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  • 1
    ISSN: 1436-2023
    Keywords: Key words Adriamycin ; Rat ; Embryo ; VATER association ; Synovial joint ; Bones ; Limbs ; Vertebra ; Sirenomelia
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract The adriamycin-induced rat model of the Vertebral, Anorectal, Tracheo-Esophageal, Radial and Renal (VATER) association produces a variety of vertebral, rib, and limb abnormalities. This study was designed to document accurately the nature of these abnormalities and to determine whether synovial joints are affected. Fetuses from pregnant Sprague Dawley rats that had received intraperitoneal injections of 1.75 mg/kg of adriamycin on days 6–9 or 10–13 of gestation were harvested. Double-stained skeletal preparations and histological sections were examined for vertebral, rib, and limb anomalies. The incidence of anomalies was high in the group treated on gestational days (GD) 6–9, while it was low in the GD 10–13 group. The length and thickness of the long bones were reduced, with bowing and reduction in their endochondral ossification. Sirenomelia occurred in the group treated on GD 6–9, and was often associated with a short tail and anal atresia. The joint cavities, and intra-articular structures such as menisci and the cruciate ligaments developed normally from the mesenchymal interzone. These data indicate that adriamycin inhibits skeletal growth and differentiation without any interference in the differentiation of the mesenchymal interzone, thus producing normal synovial joints.
    Type of Medium: Electronic Resource
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  • 2
    Electronic Resource
    Electronic Resource
    Springer
    Pediatric surgery international 2 (1987), S. 122-123 
    ISSN: 1437-9813
    Keywords: Patent vitello-intestinal duct ; Omphalomesenteric tract ; Intussusception ; Bowel atresia ; Short gut syndrome
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract A complication of patent vitello-intestinal ducts is intussusception producing a double-horned prolapse of small bowel through the duct. We report a previously undescribed variant where prolapse occured prenatally and resulted in complete atresia of the distal horn as far as the transverse colon.
    Type of Medium: Electronic Resource
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  • 3
    Electronic Resource
    Electronic Resource
    Springer
    Pediatric surgery international 6 (1991), S. 383-383 
    ISSN: 1437-9813
    Keywords: Clitoris ; Strangulation ; Ring constriction ; Hair-thread tourniquet syndrome
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract A case of strangulation of the clitoris in an 8-year-old girl caused by a tight ring of cotton fluff is described. The condition is analogous to ring constriction (hair-thread Tourniquet syndrome) of the digits, toes, or penis. Treatment involves prompt removal of the constricting band under general anaesthesia, and results in rapid resolution of the oedema and immediate relief to the patient.
    Type of Medium: Electronic Resource
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  • 4
    Electronic Resource
    Electronic Resource
    Springer
    Pediatric surgery international 7 (1992), S. 361-363 
    ISSN: 1437-9813
    Keywords: Intussusception ; Gas enema ; Recurrence
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Over a 38-month period, prospective data were collected on all episodes of intussusception treated at the Royal Children's Hospital, Melbourne. There were 170 initial episodes for which a gas enema was performed, 127 of which were reduced successfully. Recurence occured in 10 patients following initial successful gas enema reduction, a recurrence rate of 7.9%, which compares with a recurrence rate of 8.9% with barium (P = 0.896). We conclude that the gas enema does not have a higher rate of recurrence than barium and that there is no evidence of a significant incidence of incomplete reduction unrecognised at the time of gas enema.
    Type of Medium: Electronic Resource
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  • 5
    Electronic Resource
    Electronic Resource
    Springer
    Pediatric surgery international 1 (1986), S. 72-73 
    ISSN: 1437-9813
    Keywords: Biliary cystadenoma ; Childhood ; Solitary multilocular non-parasitic liver cyst ; Ultrasound
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Biliary cystadenomas are rare slow-growing multiloculated lesions which arise from the liver, mainly in middle-aged females, and are occasionally complicated by malignant transformation into cystic adenocarcinoma. This paper reports a case occurring in a 1-year-old male child. The typical radiological appearances that would enable a preoperative diagnosis to be made are described. Careful review of the histological features suggests that the biliary cystadenoma and the slightly less rare, solitary multilocular nonparasitic cyst of the liver in childhood are the same lesion.
    Type of Medium: Electronic Resource
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  • 6
    Electronic Resource
    Electronic Resource
    Springer
    Pediatric surgery international 2 (1987), S. 108-109 
    ISSN: 1437-9813
    Keywords: Intussusception, postoperative ; Wilm's tumour
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Postoperative intussusception is an uncommon complication of paediatric surgery. The diagnosis may be difficult because of its insidious onset in patients in whom there is already a cause of pain and vomiting. The condition must be considered in any patient who develops abdominal distension, pain, and vomiting after partial return of gastrointestinal function.
    Type of Medium: Electronic Resource
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  • 7
    Electronic Resource
    Electronic Resource
    Springer
    Pediatric surgery international 2 (1987), S. 127-130 
    ISSN: 1437-9813
    Keywords: Posterior ectopia penis ; Penile agenesis ; Cloacal anomaly ; Rectovesical fistula ; Marsupial anatomy
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract In kangaroos, the penis lies posterior to the scrotum. We report an infant born with a similar arrangement initially thought to be penile agenesis. In addition, there was a dysplastic horseshoe kidney: two ureters and the rectum drained into a primitive cloaca which in turn drained externally through an anal canal. Previous reports of “penile agenesis” have consistently described a perineal skin tag immediately anterior to the anus; postmortem dissection of this patient revealed intact corpora extending from the pubis to the perineal appendage into which ran the urethra, suggesting that the patient had concealed posterior ectopia rather than penile agenesis.
    Type of Medium: Electronic Resource
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  • 8
    Electronic Resource
    Electronic Resource
    Springer
    Pediatric surgery international 3 (1988), S. 135-138 
    ISSN: 1437-9813
    Keywords: Intussusception ; Diagnosis ; Barium enema ; Recurrence
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract In the absence of classical symptomatology, the diagnosis of intussusception may be difficult to make. A retrospective review of 630 episodes of intussusception admitted to the Royal Children's Hospital, Melbourne, over a 15-year period revealed difficulties in diagnosis in 318 cases. The adverse effect of an incorrect initial diagnosis on duration of symptoms at the commencement of treatment, need for surgery, resection rate, complications, and hospital stay is examined. Problems in the assessment of children with intussuception are identified and discussed in the hope that an increased awareness of the diagnostic difficulties and potential pitfalls will reduce the morbidity of this common paediatric condition.
    Type of Medium: Electronic Resource
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  • 9
    Electronic Resource
    Electronic Resource
    Springer
    Pediatric surgery international 3 (1988), S. 169-172 
    ISSN: 1437-9813
    Keywords: Prune belly syndrome ; Aetiology ; Urethra
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract The aetiology of prune belly syndrome is disputed. Obstruction of the urinary tract seems likely, but in the majority of cases the cause or site of this obstruction has remained obscure. We present evidence to suggest that in patients where no posterior urethral valves are evident the obstruction is likely to have been transient and situated at the junction of the glandular and penile urethrae.
    Type of Medium: Electronic Resource
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  • 10
    Electronic Resource
    Electronic Resource
    Springer
    Pediatric surgery international 3 (1988), S. 294-295 
    ISSN: 1437-9813
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Type of Medium: Electronic Resource
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