Articles

The efficacy of delayed, repeated reduction enema in management of intussusception

Management of intussusception varies according to the case, time of presentation, cause, and symptoms. In this study, we focus on describing the demographic and sonographic characteristics of children with int...

Authors: Tamer Fakhry, Ahmed Nabil Fawzy and Ahmed Taher Mahdy

Bilateral scrotoshisis a rare entity: case report

Scrotoschisis is a rare anomaly in which the testis is lying outside scrotum congenitally. Only few cases have been reported in literature under different names most of which are unilateral. We have found only...

Authors: Shazia Perveen, Mishraz Shaikh and Sajid Ali

Baker’s cyst in children: conservative management versus surgical excision according to clinical and imaging criteria

Pediatric patients rarely exhibit Baker’s cysts. This study was conducted on 15 cases (9 males, 6 females) presented with Baker (popliteal) cyst in the last 2 years (from September 2017 to September 2019). The...

Authors: Mohammed A. Mansour, Mohammed A. Shehata, Mohammed M. Shalaby, Mohammed A. Arafa and Hisham A. Almetaher

Geographic influence on postoperative complications in children with complicated appendicitis: a single center study

Acute appendicitis is one of the most common abdominal emergencies in children. Complicated appendicitis is much more common in pediatric age group than in adults due to probability of delay in diagnosis or mi...

Authors: Mohammad Seqsaqa, Ahmed Ezzat Rozeik, Mohammed Khalifa and Hazem Nour Abdellatif Ashri

Patent urachus and bladder outflow obstruction—chance or consequence? A study of a cohort of patients with complete patent urachus presenting to a tertiary urological center and a review of literature

To explore the association between patent urachus and bladder outflow obstruction (BOO). A retrospective review of patient records over a 35-year period (1983–2018) with complete patent urachus was performed. ...

Authors: Heba Taher, Sharmila Ramnarine, Naima Smeulders, Divyesh Desai, Imran Mushtaq, Peter Cuckow and Abraham Cherian

The scope of operative general paediatric surgical diseases in South Africa—the Chris Hani Baragwanath experience

Infectious diseases have always been the lime light of global health with very little focus on childhood surgical conditions despite the fact that children constitute about half of the population in LMICs. A s...

Authors: Maame Tekyiwa Botchway, Deirdre Kruger, Charles Adjei Manful and Andrew Grieve

Treatment of complex laryngotracheal stenosis in childhood–experience of a tertiary University Hospital from 2016 to 2019

Laryngotracheal stenosis is a major cause of airway obstruction in pediatric age. The correction of such abnormality still remains a challenge, both because of anatomical issues in childhood and also due to th...

Authors: Melissa Ameloti Gomes Avelino, Laís da Silveira Botacin and Miguel Angel Corrales Coutinho

Giant thoracic ganglioneuroma with lymph node infiltration of a child: a case report

Ganglioneuroma is a rare neurogenic tumor which could grow into massive size in the thorax with minimal or no symptoms. Resection of these tumors will be challenging in view of large size and vascular encaseme...

Authors: Mathula Hettiarachchi, Chanuka Dharmadasa, Ashoka Wijeyananda, Kapila Hettiarachchi and Bandula Samarasinghe

Extraosseous Ewing sarcoma presenting as recurrent intergluteal pilonidal disease

Pilonidal disease classically presents as an abscess or soft tissue swelling which classically occurs in the intergluteal cleft, just above the anus. Risk factors for this disease include obesity, prolonged si...

Authors: Marisa A. Sewell, Frieda M. Hulka and Jacob P. Zucker

Atypical presentation and management of an epithelioid hemangioma: a case report and review of the literature

Epithelioid hemangioma is a rare, benign vascular lesion classically presenting with painless nodules in the head and neck region. Hemangioma lesions are typically small, located within the dermis and subcutan...

Authors: Claire J. Wiggins, Rami P. Dibbs, Erica L. Bartlett, Daniel J. Ashton and Renata S. Maricevich

Botulinum toxin abdominal wall injection and post-omphalocele ventral hernia repair: database and proposal of a protocol

Post-omphalocele ventral hernias (POVH) are common after giant omphaloceles. Abdominal wall botulinum toxin injections (BTI) are useful to treat complex incisional hernias (CIH) in adults, which may also apply...

Authors: Lisieux Eyer de Jesus, Thais Cardoso Leve, Celine Fulgencio and Samuel Dekermacher

Laparoscopic management of persistent gastrocutaneous fistula after feeding gastrostomy appliance removal in children

Feeding gastrostomy is widely used in children that have troubles of swallowing and need to stablish enteral feeding. There are several methods for creation of that stoma. After the children gain their normal ...

Authors: Mohammad Gharieb Khirallah and Nasir Bustangi

Anorectal anomalies in the male: revisiting the radiological classification

Classifying anorectal anomalies (ARA) has always been a matter of debate among pediatric surgeons. A new classification does not necessarily imply discarding older ones. Several concepts have been introduced i...

Authors: Amr Abdelhamid AbouZeid, Shaimaa Abdelsattar Mohammad, Sherif Elhussiny Ibrahim and Leila Rawash ElDieb

Complicated gastric duplication cyst presenting as cystic intraperitoneal collection: a case report

Alimentary tract duplications are rare anomalies and any delay in the diagnosis may develop various complications. Infection, hemorrhage, or perforation of the duplication cyst may lead to an acute presentatio...

Authors: Muhammad Bilal Mirza, Asim Shahzad, Nasir Mahmood, Ahmed Imran, Mahvish Hussain, Zafar Fayyaz and Nabila Talat

Roux En Y drainage of a large hepatic hydatid cyst as treatment for recalcitrant bile leak: a case report

Hydatid disease is relatively uncommon in children and thus rarely reported in literature. Pediatric patients with large hydatid cysts can have grave complications due to mass effect. Postoperative bile leak i...

Authors: Saswati Behera, Monika Bawa, Ravi P. Kanojia, Ashwani Sood and Ram Samujh

Upper gastrointestinal series in children: what surgeons need to know

Upper gastrointestinal (UGI) series is the standard imaging tool for diagnosis of structural and functional abnormalities affecting the esophagus, stomach, and proximal small bowel. The aim of this study was t...

Authors: Eman Ahmed Hamed, Shaimaa Abdelsattar Mohammad, Leila M. Rawash Eldieb and Mennatallah Hatem Shalaby

Symptomatic prostatic utricle: various approaches for treatment

Pediatric presentations of a prostatic utricle have received only little attention. The incidence of symptomatic prostatic utricle has been reported but most cases are asymptomatic. The purpose of this study i...

Authors: Manjiri S., Kush Luthra, Padmalatha S. K., Jeevak Shetty and Neehar Patil

Early appendectomy for appendicular mass: operative findings and outcome in 220 children—a developing country perspective

Lump or mass formation due to delayed presentation after appendicitis is common, and it is frequently complicated by perforation, gangrene, pus, or abscess formation. Care of patients and management vary betwe...

Authors: M. A. Mushfiqur Rahman, Tanvir Kabir Chowdhury, Mohammad Zonaid Chowdhury and Md. Abdullah Al Farooq

Preoperative topical testosterone for penile hypospadias repair `a comparative study`

Although the outcome of hypospadias repair has much improved, repair of a small-sized phallus is still challenging. Whether preoperative hormonal therapy is beneficial remains controversial.

Authors: Islam Mahmoud Wali, Amr Abdelhamid AbouZeid, Nehal Ahmed Radwan, Mohamed Abdel Sattar GadAllah, Wael Ahmed Ghanem and Osama El-Naggar

Virtual consultations: delivering outpatient clinics in paediatric surgery during the COVID-19 pandemic

The COVID-19 pandemic has resulted in many changes to clinical practice, including the introduction of remote clinics. Those familiar with remote clinics have reported benefits to their use, such as patient sa...

Authors: A. M. Charnell, E. Hannon, D. Burke, M. R. Iredale and J. R. Sutcliffe

The “branching external jugular vein”: an unreported clinically significant anatomic variation

The reported overall success rate for central venous catheter (CVC) insertion into the external jugular vein (EJV) is less than other central veins. A contributing factor for this might be the well-documented ...

Authors: Mohamed Sameh Shalaby

Insertion of central venous catheters in children undergoing bone marrow transplantation: is there a platelet level for a safe procedure?

Bone marrow transplantation (BMT) is a therapeutic procedure for the management of several hematological diseases and malignancies in pediatric population. Central venous catheters (CVCs) play a pivotal role d...

Authors: Ahmed Elgendy, Ahmed M. Ismail, Eslam Elhawary, Ahmed Badran and Mohammed Ramadan El-Shanshory

Acute abdomen in children due to different presentations of complicated Meckel’s diverticulum: a case series

Meckel’s diverticulum (MD) is the commonest congenital abnormality of the gastrointestinal tract that occurs in 2% of general population. It remains asymptomatic, but it may lead to life-threatening complicati...

Authors: Hisham A. Almetaher and Mohammed Awad Mansour

Multiple ileo-ileal intussusception associated with duodenal atresia in a 5-day-old infant: case report

Intussusception is the most common intestinal obstruction among infants and young children. Most of the pediatric cases are ileo-cecal, while jejuno-jejunal and ileo-ileal combined contribute only 2.5% of the ...

Authors: Gilang Vigorous Akbar Eka Candy and Supangat Supangat

Congenital giant Bednar tumor in a child: surgical challenges in a young infant: a case report

Bednar tumor is a pigmented variant of the uncommon dermatofibrosarcoma protuberans (DFSP). It is a disease of the middle aged and elderly and has been rarely described in the pediatric population.

Authors: Vidhya Gunasekaran, Nitin J. Peters and Ram Samujh

Laparoscopic splenectomy in children with sickle cell disease younger than 5 years old

The purpose of this paper is to evaluate the feasibility, safety, efficacy, benefits, and outcome of elective laparoscopic splenectomy for children younger than 5 years with sickle cell disease (SCD) who neede...

Authors: Taha Alkhatrawi, Radi Elsherbini and Waheed Turkistani

Laparoscopic two-port pre-tied peritoneal dialysis catheter insertion in children: a simple modification

Different laparoscopic approaches for insertion of a peritoneal dialysis catheter (PDC) have been adopted. Most of these techniques require 2–3 ports. One port laparoscopic technique for PDC placement was intr...

Authors: Nasir Bustangi and Mohammad Gharieb Khirallah

Multiple strictures of the small intestine demanding surgical intervention as a rare consequence of graft versus host disease – case report

Intestinal strictures are an extremely rare and life-threating complication in patients undergoing allogenic hematopoietic stem cell transplantation (allo-HSCT). We describe the case of a child operated for mu...

Authors: Agnieszka Sobkowiak-Sobierajska, Michał Błaszczyński, Przemysław Mańkowski and Jacek Wachowiak

Feminizing genitoplasty in childhood: aiming for achievable outcomes

Early genital reconstruction may be recommended in cases of congenital adrenal hyperplasia to avoid the stigma that can affect these individuals with variable degrees through different cultures. However, the s...

Authors: Amr Abdelhamid AbouZeid

Case report: Amyand hernia reincarnate and the utility of computed tomography

An Amyand hernia is a rare condition in which the vermiform appendix follows the bowel as it bulges through the inguinal canal. Originally described by Claudius Amyand in 1735 in an 11-year-old boy who had a p...

Authors: Joshua Fields, Kristen Quinn, Laura Hollinger and Richard Jones

Massive gastric necrosis associated with delayed presentation of congenital diaphragmatic hernia—is salvage possible?

Delayed presentation of congenital diaphragmatic hernia is an uncommon event. Occurrence of gastric volvulus with massive necrosis in this setting is unusual. In this difficult scenario, the surgeon is faced w...

Authors: G. Krishna Kumar, U. Mallikarjun and D. Reshma

Giant solid mesenchymal hamartoma of the liver in a neonate: case report

Mesenchymal hamartoma is the second most common benign liver tumor in children, with 20% of the cases diagnosed during the neonatal period. The exact etiology in still unclear, and most investigators believe t...

Authors: Moaied A. Hassan

Pyloric stenosis at a tertiary hospital in Uganda

Worldwide, infantile hypertrophic pyloric stenosis has an incidence of 3 in 1000 livebirths, with an unknown etiology. Even when babies present with characteristic symptoms, it is often misdiagnosed leading to...

Authors: Innocent Okello, Rovine Naluyimbazi, Alicia Massenga, Sarah Ullrich, Nasser Kakembo, Phyllis Kisa, John Sekabira and Stella Nimanya

Acute fulminant necrotizing amebic colitis in a pediatric patient: a rare complication of amebiasis with high mortality—a case report

The majority of amebic infections among humans remain asymptomatic. Rarely, the disease takes a fulminant acute course due to the development of necrotizing amebic colitis. This complication is usually found i...

Authors: Samantha Kiriwaththuduwa, Romola Gnanapragasam, Anjalie Amarasinghe, Yugantha Adikari, Shanika Ranasinghe, Rumala Morel, Chanuka Dharmaratne and Lakmalee Bandara

Management of postoperative fecal incontinence by pediatric surgeons in Nigeria: a pilot study

Fecal incontinence is a challenging problem in pediatric surgical practice as it occurs in 25 to 50% of patients who have undergone surgery for anorectal malformation and in 5 to 23% after transanal pull-throu...

Authors: Taiwo A. Lawal

The feasibility of urethral plate preservation in proximal and mid-penile hypospadias: sequential and anatomical approach to the repair

The assessment of a child having hypospadias with chordee/ventral curvature (VC) and meatal position that appears to be proximal/mid-penile can be challenging with regard to the choice of chordee correction an...

Authors: Vivek Parameswara Sarma

The posterior urethral valves revisited: embryological correlation, clinical classification, and risk stratification of the spectrum

The diagnosis of posterior urethral valves (PUV) encompasses a vast spectrum of disease with variable severity and clinical features. It is vital to understand the extent of developmental insult and to define ...

Authors: Vivek Parameswara Sarma

Neonatal and infantile appendicitis still confuses minds: report of two cases

Acute appendicitis is extremely rare in the neonatal and infantile periods. The number of cases published in the last century is just over 100. Mortality and morbidity are still high due to diagnostic problems...

Authors: Mustafa Okumuş and Adil Umut Zübarioğlu

Ectopic testis: an experience of a tertiary-level urology center at Upper Egypt

Testicular ectopia is defined as a testis which is located away from the normal pathway of testicular descent and outside its ipsilateral hemiscrotum. Controversies have been raised about considering the abdom...

Authors: Rabea Ahmed Gadelkareem, Ahmed Abdelhamid Shahat, Ahmed Reda, Ahmed Mohamed Moeen, Mohamed Farouk Abdelhafez, Mahmoud Farouk Abughanima, Osama Mansour, Nasreldin Mohammed, Mahmoud Mohammed Osman, Ahmed Abdelaziz Elderwy and Hisham Mokhtar Hammouda

Structure of direct and indirect umbilical hernia and the implication on surgical repair in children

Umbilical hernia (UH) is one of the most common problems seen by paediatric surgeons. The recurrence rate after surgical repair is 1–2%. In this study, we examined the ring of umbilical hernia histologically t...

Authors: Mohamed Saber Mostafa, Mohamed AbdElrahman, Mohammed Elsherbeny and Hesham El-Safoury

What surgical approach would provide better outcomes in children and adolescents undergoing cholecystectomy? Results of a systematic review and meta-analysis

There is a lack of evidence on the surgical approach for children and adolescents undergoing cholecystectomy. Therefore, the aim of this systematic review is to compare the safety and efficacy of minimally inv...

Authors: Daniel Steffens, Kathryn Wales, Clare Toms, David Yeo, Charbel Sandroussi and Ashish Jiwane

Thoracoscopic excision versus radiofrequency ablation of the sympathetic chain as a treatment for palmar hyperhidrosis: comparative study

Hyperhidrosis is an excess sweat secretion. Various modalities of treatment exist for hyperhidrosis. Although medical treatment is the first line of treatment, its long-term outcome is not satisfactory. In thi...

Authors: Mohamed Saber Mostafa, Mohammed Elsherbeny, Ahmed Abdelbarr and Sameh Abdelhay

Lymphatic sparing laparoscopic varicocelectomy with or without testicular artery preservation: is there a difference?

Lymphatic sparing laparoscopic Palomo varicocelectomy is a safe and reliable technique for varicocele treatment in adolescents and children. The purpose of this study was to compare the outcomes of lymphatic s...

Authors: Abdelaziz Yehya, Mohamed Abdalrazek, Ibrahim Gamaan, Ahmed Fathy and Wael El Batal

The pattern of neonatal gastro-intestinal perforation in upper Egypt

Neonatal gastro-intestinal perforation [NGIP] is one of the major problems in pediatric surgical practice. Although the outcomes of neonatal surgery have improved markedly over the past decade the mortality ra...

Authors: Nezar Abd Elrouf Abo-Halawa, Mohamed Ahmed Negm and Mohamed Fathy

Urachal abscess in a child with single kidney and multiple anomalous vertebrae—a case report and literature review

Urachal anomalies (UAs) are rare in children; the most encountered are urachal cysts, urachal sinus, and urachal diverticulum. Other associated anomalies have been reported to include renal and abdominal wall ...

Authors: Mohamad K. Abou Chaar, Tamador Al-Shamaileh and Mohammad M. Saleem

Spontaneous intestinal perforation followed by necrotizing enterocolitis in an extremely low birth weight neonate: case report and review of the literature

Spontaneous intestinal perforation (SIP) is usually an isolated perforation occurring most commonly in the terminal ileum of neonates with very low birth weight (VLBW) and extreme low birth weight (ELBW) of un...

Authors: Ashraf H. M. Ibrahim, Hamad A. Hader, Hatem Alsherbiny, Mahmoud R. A. Hussein and Safwan A. Khan

Professor Sidney Cywes obituary

Authors: Alp Numanoglu, Alastair J. W. Millar, Heinz Rode and Essam Elhalaby

Perineal canal repair using modified Tsuchida’s technique

The perineal canal is a rare variety of anorectal malformations, identified by different nomenclatures like H fistula, double termination of the alimentary canal, and anovestibular fistula. Various approaches ...

Authors: S. Manjiri, Jeevak Shetty, S. K. Padmalatha, Kush Luthra and Neehar Patil

Evaluation of the early outcomes of partial urogenital sinus mobilization in females with congenital adrenal hyperplasia

Congenital adrenal hyperplasia (CAH) is the most common cause of ambiguous genitalia with an incidence of 1 in 15,000 live births. Surgical reconstruction for girls with CAH and urogenital sinus (UGS) is a gre...

Authors: Ahmed Oshiba, Khaled Ashour, Ahmed Khairi, Sameh Shehata, Shaymaa ElSayed and Essam Elhalaby

Ultrasonography in diagnosis of appendicitis and its complications in pediatric patients: a cross-sectional study

Appendicitis is a common cause of acute abdomen in pediatrics. Although various criteria have been suggested in early diagnosis of appendicitis, these criteria are not as applicable for pediatric patients. Bec...

Authors: Parisa Hajalioghli, Soroush Mostafavi and Mohammad Mirza-Aghazadeh-Attari