Publications by authors named "Ennio Fuentes"
Article Synopsis
- Pediatric ovarian torsion (OT) is difficult to diagnose due to vague symptoms, so this study aimed to evaluate the effectiveness of clinical, ultrasound, and lab markers in diagnosing the condition.
- Researchers conducted a retrospective study on patients suspected of OT in seven pediatric hospitals from 2016 to 2022, comparing those with confirmed torsion to those without.
- The study found that a higher neutrophil-to-lymphocyte ratio (NLR) correlated with OT diagnosis, suggesting an NLR above 2.57 can help predict the need for urgent surgery in affected patients.
Inguinal herniation of ureter is an uncommon finding among children, with scarce reported cases in the literature to date, that can potentially lead to obstructive uropathy. We report a case of ureteroinguinal herniation discovered during an inguinal hernia repair in a patient with antenatally ultrasound finding of hydronephrosis. A 2-month-old infant with antenatal left hydronephrosis presented with left inguinal mass.
View Article and Find Full Text PDFIntroduction: The management of acute scrotal swelling can be challenging in neonatal age, with scrotal abscess being great mimickers of testicular torsion.
Case Presentation: We report a 12-day-old previously healthy male infant who presented with 72 h of increasing right-sided scrotal swelling, without fever or irritable behavior. The left testicle was palpable, but the right side was too swollen to palpate a testicle, with absent cremasteric reflex.
Article Synopsis
- Sigmoid volvulus is a rare bowel obstruction in kids that can be misdiagnosed, delaying treatment and causing complications.
- In adults, it's a common issue, but there’s little research on how to treat it in children, leading to the use of adult protocols for pediatric care.
- A 15-year-old boy had recurring sigmoid volvulus, but after imaging and studies showed no serious damage, he was treated successfully with a combination of colonoscopic decompression and laparoscopic sigmoidectomy, highlighting the need for prompt diagnosis and treatment in young patients.
Background: There are multiple techniques used for laparoscopic appendectomy (LA): ligature loop (LL), surgical stapler (SS) (Endopath Ets-Flex-Endoscopic Articulating Linear Cutter 33 mm Standard Ref Atb 35. Ethicon, Somerville, New Jersey, US), and hem-o-lok clips (HOL) (Weck Closure System. Triangle Park, NC, USA).
View Article and Find Full Text PDFTransverse testicular ectopia is a rare condition in which both testicles occupy a single hemiscrotum. The aberrant positioning may lead to vascular compromise or impaired temperature regulation, which elevate the risks for torsion, infertility and testicular cancer. Definitive therapy consists of orchiectomy or orchiopexy.
View Article and Find Full Text PDFWe report a case of postoperative pediatric priapism in a boy without a hematologic disorder after a propofol-based general anesthetic. Our case underscores the importance of the early diagnosis and treatment to lessen the risk of complications. Given the wide use of propofol for sedation and anesthesia, clinicians should be cognizant of this rare, but serious, adverse effect that requires emergent attention.
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