Stump appendicitis in children: a systematic review.

Background: Stump appendicitis is a rare complication after primary appendectomy and is often not considered in the differential diagnosis of patients who have undergone an appendectomy. With this systematic review, the aim was to identify all cases of stump appendicitis in children in order to gain a better insight into the risk factors, clinical presentation, diagnostics, and treatment.

Methods: Scopus and PubMed databases were searched.

From Ataxia to Diagnosis of Askin Tumor - a Case Report.

Peripheral primitive neuroectodermal tumors (pPNET) are a group of extremely rare, aggressive, malignant tumors that are most often found in the thorax (Askin tumor), abdomen, pelvis, extremities and less frequently in the head and neck. The most important prognostic factor is the stage of the tumor. Significant progress both in surgery and in neoadjuvant and adjuvant chemotherapy and radiotherapy, as well as the improvement in diagnosis by cytogenetic and immunohistochemical analysis, should improve the survival rate.

Evaluation of stability of osteosynthesis with K-wires on an artificial model of tibial malleolus fracture.

Background: Paediatric ankle fractures comprise approximately 4% of all paediatric fractures and 30% of all epiphyseal fractures. Integrity of the ankle "mortise", which consists of tibial and fibular malleoli, is significant for stability and function of the ankle joint. Tibial malleolar fractures are classified as SH III or SH IV intra-articular fractures and, in cases where the fragments are displaced, anatomic reposition and fixation is mandatory.

[A rare tumor of the lung in childhood--inflammatory myofibroblastic tumor].

Inflammatory myofibroblastic tumor (IMT) is a rare benign neoplasm, mainly involving the lungs of the children. It represents 0.7% of all lung tumors.

Cystic lymphangioma of jejunal mesentery mimicking acute appendicitis: case report.

Cystic lymphangiomas of the small bowel mesentery are rare manifestations of intra-abdominal tumors. Usually, they are discovered incidentally during examination for an unrelated abdominal illness. We present a case of a 4-year-old boy who was admitted to our hospital because of the right lower quadrant acute abdominal pain suspect of acute appendicitis.

Surgery for abdominal wall pain caused by cutaneous nerve entrapment in children-a single institution experience in the last 5 years.

Background: Chronic abdominal pain (CAP) is a serious medical condition which needs to be approached with great attention. Chronic abdominal pain may be caused by entrapment of cutaneous branches of intercostal nerves (ACNES).

Objectives: The aim of this study is the surgery for abdominal wall pain which caused by cutaneous nerve entrapment in children during last 5 years.

Pseudoaneurysm of the brachial artery in a four-month-old boy: diagnosis and treatment.

Pseudoaneurysms arise from a disruption in the arterial wall and blood dissecting into the tissues around the damaged artery creating a perfused sac that communicates with the arterial lumen. Trauma to the wall of the artery may lead to the development of a pseudoaneurysm. Post-traumatic pseudoaneurysm development is very rare in the peripheral artery and often is a consequence of venipuncture.

A 10-year experience in the treatment of intraabdominal cerebrospinal fluid pseudocysts.

The aim of this retrospective study was to assess a ten-year experience in the treatment of rare complications of ventriculoperitoneal shunting--intraabdominal cerebrospinal fluid pseudocysts. At this time there are no data about incidence, clinical course and treatment of these complications in Croatia. Cerebrospinal fluid (CSF) abdominal pseudocyst is an uncommon but important complication of ventriculoperitoneal shunts.

Surgical correction of the funnel chest deformity in children.

The aim of this study was to evaluate our results during and after the Nuss operation in children with pectus excavatum. We have performed the Nuss procedure in 128 patients with pectus excavatum since 2001, and 74 patients underwent bar removal. Of the 128 patients 96 were male and 32 were female; age ranged from eight to 21 years with an average of 13.

Huge dermoid cyst of the spleen.

Primary splenic cysts are uncommon lesions of the spleen. Splenic cysts are classified as primary or secondary on the basis of presence or absence of an epithelial lining. The primary cysts are further subdivided as parasitic or non-parasitic.

Primary spontaneous pneumothorax in pediatric patients: our 7-year experience.

Background: Primary spontaneous pneumothorax in children is a significant clinical problem. The majority of these patients will require immediate surgical therapy, such as tube thoracostomy.

Patients And Methods: We conducted a retrospective review of 16 patients with a diagnosis of primary spontaneous pneumothorax over a period of 7 years.

Central venous catheters for chemotherapy of solid tumors--our results in the last 5 years.

Central venous catheters provide an easy access for intravenous medications. Having a central line in place will relieve a child from the discomfort and danger of multiple regular intravenous lines for chemotherapy. The use of indwelling central venous catheters has become commonplace in the management of children undergoing oncological treatment.

Treatment of rectal prolapse in children with cow milk injection sclerotherapy: 30-year experience.

Aim: To evaluate the role and our experience of injection sclerotherapy with cow milk in the treatment of rectal prolapse in children.

Methods: In the last 30 years (1976-2006) we made 100 injections of sclerotherapy with cow milk in 86 children. In this study we included children who failed to respond to conservative treatment and we perform operative treatment.

Video-assisted thoracoscopic surgery for spontaneous pneumothorax in children-our experience.

The aim of this case report was to analyse the efficiency of video-assisted thoracic surgery (VATS) in the treatment of spontaneous pneumothorax. Spontaneous pneumothorax occurs subsequently to a disruption of visceral pleura and escape of air into pleural space. A retrospective study was performed in 5 patients from December 2001 until May 2006.

Comparison of a preincisional and postincisional small dose of ketamine for postoperative analgesia in children.

Background: The aim of this randomized, double blind, placebo controlled prospective study was to investigate the preventive action of N-methyl-D-aspartate (NMDA) receptor antagonist ketamine on postoperative analgesia by comparing its administration preincisionally, at the end of operation and placebo in the management of postoperative pain in children.

Methods: 90 children ASA I or II, scheduled for hernia repairs, circumcisions and orchydopexy, aged 4.5-14 years were randomly assigned in three groups: first received low dose ketamine 0.

Hirschsprung's disease and Rehbein's procedure--our results in the last 30 years.

Hirschsprung's disease is congenital anomaly of the intestine and Harald Hirschsprung gave the first description of this disease'. The aim of this follow-up study was to evaluate the results of Rehbein's procedure in the treatment of Hirschsprung's disease in the last 30 years in Children's Hospital Zagreb. Hirschsprung's disease is congenital intestinal aganglionosis as the results of arrested fetal development of the myenteric nervous system.

Ovarian dysgerminoma and acute abdomen.

Background: Ovarian dysgerminoma cases are very rarely presented together with acute abdomen. The purpose of this study is to present dysgerminoma ovarii with abdominal pain in lower right abdominal part after abdominal trauma as an abdominal emergency.

Patients And Methods: Our 12-year old female patient was admitted to our hospital after traffic accident with abdominal trauma.

A 5-year experience of a minimally invasive technique for correction of pectus excavatum in Croatia.

The aim of this study was to assess the results of 5-year experience with minimally invasive operation without medial incision and resection cartilages for correction of pectum excavatum. From 2000 we made in our Hospital minimally invasive technique for the correction of pectus excavatum. 75 patients were treated by minimally invasive technique.

Infectious ileocecitis--appendicitis mimicking syndrome.

The purpose of our study is to emphasize the central role of ultrasound (US) in finding the cause of abdominal pain in children. Ultrasound of the lower abdomen quadrant should be considered in all cases in which the clinical signs and symptoms are not diagnostic of appendicitis. There is a wide range of clinical syndromes and diseases which can easily be diagnosed using a high resolution ultrasound with adjunct of color and power Doppler.

A 3-year experience of a minimally invasive technique for correction of pectus excavatum in Croatia.

The aim of this study was to assess the early results of a three-year experience with the minimally invasive correction of pectum excavatum, which requires no cartilage incision or excision, and no sternal osteotomy. Since 2001 we have performed 35 minimally invasive pectus excavatum procedures at our hospital. A convex steel bar is inserted under the sternum through small bilateral incisions, and removed after 2 years when permanent remolding had occured, the bar is removed.

Papillary cystic neoplasm of the pancreas: a rare presentation.

Unlabelled: Papillary cystic neoplasm is a rare tumor and is usually found in young female patients.

Procedure: Here we describe a rare case of PCN in 16 year old girl, which was presented with abdominal pain in last 3 years. Preoperative diagnosis was suggested by ECHO and CT of the abdomen.

Laparoscopic management of infantile hypertrophic pyloric stenosis.

Infantile hypertrophic pyloric stenosis is a common problem in pediatric surgery. Conventional management by the upper laparotomy was the method of choice over the last few decades. Advanced minimally invasive surgery allows successful endoscopic management of this entity too.