Archive | Case Reports

Reports on rare cases

 A: Abdominal CT demonstrates a large (8 x 5 x 4 cm) retroperitoneal cystic mass (white arrows) extending from the lower left kidney pole to the ureter intersection with iliac vessels, tightly adhered to the left ureter. B: Relationship between the lymphangioma (asterisk) and spermatic vessels (arrow). C: T2-weighted MRI showing the close relationship between the mass (asterisk) and the left ureter (arrow).

Laparoscopic Management of retroperitoneal cystic lymphangiomas in children: a systematic review and an additional case report

Abstract AIM: Retroperitoneal cystic lymphangiomas (RCLs) are rare vascular malformations which account for approximately 1% of all lymphangiomas in infancy. Surgical treatment of RCLs may be particularly challenging, due to their possible connection with vital structures. Laparoscopic excision has been recently described for RCLs also in pediatric patients, with only 14 published cases. METHODS: Authors […]

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Primary laparoscopic excision of benign mature retroperitoneal teratoma

ABSTRACT Introduction: Retroperitoneum is the third most common extragonadal site for occurrence of teratoma in children, after sacrococcygeal region and gonadal sites. Although many authors have previously reported laparoscopic removal of benign retroperitoneal teratoma in adults, the experience in pediatric setting is extremely limited. Material and methods: We report our experience with laparoscopic excision of a […]

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Video-Assisted Colorraphy of Iatrogenic Colonic Perforation: a Case Report

ABSTRACT: Iatrogenic colonic perforation is the most severe complication of lower gastrointestinal endoscopy. A prompt diagnosis is necessary in order to identify the site of perforation and to reduce peritonitis due to bacterial seeding. We reported our experience with a 10-month old baby admitted for descending colonic perforation during an endoscopic procedure, in whom an […]

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Figure 1.  Endoscopic aspect of the gastric tumor compatible with heterotopic pancreas

Heteropic gastric pancreas associated with type II esophageal atresia and presenting with acute gastrointestinal bleeding

Abstract Heterotopic pancreas is defined as pancreatic tissue found outside its normal localization without vascular or anatomic communication with the pancreatic gland. It is usually diagnosed incidentally, but it may also be responsible for acute clinical pictures.  We discuss an interesting case of ectopic pancreas associated with type II esophageal atresia and presenting with gastrointestinal […]

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Figure 8: Wilms tumor stage I

Laparoscopic Nephrectomy for Wilms Tumor

Purpose Wilms tumor is the most frequent primary renal malignancy in children. The surgical resection is traditionally performed through laparotomy. The advent of laparoscopic surgery for benign renal lesions has conducted the surgeon to apply a minimal invasive approach for the nephroblastoma[1]. As described in the literature, there are different benefits in the use of […]

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Bronchogenic Cyst in a Child: the use of a 5 mm stapler for thoracoscopic resection

Introduction Over the past two decades minimally invasive techniques have been widely used in children thanks to instrumental and technological development. The advantages of minimally invasive surgery are well known and they are even more important in pediatric age. Unfortunately the widespread adoption of these techniques is limited by small spaces in which the surgeon […]

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Fig. 6 - Dissection of parenchyma by harmonic scalpel.

Partial nephro ureterectomy in duplex renal system: preoperative 3D virtual rendering and retroperitoneal laparoscopic approach in children

The aim of this study is to presents the results of our preliminary series of 8 partial nephroureterectomy performed by retroperitoneoscopy using harmonic scalpel with a preoperative 3D virtual reconstruction of bidimensional magnetic resonance images in children affected by duplication of the renal system.

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