Flexible bronchoscopic cannulation of an isolated H-type tracheoesophageal fistula in a newborn.

Congenital isolated H-type tracheoesophageal fistula (H-TEF) is a rare malformation of the airways. Surgery should not be delayed once the diagnosis is established. Identification of the fistula during surgery is a prerequisite for a successful outcome.

Hyperechoic congenital lung lesions in a non-selected population: from prenatal detection till perinatal management.

Objective: To present longitudinal observations of hyperechoic lung lesions (HLL) in a non-selected population from the time of prenatal diagnosis by ultrasound (US) until postnatal surgery.

Methods: We conducted a retrospective study of all fetuses diagnosed with an HLL between 1990 and 2005 in our Fetal Medicine Unit.

Results: We observed 21 cases of HLL.

Antenatal detection and impact on outcome of congenital diaphragmatic hernia: a 12-year experience in Auvergne, France.

Objective: To evaluate the detection rate of prenatal diagnosis and its impact on outcome in congenital diaphragmatic hernia (CDH).

Study Design: We retrospectively studied 51 cases of CDH registered in the Auvergne area from January 1992 to December 2003 (Birth Defect Registry of Auvergne, Institut Européen des Génomutations). Our main outcome measurements were the detection rate of prenatal diagnosis, the incidence and types of associated anomalies and outcome (termination of pregnancy, in utero fetal demise, neonatal death, survival at the time of registration).

[Surgical management of acute abdominal pain in children].

Acute abdominal pain is one of the most frequent causes of admission to an emergency department of a children's hospital. It continues to be a clinical challenge and the diagnosis viewed with the most apprehension is acute appendicitis. The clinical examination must be meticulous and repeated in order to assess the evolution of the abdominal syndrome and to adapt the paraclinic examinations.