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Cecal volvulus associated with mobile cecum in Cornelia de Lange syndrome: Report of a case

Open Journal of Pediatrics 2013年第2期3卷 96-98页

作者： Masataka Takahashi Toshihiko Watanabe Hideaki Tanaka Waka Yamada Koji Yamada Yasushi Fuchimoto shunsuke nosaka Yutaka Kanamori Division of Radiology Department of Radiology National Center for Child Health and Development Tokyo Japan Division of Surgery Department of Surgical Subspecialties National Center for Child Health and Development Tokyo Japan

We report a case of cecal volvulus in an 11-year-old girl who had been diagnosed with Cornelia de Lange syndrome. She had undergone operative fundoplication several years earlier and was referred to our institute for treatment of intestinal obstruction. A severely dilated colon was detected on abdominal roentgenogram, and abdominal CT and colonic enema strongly suggested cecal volvulus. Emergency operation was performed and cecal volvulus with mobile cecum was ascertained;the volvulus was corrected and the mobile cecum was fixed to the peritoneum on the right side. Neurologically handicapped patients sometimes suffer from cecal volvulus, and patients with Cornelia de Lange syndrome are at especially high risk. Moreover, operative fundoplication promotes intestinal dilatation and it may be another risk factor for cecal volvulus.

关键词： Cecal Volvulus Cornelia de Lange Syndrome Whirl Sign

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Detection of Portal Venous Gas by Ultrasonography after Liver Transplantation: A Possible Early Sign of Bacterial Translocation

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Open Journal of Organ Transplant Surgery 2012年第3期2卷 14-17页

作者： Takanobu Shigeta Seisuke Sakamoto shunsuke nosaka Akinari Fukuda Hiroyuki Kanazawa Hajime Uchida Ikumi Hamano Mureo Kasahara Division of Radiology National Center for Child Health and Development Tokyo Japan Division of Transplant Surgery National Center for Child Health and Development Tokyo Japan

This Portal venous gas (PVG) is usually associated with intra-abdominal catastrophe. However, there are some reports regarding benign causes of PVG, including the cases related to organ transplantation. We present 3 cases with PVG undergoing living donor liver transplantation (LDLT). All cases simultaneously demonstrated intra-abdominal complications and revealed a bacterial blood culture. We successfully managed all cases with immediate intervention for the possible occurrence of bacterial translocation. Our experience indicates that the detection of PVG by USG is an alarming finding, as a possible early sign of bacterial translocation after liver transplantation. When PVG is detected by USG, it is important to pay prompt attention to bacterial translocation.

关键词： Liver Transplantation Portal Venous Gas Bacterial Translocation

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Patterns of Blood Supply and Venous Drainage in Pediatric Intralobar Pulmonary Sequestration: A Retrospective Analysis of 30 Pediatric Cases from a Single Center

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Open Journal of Pediatrics 2016年第4期6卷 274-279页

作者： Toshiko Takezoe Kazunori Tahara Toshihiko Watanabe Michinobu Ohno Kazuteru Kawasaki Masataka Higuchi Motomi Matsuo shunsuke nosaka Osamu Miyazaki Yoshiyuki Tsutsumi Yutaka Kanamori Division of Surgery Department of Surgical Specialties National Center for Child Health and Development Tokyo Japan Division of Pulmonology Department of Medical Subspecialties National Center for Child Health and Development Tokyo Japan Department of Radiology National Center for Child Health and Development Tokyo Japan

Purposes: Intralobar pulmonary sequestration is a rare congenital anomaly that causes nonspecific respiratory symptoms. This report presented our surgical experience for pediatric cases of intralobar pulmonary sequestration in our institute. Methods: Between 2002 and 2014, 30 pediatric patients with intralobar pulmonary sequestration underwent lobectomy. The clinical characteristics of patients were retrospectively analyzed using medical records and imaging data. Results: The median age at operation was 23 months. The sequestered lung was situated in the right lower lung in 15 cases and in the left lower lung in 15 cases. Eight cases were prenatally diagnosed by fetal ultrasound and magnetic resonance imaging. One aberrant artery was seen in 26 cases and two aberrant arteries in 4 cases. The drainage vein from the sequestered lung was: 1) the pulmonary vein in 27 cases;2) the inferior vena cava in 1 case;and 3) the azygos vein and the pulmonary vein in 2 cases. All patients underwent lower lobectomy of the affected side without postoperative early and long-term complications. Conclusion: Due to the increased rate of prenatal diagnoses, the age at operation has decreased. With respect to safety, it is vital to ascertain the number of aberrant arteries and the venous drainage route before lobectomy.

关键词： Intralobar Pulmonary Sequestration Aberrant Artery Prenatal Diagnosis

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