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  • 1
    Digitale Medien
    Digitale Medien
    Prenatal intussusception of a vitello-intestinal duct in association with ileal atresia (1987)
    Springer
    Pediatric surgery international 2 (1987), S. 122-123 
    Details
    ISSN: 1437-9813
    Schlagwort(e): Patent vitello-intestinal duct ; Omphalomesenteric tract ; Intussusception ; Bowel atresia ; Short gut syndrome
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: 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.
    Materialart: Digitale Medien
    URL: http://dx.doi.org/10.1007/BF00174190
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  • 2
    Digitale Medien
    Digitale Medien
    Biliary cystadenoma in a young child (1986)
    Springer
    Pediatric surgery international 1 (1986), S. 72-73 
    Details
    ISSN: 1437-9813
    Schlagwort(e): Biliary cystadenoma ; Childhood ; Solitary multilocular non-parasitic liver cyst ; Ultrasound
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: 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.
    Materialart: Digitale Medien
    URL: http://dx.doi.org/10.1007/BF00171788
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  • 3
    Digitale Medien
    Digitale Medien
    Postoperative intussusception (1987)
    Springer
    Pediatric surgery international 2 (1987), S. 108-109 
    Details
    ISSN: 1437-9813
    Schlagwort(e): Intussusception, postoperative ; Wilm's tumour
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: 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.
    Materialart: Digitale Medien
    URL: http://dx.doi.org/10.1007/BF00174185
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  • 4
    Digitale Medien
    Digitale Medien
    Posterior ectopia of penis mimics marsupial anatomy (1987)
    Springer
    Pediatric surgery international 2 (1987), S. 127-130 
    Details
    ISSN: 1437-9813
    Schlagwort(e): Posterior ectopia penis ; Penile agenesis ; Cloacal anomaly ; Rectovesical fistula ; Marsupial anatomy
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: 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.
    Materialart: Digitale Medien
    URL: http://dx.doi.org/10.1007/BF00174192
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  • 5
    Digitale Medien
    Digitale Medien
    The diagnostically difficult intussusception: its characteristics and consequences (1988)
    Springer
    Pediatric surgery international 3 (1988), S. 135-138 
    Details
    ISSN: 1437-9813
    Schlagwort(e): Intussusception ; Diagnosis ; Barium enema ; Recurrence
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: 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.
    Materialart: Digitale Medien
    URL: http://dx.doi.org/10.1007/BF00182768
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  • 6
    Digitale Medien
    Digitale Medien
    The anterior urethra provides clues to the aetiology of prune belly syndrome (1988)
    Springer
    Pediatric surgery international 3 (1988), S. 169-172 
    Details
    ISSN: 1437-9813
    Schlagwort(e): Prune belly syndrome ; Aetiology ; Urethra
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: 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.
    Materialart: Digitale Medien
    URL: http://dx.doi.org/10.1007/BF00182775
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  • 7
    Digitale Medien
    Digitale Medien
    Letters to the editor (1988)
    Springer
    Pediatric surgery international 3 (1988), S. 294-295 
    Details
    ISSN: 1437-9813
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Materialart: Digitale Medien
    URL: http://dx.doi.org/10.1007/BF00179263
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  • 8
    Digitale Medien
    Digitale Medien
    Why testicular descent may be impaired in cloacal exstrophy (1989)
    Springer
    Pediatric surgery international 4 (1989), S. 122-123 
    Details
    ISSN: 1437-9813
    Schlagwort(e): Cloacal exstrophy ; Testicular descent
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Abstract A patient with cloacal exstrophy is described in whom the testes were located near the lateral abdominal wall adjacent to the displaced inguinal canals. Testicular descent was prevented by extrinsic mechanical compression of the processus vaginalis by the lumbar fascia.
    Materialart: Digitale Medien
    URL: http://dx.doi.org/10.1007/BF00181850
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  • 9
    Digitale Medien
    Digitale Medien
    Radiological evidence of bowel obstruction in intussusception (1987)
    Springer
    Pediatric surgery international 2 (1987), S. 291-293 
    Details
    ISSN: 1437-9813
    Schlagwort(e): Intussusception ; Barium enema ; Bowel obstruction ; Paediatric surgery ; Radiology
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Abstract Several criteria have been proposed to identify patients likely to be at risk from barium reduction of intussusception, those with a high probability of having a pathological lead point, and those in whom an enema is unlikely to be successful. Signs of peritonitis and septicaemia are regarded as absolute contraindications to attempted barium reduction of intussusception, but as yet the radiological appearance of small bowel obstruction per se has not been substantiated as a contraindication. The presence of small bowel obstruction indicates that therapeutic reduction is less likely to be successful than in patients with normal or nonspecific plain radiographs (31% vs 57%) but is not in itself an indication that the examination would be unsafe. Patients with small bowel obstruction are acceptable risks for safe and successful therapeutic enemas, provided there is no clinical evidence of gangrenous bowel.
    Materialart: Digitale Medien
    URL: http://dx.doi.org/10.1007/BF00176201
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  • 10
    Digitale Medien
    Digitale Medien
    Appendicitis in cystic fibrosis: can morbidity be reduced? (1988)
    Springer
    Pediatric surgery international 3 (1988), S. 414-417 
    Details
    ISSN: 1437-9813
    Schlagwort(e): Cystic fibrosis ; Appendicitis ; Meconium ileus equivalent ; Morbidity
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Abstract The management of appendicitis in cystic fibrosis (CF) has been controversial, and most series report a mortality of over 30%. Difficulties are distinguishing appendicitis from meconium ileus equivalent (MIE) often cause diagnostic delay and advanced disease by the time surgery is undertaken. We report a series of 9 patients with appendicitis proven on histology in whom there was no mortality and minimal morbidity. Factors likely to reduce morbidity and mortality in appendicitis in children with CF include early diagnosis; preoperative intravenous antibiotics effective against both bowel and chest organisms; early appendicectomy; avoidance of right hemicolectomy, or drainage alone; thorough peritoneal irrigation with warm antibiotic saline solution; and continuous postoperative narcotic analgesia to allow early mobilisation and effective chest physiotherapy. Accurate early diagnosis is facilitated if these children are treated by respiratory paediatricians and paediatric surgeons in a centre familiar with the management of cystic fibrosis. Delay in appendicectomy worsens the underlying respiratory disease.
    Materialart: Digitale Medien
    URL: http://dx.doi.org/10.1007/BF00173457
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