Hasan Doğruyol

The effectiveness of early primary realignment in children with posterior urethral injury

Abstract Aim:  The aim of this retrospective study was to compare the results of delayed repair and early primary realignments in patients with posterior urethral injury.

Esophageal atresia and tracheo-esophageal fistula in a patient with digeorge syndrome

DiGeorge Syndrome (DGS) is a congenital disorder that affects the thymus, parathyroid glands, and heart and brain. Thymus involvement in DGS may vary between absence/hypoplasia of thymus to various forms of reduced T cell function. TBX1 deficiency causes a number of distinct vascular and heart defects, suggesting multiple roles in cardiovascular development, specifically, formation and growth of the pharyngeal arch arteries, growth and septation of the outflow tract of the heart, interventricular septation, and conal alignment. Here the authors describe a case of DGS presenting with severe combined immunodeficiency, esophageal atresia, and tracheoesophageal fistula (TEF). DGS is an important differential diagnosis in TEF.

A very rare cause of intestinal atresia: intrauterine intussusception due to Meckel's diverticulum.

Intrauterine intussusception is one of the rare causes of intestinal atresia.

Indirect computed tomography sign of renal artery injury: retrograde filling of the renal vein.

Abstract  Computed tomography is a very useful diagnostic tool in childrens trauma. In the present case report, retrograde filling of the renal vein during computerized tomographic examination of a patient with renal trauma is presented. This is an indirect sign of traumatic renal artery injury. This finding might assist in the early diagnosis of severe renovascular trauma.

Endoscopy-guided balloon dilatation of oesophageal strictures in children

The aim of the study is to evaluate the indications, safety, and efficacy of endoscopy guided balloon dilatation (EGBD) in the treatment of strictures of the oesophagus in children. Between 1998 and 2002, 12 infants and children with oesophageal strictures were treated with EGBD in our institute. Median age was 4.1 years (range, 2 months-11 years). Of 12 patients, four had oesophageal strictures, following repair of oesophageal atresia; six had short-segment caustic strictures; and two had anastomotic strictures after oesophageal replacement (colon, 1; stomach, 1). All patients had previously failed to respond to conventional bouginage (mean, 6 sessions; range 2-14). All patients underwent contrast studies before EGBD. EGBD was performed using flexible endoscopy and fluoroscopic screening under general anaesthesia. The mean number of EGBD procedures per patient was six (range 4-10). The functional results were complete in ten and temporary in two patients. There has been no morbidity or mortality. EGBD is safe and effective for treating oesophageal anastomotic and short-segment caustic strictures.

Treatment of recurrent tracheo-oesophageal fistula in an infant using bronchoscopic I application of fibrin glue

SummaryRecurrent tracheo-oesophageal fistula (TEF) is the most common and serious complication of the treatment of oesophageal atresia with TEF. Following this complication, the patient might need several operations. In this study, the authors report on the treatment of recurrent TEF using bronchoscopic application of fibrin glue (FG) to the fistula tract.

Swallowed open safety pin and amulet in infants: Consequences of a tradition in Turkey

SummaryIngestion of safety pins (SP) is relatively uncommon in infants. To attach an amulet with SP on the clothes of a baby is widely-accepted as a tradition in Turkey with the result that ingestion of open SP is more common here. 15 patients were admitted during a 3 year period after having swallowed an open safety pin; eight were males in the age range 7–12 months. All of the patients were asymptomatic. The sites of the foreign bodies were; the oesophagus (four), stomach (four), duodenum (three), small bowel (three), and rectum (one). Extraction by means of flexible gastroscopy was successful in 10 patients (90.6 %) while one (9.4 %) required a laparotomy. The remaining four patients discharged the foreign body via the rectum without any complication. Endoscopic extraction of open safety pins with the flexible endoscope is usually successful in infants.

A case of partial facial duplication: Correspondence section

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