Paediatric Surgery

Does every black necrotic lesion need surgical debridement?

Mohamed Shoukry, Jose De Lafunte and Muhammad S. Choudhry

A 4-year-old boy with beta-thalassemia major who underwent a successful bone marrow transplant (BMT), presented with a necrotic looking scalp lesion. Debridement was initially suggested but a punch biopsy showed Aspergillus fumigatus. Antifungal therapy was commenced and the lesion healed with minimal scarring. Invasive fungal infections are a major cause of morbidity and...

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(Vol 11 p 66-69, Dermatology; Haematology; Paediatric Surgery: 12 August 2011)

Osseous pinch mechanism in traumatic rupture of aorta and the left main bronchus

Maj Lesbo, Gratien Andersen, Per Hostrup Nielsen, Hans Kristian Pilegaard and Vibeke Elisabeth Hjortdal

We report an unusual case of traumatic aortic rupture and lesion of the left main bronchus after blunt chest trauma in an 8-year-old otherwise healthy boy. The trauma mechanism was severe compression of the thoracic cavity underneath a heavy object without a deceleration component. The visceral lesions were disproportionally severe compared with the surface injury. This...

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(Vol 11 p 1-4, Paediatric surgery; Trauma; Vascular Surgery: 25 February 2011)

Anuria due to bilateral ureterolithiasis after appendectomy in a child

A.J. Roeth, C.J. Krones, J. Conze, K.M. Ruhl, G. Steinau and V. Schumpelick

We report on a boy who presented with acute renal failure and bilateral ureteral obstruction 5 days after an uneventful appendectomy. In contrast to the few cases described in the literature, bilateral ureterothiasis was the pathogenesis of ureteric obstruction. The clinical signs and diagnostic findings, and an overview of the literature are presented. The severity of...

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(Vol 8 p 6-9, General surgery; Paediatric surgery: 28 February 2008)

Sistrunk’s 1920 description of thyroglossal cyst excision

A. M. Balfour, H. M. Al-Reefy and M. G. Dilkes

In 1920 Walter Ellis Sistrunk described the classic operation of thyroglossal cyst excision including the central portion of the hyoid bone and a core of tissue around the thyroglossal tract to open into the oral cavity at the foramen caecum. We present this paper and discuss its relevance to current practice.

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(Vol 6 p L1-L2, Landmark case report, Otolaryngology, Paediatric Surgery: 28 November 2006)

Contents by specialty

Editor-in-Chief

Frank Cross

Consultant Surgeon

St. Bartholomew's and The London NHS Trust, UK

Editors

Neil Barnes

Consultant Physician

St. Bartholomew's and The London NHS Trust, UK

Ali Jawad

Consultant Rheumatologist

St. Bartholomew's and The London NHS Trust, UK