[Not Available].

Introduction: Peritoneal dialysis (PD) is the method of choice for extra-renal replacement therapy (ERT) for children with end-stage renal disease (ESRD), because of its various advantages. However, it presents different infectious and non-infectious complications, causes of important morbidity and mortality.

Aim: To determine the mechanical complications of PD in our center and to identify risk factors of their occurrence.

Recurrent urinary tract infections led to the diagnosis of cross-renal ectopia: A case report.

Introduction: Crossed renal ectopy (CRE) is a very rare congenital kidney anomaly. CRE is usually asymptomatic and is most often discovered incidentally, but the patient may sometimes develop various renal manifestations.

Case Presentation: We report a case of a girl who was symptomatic of several episodes of urinary tract infections and whose investigations including ultrasound, uroscan, renal scan and voiding cystourethrogram concluded that she had a crossed left renal ectopy without vesico-ureteral reflux.

Inguinoscrotal hernia revealing a testicular hemangioma: Report of a neonatal case.

Testicular hemangioma (TH) is a congenital, uncommon and non-malignant testicular tumor. In the following report, we present a child who was brought to our emergency department with swelling of the right scrotum. Investigations were consistent with a TH and an associated hernia.

A rare case of giant mesenteric lipoblastoma causing an abdominal mass in an 8-month-old child.

Introduction And Importance: Giant mesenteric lipoblastoma (LB) is a rare and benign tumor derived from adipocytes. It may imitate malignant tumors, and its diagnosis is challenging before surgery. The diagnosis can be guided by imaging studies but cannot be confirmed.

Congenital giant megaureter prenatally diagnosed: A case report.

Congenital giant megaureter (CGM) is uncommon in pediatic population, defined as congenital localized or total dilatation of the ureter to over 10 times the normal diameter with a normal bladder. Herein, we reported an entirely dilated CGM presented as neonatal bowel obstruction in a newborn baby. Our experience has suggested that CGM should be considered as a differential diagnosis of abdominal distension and occlusive syndrome.

Chest Wall Monophasic Synovial Sarcoma in a 12-Year-Old Boy: A Case Report.

We report a rare case of synovial sarcoma of the chest wall in a child. A 12-year-old male presented to our pediatric surgery department with chief complaint of swelling accompanied by slight pain of the upper right side of the anterior chest wall since approximately 5 months. Firstly, we performed an ultrasound (US)-mass biopsy.

Place of Laparoscopy in Peritoneal Tuberculosis.

Peritoneal tuberculosis (PT) is a rare form of extrapulmonary tuberculosis in children. The diagnosis is difficult because of its clinical polymorphism. Laparoscopy is the gold standard to make the diagnosis by exploring and performing peritoneal biopsies.

Type 2 transverse testicular ectopia: A case report.

Transverse testicular ectopia(TTE) is a rare anomaly defined by the presence of both testis in the same hemiscrotum or in the same inguinal canal.The main treatment of TTE is surgical intervention. Here we report a case of type 2 transverse testicular ectopia in an eight months old child.

A rare case of lumbosacrococcygeal mass in newborn: a human tail.

Caudal cutaneous appendage is a rare condition. According to association with underlying spinal dysraphism, it can be classified into true or pseudotails. Management and prognosis depends closely on spinal anomaly.

Primary hydatid cyst of the small intestine masquerading as intestinal duplication in a child.

Hydatid disease or hydatidosis is a worldwide zoonosis disease caused by the tapeworm of and still widely endemic in Tunisia especially in rural areas where the sheep-dog cycle is dominant. It is an important public health problem in the pediatric age group causing significant morbidity and mortality. We report a case of primary hydatid cyst of the small intestine in a child and we want to highlight the difficulty that we meet in the diagnosis despite the contribution of imaging.

Ovarian masses in pediatric patients: a multicenter study of 98 surgical cases in Tunisia.

Ovarian masses requiring surgical intervention are uncommon in the pediatric population. Our aim is to report results of a multicentric Tunisian study concerning the clinical practice and the management of pediatric ovarian masses and to identify the factors that are associated with ovarian preservation. Between January 2000 and December 2015, 98 pediatric patients (<14 years) were surgically treated for ovarian masses at the five pediatric surgery departments in Tunisia.

[Pancreatic-pleural fistula in children: a rare cause of great abundant pleurisy].

Pancreatic-pleural fistula is a very rare complication of false cysts of the pancreas. Our study aimed to describe this rare pathology affecting children. We emphasized the importance of evoking this diagnosis in the presence of great abundant pleurisy even in the absence of the digestive signs.

Torsion of a wandering spleen: a case report.

Background: Wandering spleen is a rare entity in child. It is generated by laxity or failure of development of spleen ligaments causing the migration of the spleen from its normal anatomical site to another abdominal or pelvic location. It can be congenital or acquired.

Peptic oesophageal stricture in children: management problems.

Background: Peptic oesophageal stricture (PES) is a serious complication of gastroesophageal reflux disease (GERD) in childhood. The treatment of PES is still controversial, ranging from simple oesophageal dilations to resection/anastomosis of the stenotic portion of the oesophagus. In this study, we want to share our experience with 11 children with GERD and PES.

[Congenital pulmonary malformations: clinical, radiological and treatment features].

Background: Congenital broncho-pulmonary malformations (CBM) are rare, essentially presented by congenital lobar emphysema, bronchogenic cysts, pulmonary sequestrations and cystic adenomatoid malformations. The diagnosis can be in prenatal. In postnatal, symptoms are variable.

Sacrococcygeal yolk sac tumor: an uncommon site.

A 30-month-old male infant presented with sacrococcygeal and pre-sacral mass. Ultrasound (US) abdomen revealed a huge pre-sacral mass with irregular margins extending into the pelvis, pushing the rectum antero-laterally. CT scan and MRI confirmed the US findings.

Congenital hyperinsulinism: review of 12 Tunisian cases.

Background: Congenital hyperinsulinism in infancy (CHI) is a heterogeneous disorder with respect to genetics and response to therapy. Data on CHI are sporadic in North African population.

Aim: To characterize the clinical features and outcome of 12 Tunisian patients with CHI.

[Duodenal duplication revealed by acute pancreatitis. A case report].

Background: Duodenum duplications are uncommon congenital anomalies. Most symptomatic cases are diagnosed in childhood and usually present with obstructive or bleeding symptoms. Acute pancreatitis is rarely attributed to these cysts.

[Posterior uretral valves. About a series of 44 cases].

Objective: To explore the physical symptoms and radiological findings for the diagnosis of posterior urethral valves (PUV), to point of the therapeutic snags depending on gravity and delay of lesions.

Methods: We reviewed the records of 44 patients with PUV. Mean age: 2 years 1/2 (range 1 day-13 years).

Sternal cleft, a rare congenital anomaly. Report of the first Tunisian case.

Background: Sternal cleft is an uncommon visually dramatic congenital anomaly of the chest wall. It is resulting of failure of the two lateral mesodermal sternal bars fusion by the eight weeks of gestation. Superior defects are the commonest forms, usually isolated.