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Pediatric Surgery

What caused this child's recurrent abdominal pain?

Intestinal duplication cyst is a rare congenital malformation that is often misdiagnosed because of nonspecific clinical symptoms. Colonoscopy confirmed a cyst involving the colon, appendix, and ileum in this 4-year-old.

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Editor's Choice

Recognizing postoperative stress cardiomyopathy

A case of severe stress cardiomyopathy, identified during the postoperative wake-up period, in a patient with scoliosis and pectus excavatum who underwent spinal corrective surgery.

Mediastinal mass of twice an infant’s bodyweight

Giant anterior mediastinal masses pose unique challenges for resection, such as cardiovascular collapse on induction of anesthesia and injury to surrounding structures that may be compressed or displaced.

Advances in treating pLGG

Pediatric low-grade gliomas often cause long-term morbidities despite high overall survival rates. But advances in molecular characterization, targeted therapies, and surgical techniques are improving outcomes.

How should you manage Pott’s puffy tumor in a child?

PPT is an uncommon infection involving the frontal bone, often with intracranial extension and risk of serious neurological morbidity. Is immune dysfunction a predisposing factor?

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Case Studies

What caused this child's recurrent abdominal pain?

Intestinal duplication cyst is a rare congenital malformation that is often misdiagnosed because of nonspecific clinical symptoms. Colonoscopy confirmed a cyst involving the colon, appendix, and ileum in this 4-year-old.

Recognizing postoperative stress cardiomyopathy

A case of severe stress cardiomyopathy, identified during the postoperative wake-up period, in a patient with scoliosis and pectus excavatum who underwent spinal corrective surgery.

Mediastinal mass of twice an infant’s bodyweight

Giant anterior mediastinal masses pose unique challenges for resection, such as cardiovascular collapse on induction of anesthesia and injury to surrounding structures that may be compressed or displaced.

Current Reviews

Assessment of diagnostic value of ultrasound and multi-slice spiral computed tomography in acute appendicitis: a retrospective study

Acute appendicitis (AA) is a common condition requiring emergency surgery, with a lifetime risk for AA of 2% in Africa, 8% in Europe, and 9% in the USA [ 1 ]. However, as some patients with AA lack typical clinical features [ 2 ], imaging studies …

Diagnostic performance of serum CA-125 for overall and complicated acute appendicitis: a systematic review and meta-analysis

This study aimed to analyze the diagnostic performance of serum CA-125 in acute appendicitis (AA). This review was registered in PROSPERO (CRD42023450988). We included prospective and retrospective original clinical studies evaluating the …

Artificial intelligence in the diagnosis and treatment of acute appendicitis: a narrative review

Artificial intelligence is transforming healthcare. Artificial intelligence can improve patient care by analyzing large amounts of data to help make more informed decisions regarding treatments and enhance medical research through analyzing and …

“Rule out appendicitis”: a Canadian emergency radiology perspective on medicolegal risks, imaging pitfalls, and strategies to improve care

We provide a unique Canadian perspective on the medicolegal risks associated with imaging acute appendicitis, incorporating data requested from the Canadian Medical Protective Association (CMPA) on closed medicolegal cases over the past decade. We …

CME & eLearning

Patient Cases

Improve your ECG interpretation skills with this comprehensive, rapid, interactive course. Expert advice provides detailed feedback as you work through 50 ECGs covering the most common cardiac presentations to ensure your practice stays up to date. 

Developed by: Springer Medizin

Further Reading

Fever, Abdominal Pain, and Inflammation in a Young Woman—Appendix, Liver, or Both?

  • Open Access
  • Appendicitis
  • DDS–SIRC Cooperative Conferences

Fitz-Hugh-Curtis syndrome (FHC) and acute appendicitis pose a diagnostic challenge due to overlapping clinical manifestations, especially in young female patients with acute abdominal pain [ 1 ]. Acute appendicitis, which peaks in incidence among …

Over-the-scope clip for closure of persistent gastrocutaneous fistula after gastrostomy tube removal: a multicenter pediatric experience

This retrospective multicenter study included pediatric patients who underwent closure of GCF following tube removal from June 2014 to June 2023. Data were collected from seven centers: Lille (France), Sheffield (United Kingdom), Le Havre …

Long-Term Assessment of Aesthetic Results in Omphalocele Repair with POSAS Scale

Omphalocele (OM) is a congenital defect of the abdominal wall, caused by a failure of the abdominal contents to return into their cavity by week 10 of gestation [ 1 ]. Differently from in gastroschisis, the defect is located on the median line and …

Practice patterns and clinical outcomes in acute appendicitis differ in the elderly patient

Appendicitis remains the most frequently encountered abdominal surgical emergency worldwide, exhibiting an estimated lifetime prevalence of 6.7% to 8.6% [ 1 – 3 ]. Traditionally, the combination of antimicrobial therapy and surgical source control …