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Congenital prepubic sinus is a rare disorder with fewer than 30 cases reported in the literature. The origin of the sinus and its tract is unclear but urethral duplication, cloacal remnant or midline closure defect are amongst the postulated mechanisms for the development of the sinus. Chronic discharge and infection are the main indications for surgery. Although surgery is the definite way of correction, timing and extend of surgery are not well documented due to the limited number of cases. Here we present two cases with congenital prepubic sinus, a four month old girl and a five years old boy, who were admitted with discharge through the external opening of the prepubic sinus which are shown not to have a connection with urinary system and are managed by limited surgical excision. Postoperative courses were uneventful and no relapse or complications were encountered. Histological examination revealed that the sinus tract is lined with squamous stratified epithelium without any other significant finding. Although the classification and definition of congenital prepubic sinus is not clear, extensive imaging modalities and surgical procedures are not necessary in most conditions as these can create additional burden for the patient and the healthcare system and may cause complications at the cost of nothing. © 2016 OMU.

We aimed to evaluate etiology and outcome of children with cholecystectomy. Between June 2006 and June 2015, sixty one patients with cholecystectomy were reviewed in order to age, sex, indication, procedures, length of stay and complications. There were 35 female, 26 male, total of 61 patients (2 days-18 years, median 8 years). The indications for surgery were idiopathic cholelithiasis in 38 (62.2%), hemolytic anemia in 14 (22.9%), bile duct cyst in 5 (8.1%), gallbladder polyps in 2 (3.2%) and pancreatitis and short bowel syndrome in one (1.6%). Although the patients with cholelithiasis received ursodeoxycholic acid preoperatively, all of them needed cholecystectomy. Fifty (81.9%) patients underwent laparoscopic surgery, 11 (18.1%) patients open surgery. In those with open surgery, four patients' indications were common bile duct cysts, only one patient needed the open surgery because of a previous surgery. The patients' length of stay was between two days to 110 days (median five days). Postoperatively, three (4.9%) patients developed bile leakage. We just put a drain in one of them. The other two patients required a Roux-en-Y choledocojejunostomy. The patient with short bowel syndrome died. Although the number of indications and variations for cholecystectomy are growing, many of them are still grouped under the name of "idiopathic or nonhemolytic cholelithiasis". Most of the cholecystectomies' outcome are excellent, however, it is not a complication-free operation. © 2016 OMU.

Objective: In this study, we aimed to evaluate the role of pediatric surgery in the problem-based learning (PBL) system, which is included in the curriculum of our medical faculty. Material and Methods: In order to comparatively evaluate the contributions of teaching staff of Department of Pediatric Surgery”, contributions of lecturers serving in the blocks, curriculum commitees and clinical scenarios of PBL were reviewed The distribution of clinical scenarios which also included pediatric surgery among years and education terms were assessed. Results: Within the last 6 years, clinical scenarios related to pediatric surgery were elaborated in two blocks in the Years I and III of the medical faculty. DPS contributed to 8 (38 %) out of 21 blocks of the first three years (38 %). From the 68 clinical scenarios of the above mentioned blocks, DPS contributed directly to the writing process of 25 (36.8 %) scenarios. Among 40 departments of the medical faculty, our department was one of the departments which made the greatest contributions to the PBL system. Lecturers of DPS had assumed responsibilities in three blocks and curriculum,and student assessment commitees. Conclusion: Pediatric Surgery has a very large area of interest, which opens opportunities to contribute to the medical education both in the learning of clinical sciences and basic medical sciences. © Cocuk Cerrahisi Dergisi. All rights reserved.

A case of lobar agenesis of the left upper lobe of the lung in a 3 year- old girl is presented. Althought this anomaly is usually associated with other congenital anomalies, our patient had no associated anomaly. Pulmonary perfusion scintiscan and chest computed tomography examinations were found to be useful diagnostic modalities in our case.

The effects of intralesional long-acting corticosteroid injection were investigated in rats with alkali-induced corrosive esophageal burns. In 30 rats, a standard esophageal burn was produced as described by Gehanno. The rats were then divided into three groups as follows: group I, rats with esophageal burns and parenteral antibiotic, group II, rats with esophageal burns and systemic corticosteroid and parenteral antibiotic, group III, rats with esophageal burns treated with antibiotic and intralesional long-acting corticosteroid. All animals were sacrified on the 21th day of experiment. Histopathologic evaluation was performed and collagen deposition in the submucosa, damage to the muscularis mucosa, damage and collagen deposition in the tunica muscularis were investigated for each group. Overall criteria for histopathologic evaluation in the group II were better than group I (p

Hydatic cyst can involve mostly in the liver and lung, and rarely in other organs. However, subcutaneous tissue involvement is very rare. Three-year-old girl admitted with the complaint of a swelling on the inferolateral margin of the left scapula. Radiological studies showed a hydatid cyst located on the thoracal wall; on the inferolateral margin of the left scapula along with bilateral lung cysts. Primarily, subcutaneous hydatid cyst is excised completely with it's fibrous capsule and then partial cystectomy and capitonage is performed for one cyst in the left lung through a left posterolateral thoracotomy. She is on follow up with a plan of intervention to the cysts of the right lung. This case of the subcutaneous hydatid cyst was discussed according to the literature.

Thirty newborn with gastrointestinal system perforations were managed at Pediatric Surgery Department of Ondokuz Mayis University, Faculty of Medicine from July 1980 to December 1994. Of these cases; 19 were mature, seven were premature and four were small for gestational age. Twenty-nine of them underwent emergent surgery, but one patient died because of his general deterioration before surgical intervention. We could not find the cause of perforation in 11 cases and the place of perforation in one case. The perforation sites in our cases were stomach (7), colon (7) ileum (8), cecum (4), duodenum (1) and both the stomach and the ileum in one case. These perforations most commonly occurred in association with the pathologies of the wall or the lumen of the gut such as intestinal atresia (1), anorectal malformation (3), necrotizing enterocolitis (3), meconium ileus (3), and congenital aganglionic megacolon (2) and less commonly result of compressing factors outside the bowel such as Ladd's bands (2), omphlomesenteric band (3) and vascular anomaly of the mesentery (1). A prompt and an appropriate surgical intervention was carried out for each patient according to the place of perforation. The overall mortality was 48% and the mortality in stomach perforations was found to be less than ileal, cecal and colonic perforations. The cause of death was 60% sepsis.

Case records of 32 patients (22 female and 10 male) with sacrococygeal teratoma who were treated in our department between 1984 and 1994 were reviewed. 27 patients had benign sacrococygeal teratoma and the majority of the benign sacrococygeal teratomas were newborns. Total excision with coccygectomy was performed in this group. In contrast, only one of the patients with malignant tumor was a newborn. In malignant group excision and multiagent chemotherapy were used for the treatment and two recurrences were noted. The average survival was increased and early mortality was decreased for all patients in comparison with past decades.

Three rare anorectal malformation are presented: A two-month-old girl with a H-type congenital anovestibular fistula and normal anus. A case of a one-year-old boy with translevator type anal atresia and perineal fistula and bifid scrotum and a third case of five-month-old boy with an ectopic anus on the right gluteus. Anatomy, embryology and treatment of these rare anorectal malformation types are reviewed.

Abdominoscrotal hydrocele (ASH) is a rarity among surgical pathologies. We herein report a bilateral case of ASH. We also point out that ASH should be considered in the differential diagnosis of lower abdominal masses.

Twenty eight cases with the diagnosis of goiter (one newborn (7/365 day) and the others aged between 9-16 years) were managed and treated at Ondokuz Mayis University, Faculty of Medicine, Pediatric Surgery Department, during June 1983 and April 1994. Of these cases 19 were female (67.8 %) and nine were male (32.2 %). We detected diffuse hyperplasia in eight patients, multinodular goiter in other eight patients and solitary nodular goiter in 12 patients. All cases were treated surgically. There were temporary postoperative complications in ten cases and the newborn patient died on the first postoperative day. Although in the literature it is strongly emphasized that there is an increased malignancy incidence in solitary thyroid nodule during childhood, we have not detected any histological malignancy in our series.

Background Cefoperazone has not been reported to cause vasculitic complications before. Here, we report a case of hypersensitivity vasculitis associated with cefoperazone/sulbactam. Case presentation A 13-year-old girl with appendicitis developed hypersensitivity vasculitis on the fifth day of cefoperazone/sulbactam therapy. Hypersensitivity vasculitis resolved gradually after removal of the agent on the seventh day and did not recur. Although hypersensitivity vasculitis has multiple causes, coexistence of hypersensitivity vasculitis and cefoperazone treatment, and the quite resolution of the disease after removal of the drug, strongly favours a causative relationship. Conclusion To our knowledge, this is the first report of a hypersensitivity vasculitis associated with cefoperazone.