JuniperPublishers-Academic Journal of Pediatrics Neonatology

Juniper Publishers - Journal of Pediatrics Abstract Complete ureteral duplication with ectopic upper moiety opening into posterior urethra is rare anomalies. This is due to development of two ureteric bud from mesonephric duct. Development of stone in this moiety is rare event. Here we are describing a 12 year old child who presented with left lumbar mass and dysuria. He had left complete duplex ureter with impacted stone at ectopic opening of upper moiety ureter in posterior urethra, simultaneous bladder stone and hydronephrotic non-functioning upper renal moiety. Combined (cystourethroscopy and open surgical) approach was used for management of this case. Keywords: Ectopic ureter; Duplex renal moiety; Stone in duplex kidney Introduction Duplex system can be describes as two pelvicaleceal system with either single lower ureter or double ureter draining into bladder or outside the bladder (ectopic) [ 1 , 2 ]. Duplex system wi

Juniper Publishers - Journal of Pediatrics Abstract Obstructive fibrinous tracheal pseudomembrane is a rare complication associated with endotracheal intubation. We report the case of a 10-year-old boy hospitalized for a severe abdominal trauma. The boy remained intubated for 4 days. After extubation he started to have stridor and acute respiratory distress so a reintubation was necessary. After 24 hours, an elective extubation was performed and the boy presented stridor and dyspnoea with no improvement with medical treatment. A fibrinous mobile membrane was seen during a flexible bronchoscopy. The pseudomembrane was removed and the patient remained asymptomatic. The knowledge and an early diagnosis of this pathology is very important due to be a life-threatening complication. Introduction Damage of the airways caused by intubation is usually associated with mechanical trauma caused by the endotracheal tube (ETT). Strido

Juniper Publishers - Journal of Pediatrics Abstract Supraventricular tachyarrhythmia (SVT) is the most common tachyarrhythmia in pediatric patients and accounts for more than 90% of pediatric arrhythmias. As many as 16 different mechanisms of pediatric SVT exist; we focused in this review article on the three most common groups of SVT mechanisms in pediatrics: atrioventricular re-entry tachyarrhythmia (AVRT), atrioventricular nodal re-entry tachyarrhythmia (AVNRT), and a trial tachyarrhythmia (AT). Many methods have been implicated in the diagnosis of SVT like full history taking regarding onset and frequency of palpitation, syncope, chest pain, dispend, heart failure, drug intake and physical examination. Children with suspected SVT must be subjected to resting 12-lead surface ECG and ECG during the attack. Echocardiography must be done for detection of any structural heart diseases. Moreover, recent techniques like Electro physiologic study (EPS) is the most defi

Juniper Publishers - Journal of Pediatrics Summary Owing to good perinatal care (prenatal detection of problems and timely transport of pregnant women), critically ill newborns are usually delivered in large centres (with tertiary perinatal care provided) where they can be given intensive care and therapy. When this is not the case, a critically ill newborn must be transported to a centre with a higher level of perinatal care. The less time it takes from identifying a problem to transpor to a higher level centre, the better the chances for a better outcome, even though the transport of newborns is still tied to higher morbidity and mortality rates than in utero transport. This is especially the case with extremely preterm and very preterm neonates. The successful medical transport of such high-risk and sensitive population requires a highly specialized personnel and appropriate equipment. In ideal conditions, the neonatal transport team is a link in the system of neo

Juniper Publishers - Journal of Pediatrics Introduction Esophageal atresia with or without fistula is rare congenital anomaly occurring In 1/3000-5000 of neonatal population [ 1 ] which is traditionally repaired by posteriolateral thoracotomy& still a standard approach, but this approach is associated with musculoskeletal morbidity and later in life scoliosis, chest wall deformity & nerve damage [ 2 - 4 ]. With the advancement in minimal invasive paediatric procedures & high definition technology and looking into consideration of these morbidities it become possible to perform technically demanding & complex procedures thoracoscopicaly. In relation to this first time in 1999 isolated esophageal atresia done in male infant of 2 month which was repaired thoracoscopicaly [ 5 ] For last 10 years after first repair refinement's in technique & feasibility in thoracoscopic repair of esophageal atresia led to adoption of this technique in many inst