Cecal bascule in a child: an unusual cause of postoperative bowel obstruction.

Cecal bascule is a rare type of intestinal obstruction that occurs when a mobile cecum folds upward and obstructs the ascending colon. Most often occurring in the elderly, we present the first reported case of cecal bascule in a child. The cecal bascule occurred in a 4-year-old with trisomy 13 syndrome 5 days after a laparoscopic Nissen fundoplication.

MRI for the evaluation of pectus excavatum.

Pectus excavatum, the most common congenital deformity of the anterior chest wall, is both a cosmetic and functional abnormality. The degree of abnormal chest wall deformity determines its functional effect, particularly its cardiac and pulmonary impact. Although CT scanning is the most widely used cross-sectional imaging technique used to measure the Haller index, the radiation exposure is reason to seek other alternatives.

Congenital urinary tract anomalies in pediatric renal trauma patients.

Purpose: Congenital genitourinary tract anomalies occur commonly in the general population. Anomalous kidneys are thought to be more frequently injured by trauma than normal kidneys. We reviewed patients with renal injuries to determine the etiology, severity, associated injuries and associated congenital genitourinary abnormalities.

Renal and testis injuries in team sports.

Purpose: Children with a solitary testis or kidney are generally advised against contact team sport participation to protect the solitary organ. We performed a review of renal and testis injury cases to ascertain if there was an increased likelihood of significant renal or testis injury in team sports.

Materials And Methods: We retrospectively reviewed charts on patients evaluated and/or admitted to the trauma service with renal or testis injuries.

Lower genitourinary injury and pelvic fractures in pediatric patients.

Objectives: To report the largest series of pelvic fracture and lower genitourinary tract injury in the pediatric population to further define its incidence. The association between pelvic fractures and lower genitourinary tract injury has been well recognized in the adult population. The incidence of bladder or urethral injury is approximately 10% to 15%.