Cloacal exstrophy associated with gastroschisis: Case report of a rare association with favorable outcome

AbstractAbdominal wall defects are congenital malformations representing a challenge for pediatric surgeons. This paper presents a rare case of difficult surgical decision and clinical management, leading to a favorable outcome brought about by the multidisciplinary treatment of a patient with cloacal exstrophy associated with gastroschisis

Body stalk anomaly: Three months of survival. Case report and literature review

Body stalk anomaly is composed of a set of genetic component abnormalities that are still rather unknown. This anomaly consists of a large defect in the abdominal wall closure, anatomical defects of the pelvis and lower limbs, severe scoliosis, and pulmonary hypoplasia. In addition to these deformities are heart disease and neural tube closure defects. Because of the association of these severe deformities, the cases described in the literature have proven to be almost entirely incompatible with life, resulting in abortion and stillborn fetuses. Therefore, the present article describes a case of body stalk anomaly that survived for nearly three months, the first of its kind in Latin America

Metástases pulmonares em crianças: estamos operando desnecessariamente?

RESUMO Objetivo: determinar, em pacientes pediátricos portadores de neoplasias malignas, as características de nódulos pulmonares identificados à tomografia computadorizada, capazes de diferenciar nódulos benignos de metástases. Métodos: estudo retrospectivo de pacientes submetidos a ressecções pulmonares de nódulos diagnosticados como metástases em um período de sete anos. Achados de tomografia e da cirurgia, assim como resultados dos exames anatomopatológicos foram comparados. Resultados: nove pacientes, submetidos a 11 intervenções cirúrgicas, foram estudados. Entre as variáveis estudadas, apenas o tamanho do nódulo, maior do que 12,5mm provou ser estatisticamente significante para predizer malignidade. Conclusão: esse estudo sugere que, entre as características tomográficas de nódulos pulmonares de crianças portadoras de neoplasias malignas, apenas o tamanho da lesão foi preditor de malignidade

Pulmonary metastases in children: are we operating unnecessarily?

<p></p><p>ABSTRACT Objective: to determine, in pediatric patients with malignant neoplasms, the characteristics of pulmonary nodules identified on computed tomography, as well as the possibility of differentiating benign lesions from metastases. Methods: we conducted a retrospective study of patients submitted to pulmonary resections of nodules diagnosed as metastases in a period of seven years. We compared computed tomography and surgery findings, as well as results of anatomopathological examinations. Results: we studied nine patients submitted to 11 surgical interventions. Among the studied variables, only nodule size greater than 12.5mm proved to be statistically significant to predict malignancy. Conclusion: among the tomographic characteristics of pulmonary nodules in children with malignant neoplasms, only the size of the lesion was a predictor of malignancy.</p><p></p