Traumatic upper cervical esophageal perforation in childhood with door handle

Cervical esophageal rupture due to trauma in childhood is an extremely rare entity associated with a high rate of morbidity and mortality if misdiagnosed. There is still no consensus on the assessment and elective management of children with trauma and esophageal rupture. Surgical primary repair is usually not feasible in patients with delayed diagnosis, especially if the period extends over 48 h. We report a case of an 8-year-old boy who suffered a posterior oropharyngeal and cervical esophageal perforation after accidental intraoral penetration of a door handle. Primary repair was avoided because of late presentation of the patient. In nearly 1½ months, the perforation resolved completely without surgical intervention to the primary site.Keywords: childhood, esophageal perforation, traum

Self-induced penetrating rectal perforation by foreign body: an unusual event in childhood

Traumatic rectal perforation is a very rare and dangerous emergency in childhood. We present a case of rectal perforation due to self-induced transanal impalement.Keywords: children, foreign body, rectal perforatio

Bronchogenic Cysts Located in Neck Region: An Uncommon Entity with a Common Reason for Misdiagnosis

Herein we present a child with a bronchogenic cyst, which was located at the right side of the cervical oesophagus displacing it to the left. At operation we found that the cyst had a common wall with the oesophagus, which was completely excised. Preoperative diagnosis was esophageal duplication, however, histopathological analysis confirmed the diagnosis of bronchogenic cyst. As accurate preliminary diagnosis is difficult in bronchogenic cysts, we assume to have this pathology in mind in the differential diagnosis, presenting at atypical locations in the neck regionIndex Word: Bronchogenic cyst, neck, sternum

Traumatic neuroma after torticollis surgery: a rare occurrence

We report a 15 years old girl who admitted to our hospital with signs of recurrent torticollis after two failed operations and consistent pain at the side of surgery. The past operations were performed at 1 and 6 years of age and she has been suffering pain from previous incisions with neck movements. At physical examination, the sternocleidomastoid (SCM) muscle behaved like a fibrous band, restricting the neck movements and resulting in pain. The operation was indicated for the fibrotic SCM. At operation two separate incisions were performed on each end of the SCM to remove all of the fibrotic muscle. The histopathological examination demonstrated a traumatic neuroma which respectively correlates with the pain symptoms. The patient discharged on the second postoperative day and physiotherapy was started. The patient is symptom free one year after the surgery. This case demonstrates a rare occurrence of traumatic neuroma after torticollis surgery, which can manifest with pain.Keywords: neuroma, torticollis, traum

Effects of different sex hormones on male rabbit urodynamics: An experimental study

Background: The effects of different sex hormones on urodynamics in female rabbits have been investigated previously. Estrogen induces an increase in bladder capacity and compliance, whereas testosterone and progesterone reduced bladder capacity and compliance. Objective: The aim of this study was to investigate the effects of sex hormones on bladder urodynamics in male rabbits. Methods: 5 groups were set up for the study: group I, low midline laparotomy (LML)+0.9% NaCl; group II, LML+testosterone; group III, LML+bilateral orchiectomy (BO)+testosterone; group IV, LML+BO+progesterone, and group V, LML+BO+ estrogen. Baseline urodynamic records and blood sex hormone levels were measured. In the follow-up all rabbits from each group underwent urodynamics 5, 10 and 30 days after injection. Estrogen, progesterone and testosterone levels were also measured during the follow-up period. For statistical verification Mann-Whitney U and Kruskal-Wallis chi(2) tests were used. Results: Hormone levels: Testosterone levels were found to be increased in groups II and III 5 and 10 days after the injection. Testosterone declined thereafter and returned to baseline levels on day 30. In groups IV and V progesterone and estrogen levels increased after the injection and returned to baseline levels on day 30. Urodynamics: In groups II and III testosterone increased the bladder capacity and compliance on days 5 and 10. In these groups, capacity and compliance decreased thereafter and returned to the baseline levels on day 30. These urodynamic findings correlated with the alterations in blood testosterone levels. In groups I and IV no changes were observed in bladder capacity and compliance. In group V capacity and compliance were found to be increased on day 5 after the injection and returned to baseline levels on day 30. The changes in bladder capacity were found to be statistically significant in groups II, III and V. Conclusion: In this study, after the injection of testosterone, bladder capacity and compliance increased with high blood testosterone levels in male rabbits. The most interesting finding was observed in the estrogen group, questioning the role of estrogens in males. These findings allow us to reconsider the role of sex hormones in bladder functions. Copyright (C) 2003 S. Karger AG, Basel

Is there a 'bladder sex'? The relation of different sex hormones and sex hormone receptors in bladder in childhood

The aim of this study was to review the classical concept of bladder physiology in regard to sex hormone effects and to focus on a new concept. Sex hormones affect bladder functions and the classical concept tries to explain these effects via and adrenoreceptors. The effects of hormones had been investigated in this understanding. To obtain a biological response to steroids in target tissues, specific proteins - so called receptors - are warranted. After the demonstration of the sex hormone receptors in bladder first in adults and in children urge questioning the effects of hormones in this regard. The hypothesis is based on the fact that, if a special receptor is present, the direct (via sex hormone receptors) effect is more likely to occur as an indirect effect (via and adrenoreceptors). There is evidence that there is a sex difference and the sex receptors and hormones play an important role in some bladder disorders. Therefore we stress the importance of investigating especially the pediatric patients with bladder problems in regard to sex hormone receptors and hormonal status. (C) 2002 Elsevier Science Ltd. All rights reserved

The most commonly cited articles in Pediatric Surgical Journals

Aim: This study aimed to investigate the characteristics of the most frequently cited articles published in 3 main journals dedicated to the field of pediatric surgery (journal of Pediatric Surgery, Pediatric Surgery International and European journal of Pediatric Surgery)

The most commonly cited articles in Pediatric Surgical Journals

Aim: This study aimed to investigate the characteristics of the most frequently cited articles published in 3 main journals dedicated to the field of pediatric surgery (journal of Pediatric Surgery, Pediatric Surgery International and European journal of Pediatric Surgery)