was to assess the rate of postoperative opioid prescribing and extent of unused opioid prescriptions on the first postoperative day after pediatric ambulatory surgery. A telephone survey was administered on postoperative day 1 (POD1) to guardians of all pediatric