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Article
Antenatal betamethasone and favourable outcomes in fetuses with `poor prognosis' diaphragmatic hernia
Congenital diaphragmatic hernia (CDH) is a common abnormality affecting 1 in 2,000 gestations. The mortality exceeds 50% despite recent advances in postnatal treatment. The widespread antenatal use of glucoco...
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Article
Malrotation with recurrent volvulus presenting with cholestasis, pruritus, and pancreatitis
A patient aged 16 years was referred following numerous episodes of intense pruritus associated with persistently altered liver function tests. Ultrasound (US) demonstrated the superior mesenteric vein positi...
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Article
Growth and neurodevelopmental outcome in extremely-low-birth-weight infants after laparotomy
Twenty-one extremely-low-birth-weight (ELBW) and premature infants (<29 weeks' gestation and/or <1,000 g) underwent emergency laparotomy for acute intra-abdominal pathology (necrotising enterocolitis [NEC] 16...
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Article
The influence of laparoscopic surgery on perioperative heat loss in infants
Perioperative heat loss is a potentially serious complication of surgery in infants. The influence of laparoscopic surgery on perioperative hypothermia has not previously been documented. We reviewed heat los...
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Article
Intestinal volvulus and right-sided blunt trauma: consequence or coincidence?
Two boys developed bile-stained vomiting shortly after being involved in significant right-sided blunt trauma and sustaining fractured right femurs. Both had intestinal volvulus and both had a history of bile...
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Article
Antenatal detection of hiatus hernia
A routine ultrasound scan in a primigravida at 29 weeks' gestation showed that her fetus had a fluid-filled viscus above the diaphragm in the mid-line. This was initially thought to be the stomach, either as ...
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Article
Conservative surgery for benign non-parasitic splenic cysts
Benign, non-parasitic splenic cysts are an uncommon cause of splenomegaly in children. Potentially they may enlarge, causing pain, rupture, or haemorrhage, or become infected. Traditional management has been t...
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Article
Beta haemolytic streptococcal infection does not cause right diaphragmatic eventration
Numerous case reports in the literature have suggested a causal link between β-haemolytic streptococcal infection and delayed-onset right-sided diaphragmatic hernia/eventration in the perinatal age group. We r...
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Article
Congenital diaphragmatic hernia: lung compliance after antenatal tracheal obstruction or surgical correction of the defect
Fetal lambs with diaphragmatic herniae (CDH) created surgically at 73 days' gestation were subjected to three different forms of intrauterine correction: silastic patch correction of the diaphragmatic defect p...
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Article
Surgical complications of the haemolytic uraemic syndrome
During the first outbreak of haemolytic uraemic syndrome (HUS) to be reported in Australia, 22 children were admitted to the Women's and Children's Hospital, Adelaide. The outbreak was caused by an entero-haem...
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Article
Pulmonary sequestrations detected by antenatal ultrasound
We present three cases of abdominal and abdomino-thoracic extra-lobar pulmonary sequestrations detected by antenatal ultrasound (US) over a 12-month period. In addition, we briefly refer to a case previously d...
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Article
Familial triad of anorectal, sacrococcygeal, and presacral anomalies that includes sacrococcygeal teratomas
We present two Australian families with the triad of anorectal, sacrococcygeal, and presacral anomalies. In one family four members had sacral deformities, three of which were associated with presacral masses ...
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Article
Lower abdominal wall flap for closure of large diaphragmatic defects
A method of closure of diaphragmatic herniae with large defects is described in two children using a muscle flap of internal oblique and transversus abdominus from the inferior aspect of the wound. The advanta...