Journal of pediatric surgery
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Traumatic rupture of the diaphragm resulting from blunt abdominal trauma remains a challenging clinical entity. Description of such type of injuries in children is scarce in the literature. ⋯ This series of diaphragmatic rupture in children reveals the following: (1) Avulsion of the costal origin of the diaphragm is a peculiar type of injury described in children (5 of 10). (2) The intercostal muscle flap is a useful tool to bridge diaphragmatic defects. (3) Isolated diaphragmatic injuries do occur in children more frequently than in adults. (4) As in adults, diaphragmatic rupture prevails in the left side, and purposeful surgical diagnosis and early management determine the effectiveness of treatment.
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Case Reports
A case report of severe tracheal obstruction requiring extracorporeal membrane oxygenation.
The authors describe the case of a near-fatal airway obstruction requiring extracorporeal membrane oxygenation. The patient presented with severe respiratory distress owing to a bean impacted in the distal trachea. ⋯ The patient was placed on extracorporeal membrane oxygenation for temporary pulmonary support, and the foreign body was removed using a rigid bronchoscope. The patient had a full recovery and suffered no neurologic sequelae.
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Review Case Reports
Pediatric anorectal impalement with bladder rupture: case report and review of the literature.
Rectal impalement involves foreign body trauma to the anus or rectum resulting in intra- or extraperitoneal rupture. Evaluation of suspected rectal impalement injury involves careful history and physical examination. ⋯ There are few reports on pediatric impalement and only 1 reported case of pediatric rectal impalement with bladder rupture. We report a rectal impalement with extraperitoneal bladder injury in a 12-year-old boy and review the literature on treatment of these injuries.