Biliary ascariasis after Roux-en-Y hepaticojejunostomy.

The authors report on a 6-year-old girl with biliary ascariasis after surgical treatment of a choledochal cyst and biliary-digestive tract reconstruction by Roux-en-Y hepaticojejunostomy. A precise diagnosis can be obtained by ultrasonography. Surgical treatment is required when clinical and endoscopic treatments fail. In countries in which this disease is endemic, biliary ascariasis should be considered in the differential diagnosis of cholangitis after surgery for hepaticojejunostomy.

Use of a plastic hemoderivative bag in the treatment of gastroschisis.

The authors report their experience with the use of a polyvinyl chloride (PVC) bag for blood-derivative transfer as a prosthesis for the creation of a silo for surgical treatment of gastroschisis (GS) in seven newborn infants. The bag is sterile, impermeable to micro-organisms, transparent, flexible, resistant, internally smooth, does not adhere to the bowel loops, readily available, and inexpensive, properties that make it an excellent alternative as a prosthesis for staged surgical treatment of congenital anomalies of the abdominal wall such as GS and omphalocele. The importance of a multidisciplinary team for the care of newborns with GS is also emphasized for a good postoperative outcome.

Injecao esclerosante no tratamento do prolapso retal em criancas. / Sclerosing injection in the treatment of rectal prolapse in children

Os autores apresentam sua experiencia com o tratamento esclerosante do prolapso retal em 100 criancas com menos de 5 anos de idade.Demonstram a tecnica simples do processo terapeutico e os excelentes resultados obtidos.Tecem tambem comentarios sobre a incidencia e etiologia do prolapso retal em criancas com menos de 5 anos de idade

Ectopia testicular transversa. Relato de um caso, conceituacao e revisao de literatura. / Transversal testicular ectopia.Report of a case, concept and review of the literature

E relatado um caso de ectopia testicular transversa numa crianca de 2 anos e 4 meses de idade evidenciada durante hernioplastia direita. O testiculo esquerdo tinha localizacao abdominal. Fez-se a hernioplastia e o testiculo esquerdo foi colocado no hemi-escroto esquerdo pela tecnica transeptal de Ombredamne.Conceituam-se algumas anomalias testiculares de posicao e faz-se referencia a propedeutica suplementar em pacientes com anomalias de trato geniturinario inferior

Zetaplastia no tratamento da estenose anal fibrotica pos operatoria resistente ao tratamento conservador. / Anal Z-plasty in the treatment of postoperative fibrotic stenosis of the anus resistant to conservative treatment

Os autores mostram a sua experiencia com a zetaplastia anal no tratamento de estenose fibrotica pos-operatoria do neo-anus, secundaria ao tratamento das anomalias congenitas ano-retais