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Öğe Congenital Spigelian hernia associated with undescended testis(Zhejiang Univ Sch Medicine, 2012) Inan, Mustafa; Basaran, Umit Nusret; Aksu, Burhan; Dortdogan, Zafer; Dereli, MuratBackground: A Spigelian hernia (SH) is a ventral interstitial hernia through, a defect in the Spigelian fascia; an undescended testis is sometimes associated with this clinical entity in male newborns. The etiopathogenesis, surgical anatomy, diagnostic methods, and treatment for this rare condition are discussed with a review of the literature. Methods: A 20-day-old newborn was admitted to our hospital for a swelling in the right lower abdomen and undescended testis. Physical examination of the abdomen and scrotum revealed a congenital SH associated with cryptorchidism. Results: Herniotomy, herniorrhaphy, and orchidopexy were performed. In the post-operative period, scrotal abscess occurred and was drained. After drainage, the fixed testis was found to be atrophic. Conclusions: This association may be a distinct clinical syndrome. The operation time in cases of neonatal SH with undescended testis should be well planned because of probable surgical complications such as vascular damage, tension, or compression. World J Pediatr 2012;8(2):185-187Öğe Esophageal duplication associated with esophageal atresia and tracheoesophageal fistula in a child(Elsevier Ireland Ltd, 2007) Inan, Mustafa; Basaran, Umit N.; Aksu, Burhan; Dereli, Murat; Dortdogan, ZaferEsophageal atresia with tracheoesophageal fistula is an uncommon congenital anomaly. Duplication of the gastrointestinal system is even more infrequent. We describe an unusual case of these two conditions occurring in the same children, although distal esophageal duplication was not recognized initially after repair of the esophageal atresia and tracheoesophageal fistula. (C) 2007 Elsevier Ireland Ltd. All rights reserved.Öğe A life-threatening problem occurring in the canalis inguinalis in children(Ekin Tibbi Yayincilik Ltd Sti-Ekin Medical Publ, 2007) Nan, Mustafa; Basaran, Uemit Nusret; Aksu, Burhan; Dereli, Murat; Dortdogan, ZaferObjectives: Inguinal hernia is the most common surgical disorder in childhood and is associated with 5-18 % incarceration risk. The clinical features of incarcerated inguinal hernia in infants and children were assessed. Patients and Methods: The medical records of 33 pediatric cases (30 males, 3 females; mean age 2 years; range 20 days-6 years) treated and followed up in our hospital for incarcerated inguinal hernia in the period of January 1994 and June 2006 were retrospectivelye evaluated. Results: The most frequent symptoms were inguinal lump (n=33), vomiting (n=19) and crepitation of the scrotum (n=10). Manual reduction of hernia was successful in 26 cases and 7 of them underwent emergency hernia repair. Small bowel was the most frequent incarcerated organ (n=22). Testicular ischemia developed in 3-patients, partial small bowel ischemia in 2, and colon ischemia in one patient. Two patients (6%) died due to incarcerated inguinal hernia. Conclusion: We think that in our region, cases of incarcerated inguinal hernia are admitted to the hospital with delay. The children with inguinal hernia should be operated as soon as possible. Life-threatening complications of incarcerated inguinal hernia may thus be prevented.