Isik Olcay

Congenital bronchobiliary fistula associated with esophageal atresia and tracheo-esophageal fistula

Summary A seventh case of congenital bronchobiliary fistula is presented in a 4-day-old infant. This is also the first bronchobiliary fistula associated with esophageal atresia and tracheoesophageal fistula.

Complete duplication of the colon

A case with complete tubular duplication of the colon is presented. The patient was a 1-year-old girl who had had defecation problems for 3 months. Successful surgical treatment was achieved by closing the vaginal fistula and creating an oval window on the common wall of the duplicated colon.

Tubular Duplication of the Hindgut With Genitourinary Anomalies

Hindgut duplication including the colon and rectum as well as the genital and urinary organs are extremely rare. Only a few cases are noted in the medical literature. In this report, a newborn with exstrophy of the urinary bladder, double vagina and uterus, double anus, and complete duplication of rectum and colon with malrotation is presented.

Fetal urinary ascites in a neonate without detectable obstructive uropathy or neurogenic bladder etiology

Fetal urinary ascites is usually secondary to an obstructive uropathy or neurogenic bladder. We present such a case in the absence of these conditions, but the presence of ipsilateral vesicoureteral reflux with Hutch diverticula. The patient was a 5-day-old boy presenting with distension of the abdomen and impairment of renal function. Tests revealed urinary ascites and renal insufficiency which spontaneously resolved after transurethral urinary drainage was established. This rare complication should be considered in neonates with high intrapelviureteric and intrarenal pressure as a result of high-grade vesicoureteral reflux with paraureteral diverticula.

Mortality due to Trauma in Childhood

Mortality rates and factors affecting the mortality rates were studied retrospectively in 390 children with abdominal and/or thoracic trauma. Age groups, admission time, additional system injuries, and mortality rate were used as parameters. The severity of trauma injury was evaluated according to the Modified Injury Severity Scale. The mean mortality rate in all the groups was 7.9%. The rate was 6.7% for thoracic, 7.5% for abdominal, and 14.7% for combined trauma. This study demonstrates that early admitted children, children with additional organ injuries, and MISS scores greater than 25 have much more risk of mortality, and the mortality rate in preschool children is not different from the other groups.

Radionuclide imaging of jejunoileal duplication cyst in a child.

A 2-and-a-half-year-old boy was hospitalized for painless bloody stools for the last few months. The patient underwent Tc-99m pertechnetate scintigraphy to confirm the presence of a Meckel diverticulum. Images showed generalized increased uptake in the inferior area of the stomach. At laparotomy, a 70-cm long jejunoileal cystic and tubular duplication was resected. Histologic examination showed gastric mucosal lining and hemorrhagic areas. The importance of Tc-99m pertechnetate scintigraphy for the diagnosis in heterotopic gastric mucosa is highlighted.