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Article
Prune belly syndrome
The majority of paediatric surgeons will encounter a patient with prune belly syndrome (PBS) only a few times in their clinical practice. There have been many opposing views in the literature regarding the pat...
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Article
Management of urethrocutaneous fistula following hypospadias repair
Urethrocutaneous fistulas complicating hypospadias repair appear a common problem. There appears less data in the literature regarding the risk and management of recurrent fistulas. A retrospective review of u...
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Article
Investigation and management of suspected urachal anomalies in children
Urachal anomalies occur infrequently, but may be associated with morbidity, particularly when the diagnosis has been delayed. We retrospectively reviewed our institution’s experience over a 10-year and 7-month...
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Article
Somatic malignant transformation in a sacrococcygeal teratoma in a child and the use of F18FDG PET imaging
A 6-year-old female presented with a subcutaneous sacral mass. Biopsy revealed an adenocarcinoma most likely arising from a sacrococcygeal teratoma (SCT). CT imaging revealed a massive tumour consistent with S...
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Article
Long-term outcome of anorectal malformations: the patient perspective
To assess the long-term outcome of surgery for anorectal malformations (ARM) from the patient’s perspective. One hundred and sixty seven children were operated for ARM between 1982 and 2000. Disease impact que...
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Article
Double bubble, double trouble
Duodenal atresia (DA) is not uncommon, either as an isolated anomaly or associated with trisomy 21, malrotation, or cardiac anomalies. It may be diagnosed on antenatal ultrasound by a “double-bubble” sign, whi...
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Article
Biliary dyskinesia: is the problem with Oddi?
We report our experience of cholecystectomy for treating symptoms suggestive of biliary disease in association with a decreased gallbladder ejection fraction (GBEF) but without evidence of cholelithiasis. Five...
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Article
Small bowel perforation in the premature neonate: congenital or acquired?
To determine the potential aetiological factors of small bowel perforation in the premature neonate, we performed a retrospective chart review of those neonates with spontaneous intestinal perforation (SIP) of...
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Article
Isolated and multisystem hepatic trauma in children: the true role of non-operative management
We retrospectively reviewed children with hepatic injuries (HI) admitted to our institutions from January 1982 to December 1999. Specific comparison was made of isolated (IHT) and multisystem hepatic trauma (...
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Article
Urethral trauma in children
We report our 12-year experience in the management of urethral injuries in nine children, six boys and three girls. The most common mechanisms of injury were motor vehicle accidents, followed by straddle inju...
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Article
Synchronous torsion of testicular appendages: a rare mechanical cause of bilateral scrotal pain
We describe a case of synchronous torsion of testicular appendages, a previously unreported cause of bilateral scrotal pain. Exploration and excision was curative.
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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
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
Idiopathic focal foveolar hyperplasia in infants
Idiopathic focal foveolar hyperplasia (FFH) is a rare cause of gastric outlet obstruction in infants. We present two cases, including the first reported association with infantile hypertrophic pyloric stenosis...
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Article
Isolated torsion of the fallopian tube in a premenarchal girl
A case is reported of an isolated torsion of the left fallopian tube in a 12-year-old premenarchal girl, and the relevant literature is reviewed. This would seem to be an infrequent cause of acute abdominal pa...