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Introduction:The aim of this study was to reveal the factors that affect the clinical outcomes of patients undergoing surgery in our university hospital for intestinal atresia (IA) and to share our experience.Methods:We analyzed data from 74 newborns with IA who underwent surgical treatment between January 1997 and December 2016.Results:The study population consisted of 40 female and 34 male newborns with a mean age at diagnosis of 6.4±8.3 days. The mean birth weight was 2.3±0.6 kg, the mean gestational age was 35.6±2.8 weeks, the mean maternal age was 28.9±6.1 years, and the mean hospitalization time was 24.5±25.3 days. Duodenal atresia was the most common diagnosis (n=31, 42%) and colonic atresia the least common (n=2, 3%). The longest and shortest mean hospital stays occurred in patients with jejunal (32.8±41.6 days) and those with colonic (8±0 days) atresia, respectively. Although the survival rates were low in newborns with either intestinal or duodenal atresia (80% or 81%, respectively), all patients with pyloric or colonic atresia survived. Of the patients who died, 82% (9/11) had additional congenital abnormalities (X2=8.461, p=0.004), which included major cardiac defects (n=3), Down syndrome (n=2), biliary atresia (n=1), esophageal atresia + tracheoesophageal fistula + anal atresia + tracheal atresia (n=1), esophageal atresia + tracheoesophageal fistula (n=1), and microcephaly (n=1). The mean hospital stay of patients with or without additional abnormalities was 26.4±21.4 or 23.04±28.04 days, respectively (p=0.207).Conclusion:Among newborns with IA, duodenal atresia was the most common diagnosis and colonic atresia the least common. Additional congenital abnormalities negatively affect the hospital stay and mortality rate of newborns with IA.

Introduction:The purpose of this study is to investigate the effects of tetracycline (TC), clarithromycin (CM) and bleomycin (BLM) on the cyst diameter and ovarian tissues in the treatment of simple ovarian cysts.Methods:We employed Wistar albino female rats (n=38) to create ovarian cysts, and did not intervene in any form in the control group (GC) (n=6). In total, 32 female rats underwent unilateral salpingectomy for the creation of cysts. Macroscopic cysts were manifested in 25 (78%) rats who underwent salpingectomy. We divided the rats (n=25) with cysts into four groups. Salpingectomy with saline was performed in G1, salpingectomy with tetracycline (TC) was performed in G2, and salpingectomy with Clarithromycin (CM) was performed in G3. Additionally, salpingectomy with BLM was exploited in G4.Results:There was a significant decrease in the diameter of the cyst in G2 as compared to G1, but there was no significant difference among the other groups. There was no significant change in total ovarian reserve in the groups (p=0.066). There was a statistically significant increase in fibrosis in G1 and G3 groups as compared to GC (p

Dysplastic kidney cysts are developmental cysts of the kidney. They are mostly multi-cystic, and usually involve the whole kidney. In addition, the segmental and solitary form is rare. A one-year-old boy with an antenatal ultrasound diagnosis of a left kidney cyst was followed-up. Postnatal ultrasound examination revealed a duplex left kidney with a cystic dilatation in the upper pole and a normal appearing parenchyma in the lower pole. The cystic lesion (10×10 cm) with an upper polar location that did not show any regression was excised laparoscopically. The ureter communicating with the cystic component of the kidney was not seen on the left side during laparoscopy. Histopathologic diagnosis was a cystic renal dysplasia. We present a very rare case of a duplex kidney with a solitary dysplastic cyst and ureteric atresia and discuss the diagnostic and therapeutic process.

Germ cell tumors may manifest as a burned-out testis tumor in the abdomen that is characterized by lymph node metastasis or another manifestation of a metastatic neoplasm with a partially or totally histologically regressed, occult primary tumor in the testis.An 8-month-old boy presented with abdominal mass and hypospadias. On physical examination, a palpable abdominal mass in the left abdomen, the absence of the left testis in the scrotum, and hypospadias were found. Color flow Doppler ultrasonography revealed a well-defined, hypoechoic mass with no vascular flow. A laparoscopy was performed. No testis was found in the inguinal region and the abdomen. An amputated, smooth surface with brown color mass was found in the retrovesical area of the peritoneum. The mass was removed, and macroscopic examination of the lesion yielded a well-defined, stone hard mass. No live tissue was found histopathologically. Immunohistochemical studies revealed relatively positive findings for germ cell tumor.To our knowledge, this case report is the first burned-out germ cell tumor that developed in the undescended testis in children. Here, we present the clinical and imaging findings of a burned-out germ cell tumor of the undescended testis.

A ventriculoperitoneal (VP) shunt is a standard treatment option for the treatment of hydrocephalus. Small bowel perforation is a rare complication of VP shunt placement. We describe a case and image findings of a 15-year-old male with VP shunt who had an asymptomatic small bowel perforation. He had a history of constipation and occasional abdominal pain. The imaging findings were confirmed surgically. The results of abdominal complications of VP shunts are excellent when diagnosed and treated early. Mortality and morbidity decrease significantly with early diagnosis and treatment, especially in asymptomatic bowel perforations. We also provide an overview of the current literature discussing previously reported cases, clinical features, and treatment.