Institute for Children and Youth Health Care of Vojvodina

Novi Sad, Serbia

Institute for Children and Youth Health Care of Vojvodina

Novi Sad, Serbia

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Dobanovacki D.S.,Institute for Children and Youth Health Care of Vojvodina | Maric D.M.,Institute for Children and Youth Health Care of Vojvodina | Maric D.L.,University of Novi Sad | Jokic R.R.,Institute for Children and Youth Health Care of Vojvodina | And 2 more authors.
Fetal and Pediatric Pathology | Year: 2013

Adrenal rests are usually unrecognized during operation, and the incidence of ectopic adrenal cortical tissue in pediatric patients during inguinal surgery procedures is unknown. We performed 3028 groin surgical explorations in 2680 patients aged 1 month to 17 years. Ectopic adrenal tissue was found in 69 inguinal operations (2.2%): 37 during 1.524 orchiopexy (2.4%), 23 during 1.115 herniectomy (2.0%), and 9 during 389 hydrocoela operation (2.3%). Statistically there were no significant differences among those three groups. No adrenal rests were detected in females. Although a few reported cases with hormonal activity of ectopic adrenocortical tissue (EACT), the recommendation is to remove them if found. Copyright © Informa Healthcare USA, Inc.


Anupindi S.A.,Children's Hospital of Philadelphia | Halverson M.,Children's Hospital of Philadelphia | Khwaja A.,Children's Hospital of Philadelphia | Jeckovic M.,Institute for Children and Youth Health Care of Vojvodina | And 2 more authors.
American Journal of Roentgenology | Year: 2014

OBJECTIVE. The purpose of this article is to describe the indications and techniques for bowel ultrasound for inflammatory bowel disease and other common and uncommon entities and describe and illustrate their imaging appearances, including endoscopic or surgical correlation. CONCLUSION. Ultrasound is a useful tool for the evaluation of inflammatory bowel disease and many other bowel diseases. Radiologists must become familiar with the full potential of ultrasound in the evaluation of the bowel in children because the need for alternative radiation-free imaging techniques continues to grow. © American Roentgen Ray Society.


Marinkovic S.,Institute for Children and Youth Health Care of Vojvodina
Medicinski pregled | Year: 2011

Medical experts are still at issue over the most suitable management of simple neonatal ovarian cysts exceeding 40mm and complex cysts of any size. The authors present surgical treatment of these cysts by classical laparotomy and laparoscopy. The study included 13 newborn babies surgically treated for 6 simple and 7 complex ovarian cysts. The diameter of the cysts ranged from 29 to 102mm. The age of children was from 2 days to 10 months. The open classical laparotomic approach was performed in 8 babies. In the laparotomy group, cystectomy was done in 3 infants with simple cysts. The other 5, presented with ovarian torsion, required salpingo-oophorectomy. Video-assisted cystectomy was the procedure for 3 simplex and one complex cyst with torsion. Laparoscopic adnexectomy was applied in one case with auto-amputated cyst. Our small study demonstrates that laparoscopy is as safe and effective as classical laparotomy in managing neonatal ovarian cysts, but with better cosmetic results.


Jeckovic M.,Institute for Children and Youth Health Care of Vojvodina | Anupindi S.A.,Children's Hospital of Philadelphia | Barbir S.B.,Institute for Children and Youth Health Care of Vojvodina | Lovrenski J.,Institute for Children and Youth Health Care of Vojvodina
Clinical Imaging | Year: 2013

Objective: The objective was to show potential value of ultrasound in detection and follow-up of gastric foreign bodies. Material and methods: Medical records of 18 children with gastric foreign bodies were evaluated retrospectively. Results: The following gastric foreign bodies were identified: eight coins, five button batteries, domino, lollipop stick, hairclip, screw nut, and small plastic cylinders. All were confirmed by ultrasound. The batteries, domino, and two coins were removed endoscopically, the screw nut was removed surgically, while the rest were recovered in the stool. Conclusions: Ultrasound examination of water-filled stomach can be useful in diagnostic workup of gastric foreign bodies in children, especially radiolucent ones. © 2013 Elsevier Inc.


Pecanac M.,Institute for Children and Youth Health Care of Vojvodina | Janjic Z.,Institute for Children and Youth Health Care of Vojvodina | Komarcevic A.,Institute for Children and Youth Health Care of Vojvodina | Pajic M.,Institute for Children and Youth Health Care of Vojvodina | And 2 more authors.
Medicinski pregled | Year: 2013

Discovery of fire at the dawn of prehistoric time brought not only the benefits to human beings offering the light and heat, but also misfortune due to burns; and that was the beginning of burns treatment. Egyptian doctors made medicines from plants, animal products and minerals, which they combined with magic and religious procedures. The earliest records described burns dressings with milk from mothers of male babies. Goddess Isis was called upon to help. Some remedies and procedures proved so successful that their application continued for centuries. The Edwin Smith papyrus (1500 BC) mentioned the treatment of burns with honey and grease. Ebers Papyrus (1500 BC) contains descriptions of application of mud, excrement, oil and plant extracts. They also used honey, Aloe and tannic acid to heal burns. Ancient Egyptians did not know about microorganisms but they knew that honey, moldy bread and copper salts could prevent infections from dirt in burns healing. Thyme, opium and belladona were used for pain relief. In the 4th century BC, Hippocrates recorded that Greek and Roman doctors used rendered pig fat, resin and bitumen to treat burns. Mixture of honey and bran, or lotion of wine and myrrh were used by Celsus. Honey was also known in Ayurveda (Indian medicine) time. Ayurvedic records Characa and Sushruta included honey in their dressing aids to purify sores and promote the healing. Burn treatment in Chinese medicine was traditional. It was a compilation of philosophy, knowledge and herbal medicine. The successful treatment of burns started in recent time and it has been made possible by better knowledge of the pathophysiology of thermal injuries and their consequences, medical technology advances and improved surgical techniques.


Djilas-Ivanovic D.,Oncology Institute of Vojvodina | Boban J.,Oncology Institute of Vojvodina | Katanic D.,Institute for Children and Youth Health Care of Vojvodina | Ivkovic-Kapicl T.,Oncology Institute of Vojvodina | Lucic M.A.,Oncology Institute of Vojvodina
Journal of Pediatric Endocrinology and Metabolism | Year: 2012

Bloody nipple discharge is an uncommon fi nding in the pediatric population, without clear diagnostic and therapeutic guidelines established. We noted a case of a 3-month-old male infant who presented with bilateral blood-stained nipple discharge, with unremarkable medical history. Sonographic fi ndings revealed bilaterally dilated ducts and cysts with mixed iso- and hypoechoic intraductal content. Possible causes of this condition include hyperlaxity syndrome with decreased function of elastic fi bers and fi brocystic changes in breasts, and unusual response to maternal hormones, transferred to the neonate either transplacentally or through breastfeeding. Given the most probable benign etiology and self-limiting nature of the described condition, a conservative approach is suggested. Unnecessary invasive procedures should be avoided. © 2012 by Walter de Gruyter.


Grebeldinger S.P.,Institute for Children and Youth Health Care of Vojvodina | Balj S.S.,University of Novi Sad | Adic O.,Oncology Institute of Vojvodina
Vascular | Year: 2011

Hypoplasia of the thoracic and abdominal aorta is an extremely rare vascular pathology. The most common clinical manifestation is severe uncontrolled hypertension in adolescents and young adults. Medical treatment alone can decrease blood pressure, but often very high doses of antihypertensive drugs are needed. When hypertension is refractory to the antihypertensive medications, surgical revascularization is considered as the treatment of choice. We report the case of a severe and diffuse hypoplasia of the aorta, beginning with the aortic isthmus, to the aortic bifurcation, associated with an aberrant celiac trunk and superior mesenteric artery, and with other multiple vascular abnormalities. Unlikely, the only manifestation of this extensive vascular malformation was medicamentously controllable hypertension. To our knowledge, this severe vascular anomaly, with such a minimal clinical manifestation, has not been previously described in the English literature. © 2011 Royal Society of Medicine Press. All rights reserved.


PubMed | Institute for Children and Youth Health Care of Vojvodina
Type: Case Reports | Journal: Clinical imaging | Year: 2012

Vascular rings are a rare group of congenital thoracic vascular anomalies which are characterized by abnormal vascular structures that completely or incompletely encircle the trachea, esophagus, or both. We report the case of a vascular ring formed around the trachea and esophagus by aberrant right subclavian artery and aberrant right common carotid artery, associated with persistent left superior vena cava, complete absence of azygos vein, and with multiple nonvascular abnormalities. Recurrent pulmonary infections were the only clinical manifestation of this complex vascular anomaly. Our report represents a so-far-undescribed anatomic variation of the vascular ring that clinicians should be aware of.


PubMed | Institute for Children and Youth Health Care of Vojvodina
Type: Evaluation Studies | Journal: Clinical imaging | Year: 2013

The objective was to show potential value of ultrasound in detection and follow-up of gastric foreign bodies.Medical records of 18 children with gastric foreign bodies were evaluated retrospectively.The following gastric foreign bodies were identified: eight coins, five button batteries, domino, lollipop stick, hairclip, screw nut, and small plastic cylinders. All were confirmed by ultrasound. The batteries, domino, and two coins were removed endoscopically, the screw nut was removed surgically, while the rest were recovered in the stool.Ultrasound examination of water-filled stomach can be useful in diagnostic workup of gastric foreign bodies in children, especially radiolucent ones.


PubMed | Institute for Children and Youth Health Care of Vojvodina
Type: Journal Article | Journal: Fetal and pediatric pathology | Year: 2012

Adrenal rests are usually unrecognized during operation, and the incidence of ectopic adrenal cortical tissue in pediatric patients during inguinal surgery procedures is unknown. We performed 3028 groin surgical explorations in 2680 patients aged 1 month to 17 years. Ectopic adrenal tissue was found in 69 inguinal operations (2.2%): 37 during 1.524 orchiopexy (2.4%), 23 during 1.115 herniectomy (2.0%), and 9 during 389 hydrocoela operation (2.3%). Statistically there were no significant differences among those three groups. No adrenal rests were detected in females. Although a few reported cases with hormonal activity of ectopic adrenocortical tissue (EACT), the recommendation is to remove them if found.

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