Search results

Filters

  • Journals
  • Authors
  • Keywords
  • Date
  • Type

Search results

Number of results: 6
items per page: 25 50 75
Sort by:
Download PDF Download RIS Download Bibtex

Abstract

An 11-year old boy presented with a blunt trauma in the right inguinal area after a bicycle accident. Initial clinical picture was indicative of decreased arterial blood supply to the right lower extremity and the diagnostic confirmation was made with a colour flow Doppler ultrasonography. During operative investigation, a thrombosis of the common femoral artery, 3.5 cm in length, was found. The thrombotic part of the femoral artery was removed and replaced with a venous graft taken from the major saphenous vein, before the saphenofemoral junction. Postoperative course was uneventful. Traumatic thrombosis of the common femoral artery as a result of a blunt trauma is very rare, as only 4 relevant cases have been described previously.
Go to article

Bibliography

1. Corneille M.G., Gallup T.M., Villa C., et al.: Pediatric vascular injuries: acute management and early outcomes. J Trauma. 2011; 70: 823–828.
2. Allison N.D., Anderson C.M., Shah S.K., et al.: Outcomes of truncal vascular injuries in children. J Pediatr Surg. 2009; 44: 1958–1964.
3. Mommsen P., Zeckey C., Hildebrand F., et al.: Traumatic extremity arterial injury in children: epidemiology, diagnostics, treatment and prognostic value of Mangled Extremity Severity Score. J Orthop Surg Res. 2010; 5: 25.
4. Sarfati M.R., Galt S.W., Treiman G.S., Kraiss L.W.: Common femoral artery injury secondary to bicycle handlebar trauma. J Vasc Surg. 2002; 35: 589–591.
5. Conrad M.F., Patton J.H. Jr., Parikshak M., Kralovich K.A.: Evaluation of vascular injury in penetrating extremity trauma: angiographers stay home. Am Surg. 2002; 68: 269–274.
6. Harris L.M., Hordines J.: Major vascular injuries in the pediatric population. Ann Vasc Surg. 2003; 17: 266–269.
7. Hossny A.: Blunt popliteal artery injury with complete lower limb ischemia: is routine use of temporary intraluminal arterial shunt justified? J Vasc Surg. 2004; 40: 61–66.
8. Milas Z.L., Dodson T.F., Ricketts R.R.: Pediatric blunt trauma resulting in major arterial injuries. Am Surg. 2004; 70: 443–447.
Go to article

Authors and Affiliations

Ioannis Patoulias
1
Ioannis Panopoulos
2
Georgios Pitoulias
3
Thomas Feidantsis
1
Dimitrios Patoulias
4

  1. First Department of Pediatric Surgery, Aristotle University of Thessaloniki Greece, General Hospital “G. Gennimatas”, Greece
  2. Department of Pediatrics, General Hospital “G. Gennimatas”, Thessaloniki, Greece
  3. Department of Vascular Surgery, Aristotle University of Thessaloniki Greece, General Hospital “G. Gennimatas”, Greece
  4. Second Propedeutic Department of Internal Medicine, Aristotle University of Thessaloniki, General Hospital “Hippokration”, Greece
Download PDF Download RIS Download Bibtex

Abstract

Chylolymphatic mesenteric cysts are extremely rare among children. Herein we report a case of a 3-month old infant that was admitted to the Emergency Department due to repeated vomiting. Preoperative ultrasonography demonstrated the presence of a thin-walled multiloculated cystic lesion in the right abdomen. Patient underwent then elective surgical excision. Histopathological examination documented the diagnosis of cystic lymphangioma type III, according to Lozanoff classification.

Go to article

Authors and Affiliations

Ioannis Patoulias
Theodora Plikaditi
Thomas Feidantsis
Despoina Ioannidou
Dimitrios Patoulias
Download PDF Download RIS Download Bibtex

Abstract

The extremely rare localization of an intramuscular hemangioma (IMH) into the anterior scalene muscle was the motive for the present case report, aiming to highlight major, atypical characteristics. An 11-month-old boy with free medical history presented with a painless and progressively growing lesion 4.5 × 4 cm in diameter, located in the left supraclavicular region over the last 4 months. During physical examination, the presence of a painless, non-pulsating, non-adhesive to the overlying skin lesion was documented. Color Doppler flow ultrasonographic examination demonstrated the increased blood supply to the aforementioned lesion. Thus, we planned an elective surgical excision of the lesion in healthy limits. The postoperative course was uneventful, and the patient was discharged on the second postoperative day in good general condition. Histopathologic examination revealed the presence of hemangioma surrounded by connective tissue bundles and striated muscle fibers. IMHs do not follow the general rule of regression, beyond the age of 6–12 months, with no trend to increase over time. Accurate preoperative diagnosis is challenging. Color Doppler flow ultrasonographic examination is the imaging modality of choice during the preoperative assessment. Surgical excision of the IMH in healthy limits is the most appropriate treatment option.
Go to article

Authors and Affiliations

Ioannis Patoulias
1
Ioanna Gkalonaki
1
ORCID: ORCID
Magdalini Mitroudi
1
Thomas Feidantsis
1
Constantine Theocharidis
2
Dimitrios Patoulias
3

  1. First Department of Pediatric Surgery, Aristotle University of Thessaloniki, General Hospital “G. Gennimatas”, Greece
  2. Department of Pathology, General Hospital “G. Gennimatas”, Thessaloniki, Greece
  3. Second Propedeutic Department of Internal Medicine, Aristotle University of Thessaloniki, General Hospital “Hippokration”, Greece
Download PDF Download RIS Download Bibtex

Abstract

Incidence of colonic atresia in living infants ranges from 1:5,000 to 1:60,000 (average 1:20,000). It constitutes 1.8 to 15% of all cases of atresia of the gastrointestinal tract. In 58.56–75% of all cases is right-sided. We aim, through the presentation of two cases of colonic atresia which we encountered and after systematic research of the current literature, at addressing three major issues: diagnostic approach, operative strategy and management of the prognostic parameters of the colonic atresia. The common parameter in these two cases was the early diagnosis, which played a significant role in the uncomplicated postoperative course. The first case was a type I sigmoid atresia. Contrast’s escape during contrast enema examination due to accidental rupture of the distal part of the colon led to diagnosis. Side-to-side anastomosis, restoration of the rupture and a central loop sigmoidostomy were urgently performed. The second case was a type III atresia at the level of the ascending colon, which was early diagnosed via pregenital ultrasonography, in which colonic dilation was depicted. Restoration of the intestinal continuity early after birth was performed at a time. In conclusion, we believe that early diagnosis, selection of the appropriate operative strategy and prompt recognition of potential post-operative complications, especially rupture of the anastomosis, contribute to the optimization of the prognosis in patients with colonic atresia.

Go to article

Authors and Affiliations

Ioannis Patoulias
Thomas Feidantsis
Charalampos Doitsidis
Magdalini Mitroudi
Maria-Styliani Kalogirou
Dimitrios Patoulias
Download PDF Download RIS Download Bibtex

Abstract

Meckel’s diverticulum represents a remnant of the proximal end of the omphalomesenteric duct, which constitutes a connection between the middle intestine and the vitelline vesicle. It is the most common congenital anomaly of the gastrointestinal tract and is found in approximately 0.3–2% of the general population. Complications such as hemorrhage, bowel obstruction, infl ammation, perforation, intussusception, volvulus and malignant transformation develop in only 4–4.8% of all patients, with most cases presenting in childhood, while relative risk decreases during life. The aim of the present study is to present our experience in managing a 15-year old male patient with Meckel’s diverticulum covered perforation. It was a case of disguised perforation of the Meckel’s diverticulum, with development of adhesions to the anterior surface of the right third of the transverse colon, which was successfully treated on the basis of emergency. Diagnosis was made intraoperatively and was documented by histological examination of the excised diverticulum.

Go to article

Authors and Affiliations

Ioannis Patoulias
Maria Kalogirou
Evangelia Rachmani
Kyriakos Chatzopoulos
Thomas Feidantsis
Dimitrios Patoulias

This page uses 'cookies'. Learn more