Pediatric Surgery World

20/01/2024

High suspicion of internal versus external cause of intestinal obstruction mandate laparoscopic versus open exploration ,,, This case revealed a previose reduction in mass for an inguinal hernia with an incarcerated bowel inside .

24/09/2023

Team work and Cooperation lead to optimization and perfection

02/09/2023

01/09/2023

Huge cystic Hygroma ... before and after complete excision on behalf with dr.mohamed د.محمد المليفي

31/08/2023

One of the most challenging cases encounteres us is the neurologenic bladder and high grade VUR with pop off of one kidney...close observation of anticholinergic and prophylactic AB Along with DMSA scan will make the surgical decision on table 🙏🙏

31/08/2023

A previously healthy 11-year-old girl presented to the emergency department with one day history of acute severe left lower abdominal pain and suprapubic pain. She also had nausea, anorexia and 2 episodes of vomiting. The pain was intermittent and severe, with prolonged duration than any similar attacks previously encountered, and it had not improved with simple pain killers. There was no dysuria, frequency, or urgency. She has started to menstruate regularly 6 months before. The patient gave a history of similar but less intense episodes of pain, about 4 months apart over the past four to five months. They each started just before menstruation time, mildly relieved by acetaminophen an. She had also noticedd that menstrual bleeding became more heavy. Her LMP was 10 days ago

Ultrasound:
Single Right kidney, normal in shape, echogenicity and corticomedullary differentiation with no renal stones or hydronephrosis.
Evidence of 2 uterine cavities noted,

The left uterine cavity is enlarged and containing blood, which extending down to the left va**na, which appears to be dilated as well, and compressing the empty right va**na.
The right uterine cavity is empty.

The right o***y looks normal.
The left o***y is enlarged measuring 4 cm in volume, containing multiple peripherally located follicles with positive color flow.
>>> Arising the possibility of intermittent Lt. ovarian torsion
Evidence of 4.7 x 3.7 cm hemorrhagic cyst arising from the left ova

The decision was made to send the patient for emergency exploration started by perineal exam which approve the presence of intrava**nal bulge to the left side with concomitant other va**nal opening .

Laparoscopic exam revealed: two uterus, Left Ovarian torsion, left large distal fallopian tube cyst

Final Diagnosis:
Herlyn Werner Wunderlich syndrome (HWWS) also documented as OBSTRUCTED HEMIVAGINA WITH IPSILATERAL RENAL ANOMALY (OHVIRA)

30/08/2023

duodenal web refers to a complete or incomplete obstruction at the duodenum due to a membranous web or intraluminal diverticulum.
2 year old male patient,known case of Down Syndrome, that presented to Queen Rania Pediatric Hospital as a case of failure to thrive, which was associated with early satiety followed by bilious vomiting. Upon completion of Barium meal and intraoperative imaging, the presence of a duodenal webs at the second and third parts of the duodenum was confirmed
And intraoperatively interestingly it was a deudenal web with a peice of plastic inside.

29/08/2023

One of the Most motivating cases for 8 months old female recurrent visit as a case of vomiting and intolerance to formula feeding .... finally it was a case of hiatus hernia .... let's Go for Nissen Fundoplication 🙏🙏🙏

29/08/2023

Let's start our dially case report ...discuss and share the interesting cases in pediatric surgery 🙏🙏🙏

04/10/2020

الصورة لطفلين في الشهر الخامس من العمر
الاثنين بصحة جيدة لكن بنيتهم الجسميه مختلفه
الوزن اثنينهم ضمن الطبيعي
لذلك لاتقارني ابنك بلغير لاي سبب
التطور والنمو ويختلف من طفل الي اخر وحتي بين الاخوة

ولاتسمحي لاحد ان يقارن نهائيا