Paediatric Surgery

We present a case of an 11-year-old boy who had an abdominal pain for 4 days, which was found to be caused by an acute appendicitis that ruptured. The second day after an open appendectomy, he was found to have a small bowel obstruction that was not found during the procedure. The reasons for this misdiagnosis are discussed in this article to help other health care...
(Vol 13 p 36-41, Paediatric Surgery: 29 May 2013)
We present a case of a 58-year-old woman with a posterior neck mass who underwent fine-needle aspiration of the lesion, with initial cytopathologic evaluation being consistent with metastatic squamous cell carcinoma. However, following excisional biopsy of the tumor, histopathologic evaluation revealed a pilomatricoma. Appreciation of the difficulty in cytologic...
(Vol 12 p 17-22, Head and neck surgery; General surgery; Paediatric surgery; Pathology: 27 April 2012)
A 4-year-old boy with beta-thalassemia major who underwent a successful bone marrow transplant (BMT), presented with a necrotic looking scalp lesion. Debridement was initially suggested but a punch biopsy showed Aspergillus fumigatus. Antifungal therapy was commenced and the lesion healed with minimal scarring. Invasive fungal infections are a major cause of morbidity and...
(Vol 11 p 66-69, Dermatology; Haematology; Paediatric Surgery: 12 August 2011)
We report an unusual case of traumatic aortic rupture and lesion of the left main bronchus after blunt chest trauma in an 8-year-old otherwise healthy boy. The trauma mechanism was severe compression of the thoracic cavity underneath a heavy object without a deceleration component. The visceral lesions were disproportionally severe compared with the surface injury. This...
(Vol 11 p 1-4, Paediatric surgery; Trauma; Vascular Surgery: 25 February 2011)
We report on a boy who presented with acute renal failure and bilateral ureteral obstruction 5 days after an uneventful appendectomy. In contrast to the few cases described in the literature, bilateral ureterothiasis was the pathogenesis of ureteric obstruction. The clinical signs and diagnostic findings, and an overview of the literature are presented. The severity of...
(Vol 8 p 6-9, General surgery; Paediatric surgery: 28 February 2008)
In 1920 Walter Ellis Sistrunk described the classic operation of thyroglossal cyst excision including the central portion of the hyoid bone and a core of tissue around the thyroglossal tract to open into the oral cavity at the foramen caecum. We present this paper and discuss its relevance to current practice.
(Vol 6 p L1-L2, Landmark case report, Otolaryngology, Paediatric Surgery: 28 November 2006)


Frank Cross
Consultant Vascular and General Surgeon
The London Clinic, UK


Neil Barnes
Consultant Physician
Barts Health NHS Trust, London, UK
Ali Jawad
Professor of Rheumatology
Barts Health NHS Trust, London, UK

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