- Submucosal Colonic Lipoblastoma Presenting With Colo-colonic Intussusception in an Infant. [Journal Article]
- PDPediatr Dev Pathol 2017 Jan 01; :1093526617705271
- Lipoblastoma is a benign adipose tumor typically presenting in infancy in superficial soft tissues of extremities. Intestinal complications secondary to intraabdominal or retroperitoneal involvement ...
Lipoblastoma is a benign adipose tumor typically presenting in infancy in superficial soft tissues of extremities. Intestinal complications secondary to intraabdominal or retroperitoneal involvement are exceedingly rare. We describe a unique case of a primary intestinal lipoblastoma arising from the submucosa of the transverse colon in an otherwise healthy 18-month-old boy. He presented with a history of reducible rectal prolapse, rectal bleeding, and episodic abdominal pain and was initially treated for constipation. Imaging identified a short colo-colonic intussusception, confirmed at laparotomy, and a fatty mass thought to arise from the mesentery. Pathological examination of the resected transverse colon revealed a submucosal tumor composed of a mixture of mature adipose tissue, foci of myxoid mesenchymal tissue with desmin positive, HMGA2 negative spindle cells, and scattered lipoblasts, characteristic of lipoblastoma. Lipoblastoma should be considered as a potential albeit rare cause of intussusception in young children, where a pathologic lead point is infrequently identified.
- Laparoscopic ventral mesh rectopexy - video vignette. [Letter]
- CDColorectal Dis 2017 Apr 18
- Rectal prolapse is a distal displacement of rectum through the pelvic diaphragm like a sliding hernia . The surgical treatments described in the literature primarily focus on reducing the prolapse...
Rectal prolapse is a distal displacement of rectum through the pelvic diaphragm like a sliding hernia . The surgical treatments described in the literature primarily focus on reducing the prolapse either through a perineal or abdominal approach. With the expansion of minimal access surgery, abdominal rectopexy is now fairly taken over by the laparoscopic approach . This article is protected by copyright. All rights reserved.
- Use of the harmonic scalpel for Delorme's procedure. [Journal Article]
- CDColorectal Dis 2017 Apr 18
- CONCLUSIONS: The advantages of this device are mainly those of ease of mucosal dissection, minimal blood loss and less operative time in comparison with published series. This article is protected by copyright. All rights reserved.
- Laparoscopic-assisted Anorectoplasty: A Single-center Experience. [Journal Article]
- JIJ Indian Assoc Pediatr Surg 2017 Apr-Jun; 22(2):114-118
- CONCLUSIONS: LAARP procedure is safe for high ARMs with good continence and correctable side effects. It has completely replaced posterior sagittal anorectoplasty procedure for high anomalies in our practice.
- Short-term outcomes of laparoscopic ventral rectopexy for obstructed defecation in patients with overt pelvic structural abnormalities-a Chinese pilot study. [Journal Article]
- IJInt J Colorectal Dis 2017 Apr 13
- CONCLUSIONS: Laparoscopic ventral rectopexy appears to be a safe and effective procedure for obstructed defecation in Chinese patients with overt pelvic structural abnormalities in short-term follow-up.
- Bowel function after laparoscopic posterior sutured rectopexy versus ventral mesh rectopexy for rectal prolapse: a double-blind, randomised single-centre study. [Journal Article]
- LGLancet Gastroenterol Hepatol 2016; 1(4):291-297
- CONCLUSIONS: Functional outcome measured by preoperative-to-postoperative change in ODS score was not significantly superior in patients who underwent ventral mesh rectopexy compared with those who had posterior sutured rectopexy. Additional, large, randomised, multicentre studies with long-term outcomes are warranted.
- Ventral mesh rectopexy for rectal prolapse: level-I evidence. [Journal Article]
- LGLancet Gastroenterol Hepatol 2016; 1(4):264-265
- Laparoscopic Rectopexy with Urinary Bladder Xenograft Reinforcement. [Journal Article]
- JSLSJSLS 2017 Jan-Mar; 21(1)
- CONCLUSIONS: Surgeons may safely use laparoscopic rectopexy with UBM reinforcement for repair of rectal prolapses. In this series, repairs with UBM grafts have been durable at 3-year follow-up and may be an alternative to synthetic mesh reinforcement of rectal prolapse repairs. Future studies may compare the advantages and cost-effectiveness of reinforcement materials for rectal prolapse repair.
- A Case of Cap Polyposis with Epidermal Nevus in an Infant. [Case Reports]
- JKJ Korean Med Sci 2017; 32(5):880-884
- Cap polyposis is extremely rare in children. We report a case of an 11-month-old male infant who visited our hospital because of rectal prolapse and small amount of hematochezia lasting several days....
Cap polyposis is extremely rare in children. We report a case of an 11-month-old male infant who visited our hospital because of rectal prolapse and small amount of hematochezia lasting several days. He also had an epidermal nevus in the sacral area. Colonoscopy showed erythematous, multilobulated, circumferential, polypoid lesions with mucoid discharge from the rectum. He was diagnosed with cap polyposis by endoscopy and histologic examination. He was treated with surgical resection, and was closely followed up. In the relevant literature, there is no report of cap polyposis in an infant. We report the first case of cap polyposis in the youngest infant.
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- External prolapse of the rectum: stapled prolapse resection. Not only for older and frail patients. [Journal Article]
- MCMinerva Chir 2017 Mar 31
- CONCLUSIONS: The PSP-resection seems to be a safe and fast therapeutic option not only for older, frail patients with external rectal prolapse. Also younger people profit from this operative procedure, avoiding the possible major complications of the laparoscopic approach.