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2.
J Paediatr Child Health ; 59(2): 360-364, 2023 02.
Artigo em Inglês | MEDLINE | ID: mdl-36546400

RESUMO

AIM: This study examined if the classification systems for acute appendicitis could be applied in the emergency department as an indicator for surgical consultation, in order to reduce unnecessary paediatric surgery admission. METHODS: The Alvarado Score (ALS) and the Pediatric Appendicitis Score (PAS) were applied. The decisions for hospitalisation and treatment were made independent of the scores. RESULTS: In total, 307 children with abdominal pain suggestive of acute appendicitis were included. We used a cut-off point of 7 and divided the patients into groups; the group with score ≥ 7 points was considered the positive ALS and/or PAS group, and the group with score < 7 points was the negative ALS and/or PAS group. The same process for cut-values set at 6 points was followed. The joint probabilities for the 7-point-thresholds were: ALS-sensitivity 84%, PAS-sensitivity 85%, ALS-specificity 92%, PAS-specificity 92%, ALS-positive predictive value (PPV) 83%, PAS-PPV 84% and 93% negative predictive value (NPV) for both scores. Considering the 6-point-thresholds, we estimated: 94% sensitivity for both scores, 74% ALS-specificity, 84% PAS-specificity, 66% ALS-PPV, 73% PAS-PPV, 91% ALS-NPV and 97% PAS-NPV. CONCLUSION: The scoring systems provided acceptable prediction of patients with and without appendicitis. They may be of use in the emergency department, as assistive diagnostic-tools, in order to reduce paediatric surgery consultations, admissions and treatment costs.


Assuntos
Apendicite , Criança , Humanos , Dor Abdominal/diagnóstico , Dor Abdominal/etiologia , Doença Aguda , Apendicectomia , Apendicite/diagnóstico , Apendicite/cirurgia , Sensibilidade e Especificidade
3.
Afr J Paediatr Surg ; 19(3): 183-185, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35775523

RESUMO

Scrotal injuries are not very common in children and are mostly due to blunt trauma from direct injury, sports injuries or motor vehicle accidents. Traumatic testicular torsion in children has been also infrequently reported in the literature. To ensure testicular salvage, an urgent and specialised diagnosis and management are necessary. We present a case of a partial epididymal rupture and spermatic cord haematoma with an associated secondary testicular torsion due to blunt scrotal injury, in a 12-year-old boy.


Assuntos
Torção do Cordão Espermático , Cordão Espermático , Ferimentos não Penetrantes , Criança , Hematoma/diagnóstico , Hematoma/diagnóstico por imagem , Humanos , Masculino , Ruptura/complicações , Cordão Espermático/cirurgia , Torção do Cordão Espermático/complicações , Torção do Cordão Espermático/diagnóstico , Ultrassonografia , Ferimentos não Penetrantes/complicações , Ferimentos não Penetrantes/diagnóstico , Ferimentos não Penetrantes/cirurgia
4.
Cancers (Basel) ; 14(5)2022 Mar 02.
Artigo em Inglês | MEDLINE | ID: mdl-35267604

RESUMO

Liver transplantation (LT) is the only potentially curative option for children with unresectable hepatocellular carcinoma (HCC). We performed a systematic review of the MEDLINE, Scopus, Cochrane Library, and Web of Science databases (end-of-search date: 31 July 2020). Our outcomes were overall survival (OS) and disease-free survival (DFS). We evaluated the effect of clinically relevant variables on outcomes using the Kaplan-Meier method and log-rank test. Sixty-seven studies reporting on 245 children undergoing LT for HCC were included. DFS data were available for 150 patients and the 1-, 3-, and 5-year DFS rates were 92.3%, 89.1%, and 84.5%, respectively. Sixty of the two hundred and thirty-eight patients (25.2%) died over a mean follow up of 46.8 ± 47.4 months. OS data were available for 222 patients and the 1-, 3-, and 5-year OS rates were 87.9%, 78.8%, and 74.3%, respectively. Although no difference was observed between children transplanted within vs. beyond Milan criteria (p = 0.15), superior OS was observed in children transplanted within vs. beyond UCSF criteria (p = 0.02). LT can yield favorable outcomes for pediatric HCC beyond Milan but not beyond UCSF criteria. Further research is required to determine appropriate LT selection criteria for pediatric HCC.

5.
Pan Afr Med J ; 38: 228, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34046133

RESUMO

Lymphangioma is a rare benign neoplasm affecting mainly children. In this report we present a complicated case of polycystic omental lymphangioma in a 3 year old female presenting with acute abdomen. The patient underwent a laparoscopic-assisted excision of the lesion and had an excellent postoperative course. We discuss the effectiveness and advantages of this laparoscopic surgical approach in children and elaborate on the current literature.


Assuntos
Abdome Agudo/etiologia , Linfangioma Cístico/cirurgia , Omento/cirurgia , Neoplasias Peritoneais/cirurgia , Pré-Escolar , Feminino , Humanos , Laparoscopia , Linfangioma Cístico/diagnóstico , Omento/patologia , Neoplasias Peritoneais/diagnóstico
6.
Pan Afr Med J ; 38: 150, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-33912320

RESUMO

We report a case of a 5-month-old female infant who presented with a cardiorespiratory distress and shock. After thoracic computed tomography (CT) scan, a right sided Bochdalek hernia was diagnosed with massive herniation of the abdominal viscera causing mediastinal shift. The girl underwent emergency laparotomy, which confirmed the right sided diaphragmatic hernia with herniation of small bowel and colon. After reduction of herniated contents, the defect in the diaphragm was closed. The patient had an uneventful post-operative cause. This case demonstrates that an undiagnosed Bochdalek hernia can appear with such a severe, life-threatening and misleading presentation.


Assuntos
Hérnias Diafragmáticas Congênitas/diagnóstico por imagem , Laparotomia/métodos , Feminino , Hérnias Diafragmáticas Congênitas/complicações , Hérnias Diafragmáticas Congênitas/cirurgia , Humanos , Lactente , Choque/etiologia , Tomografia Computadorizada por Raios X
7.
Pan Afr Med J ; 36: 260, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-33014256

RESUMO

Obstructive ureterohydronephrosis in childhood population is a matter of debate between paediatric surgeons and paediatricians, as far as the therapeutic protocol that should be applied. Close observation, chemoprophylaxis, endoscopic and surgical approaches are the universally used techniques that provide quality of life in the paediatric patients. Undoubtedly, "the less is more" even when we have to encounter obstructive ureterohydronephrosis in children. Herein, we present a short case series where the endoscopic management of obstructive uropathies proved to be therapeutic without any need of surgical intervention.


Assuntos
Endoscopia , Hidronefrose/terapia , Obstrução Ureteral/terapia , Feminino , Humanos , Hidronefrose/diagnóstico , Hidronefrose/patologia , Lactente , Masculino , Qualidade de Vida , Resultado do Tratamento , Obstrução Ureteral/diagnóstico , Obstrução Ureteral/patologia
8.
Pediatr Rep ; 12(3): 68-71, 2020 Oct 23.
Artigo em Inglês | MEDLINE | ID: mdl-33114140

RESUMO

An umbilical hernia, although considered a benign condition of childhood, may rarely manifest with serious complications such as incarceration and viscous organ strangulation. One such case is presented in this report in an attempt to enrich the current literature, due to the relative lack of data in regard to complicated umbilical hernias in children and definite guidelines regarding the monitoring and management of uncomplicated cases. In addition, we discuss some of the latest advancements concerning the matter at issue.

9.
Pediatr Rep ; 12(2): 8483, 2020 Aug 06.
Artigo em Inglês | MEDLINE | ID: mdl-32922709

RESUMO

Localized Cystic Disease of the Kidney (LCDK) is an extremely rare benign disease in pediatric population. Although its management is conservative and generally requires no treatment, the unfamiliarity with the disease can expose such patients to misdiagnosis as renal malignancies or uncertainty for proper treatment. We report such a case in an infant and review the current literature.

10.
Pediatr Rep ; 12(1): 8476, 2020 Feb 11.
Artigo em Inglês | MEDLINE | ID: mdl-32308972

RESUMO

Sigmoid volvulus in children is a potentially disastrous situation, still remaining rare in terms of occurrence. We hereby present a case report of a 10-year-old male, having admitted in our department complaining about abdominal pain, who finally proved to suffer from sigmoid volvulus.

11.
Case Rep Pediatr ; 2019: 6879168, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31637078

RESUMO

Abdominal hemangiolymphangioma (HLA) in neonates is a rare condition that demands surgical intervention after a complete preoperative diagnostic approach. The differential diagnosis and the establishment of a therapeutic algorithm is a challenge, both for the neonatologists and the pediatric surgeons, because there is no consensus in the management of HLAs in infancy according to the literature. We report a rare case of abdominal HLA in a female newborn that was admitted to our pediatric surgery department with a prenatal diagnosis of an abdominal cystic tumor. After a thorough preoperative diagnostic approach, the neonate underwent an explorative laparotomy and lesion excision with simultaneous splenectomy due to the operative findings. The neonate had an uncomplicated postoperative period and is free of recurrence a year after. Only the pathology examination can reveal the HLA diagnosis. When a total surgical excision is evitable, a close follow-up follows an uncomplicated postoperative hospitalization.

12.
Pediatr Rep ; 11(2): 7993, 2019 May 23.
Artigo em Inglês | MEDLINE | ID: mdl-31281612

RESUMO

Traumatic perineal injury in children is a rather underestimated condition, in terms of occurrence. The rapid stretching of the soft perineal environment, combined with the surrounding osseous tissue of the pelvis, can cause severe injuries. The key to successful management of these injuries includes timely resuscitation, thorough physical examination and quick and safe repair of damages.

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