Post-traumatic diaphragmatic rupture is defined as the passage of a portion of the abdominal viscera into the thorax through the diaphragmatic tissue following trauma. It is rare in children and most often fits in a context of polytrauma. We report a case of fracture of the left diaphragmatic cupola associated with stage II spleen fracture following thoracoabdominal trauma by the fall of a cart in a boy of 07 years without any particular pathological antecedents. The surgical management of the patient consisted of a suture of the diaphragmatic cupola with the mersuture and a monitoring of the splenic rupture. The postoperative course was simple.

Introduction: Varicocele is a dilatation of the venous pampiniform plexus considered the leading cause of correctible male infertility. It affects 15% of the adolescent population. Over 90% of cases are located on the left hemiscrotum. The treatment is surgical and several methods have been described which main goal is to improve the potential for future fertility. Varicocele etiology remains controversial and there have been several studies that reports varicoceles are found less frequently in obese adolescents but yet, relationship between varicocele and BMI is controversial.

Matherial and Methods: We analyzed patients with varicocele surgical correction in our centre in the last 10 years. At our institution all patients were treated by Palomo technique open or laparoscopic. We analyzed: age, location and degree of varicocele, weight and height, surgical technique, appearance of reactive hydrocele or others complications, varicocele recurrence and reoperation. Our objective is studying the relationship between IMC and varicocele in adolescent boys.

Conclusion: We observed varicocele in our serie was found more frequently in taller patients and less frequently in obese patients (higher BMI). Future studies will be needed to confirm that theory and to understand varicocele etiology but we consider that this fact is very useful because we are talking about a pathology with repercussion in fertility so we must be alert about it in adolescent population to correct it.

One day preterm female neonate was presented with excessive drooling of saliva and non passage of meconium since birth to the Department of Pediatric with antenatal history of polyhydramnios detected at 28 weeks followed by fetal distress at 32 weeks which leads to preterm delivery. An X-ray of the chest and abdomen with a nasogastric tube showed coiling of nasogastric tube in the upper oesophageal pouch in the upper chest and a gasless abdomen confirming the diagnosis of pure oesophageal atresia; child had absent anal opening with rectovaginal fistula which was confirmed by passing small feeding tube in the fistula. Oesophagostomy and feeding gastrostomy were done at first surgery. On 2nd postoperative day child developed intolerance and blockage to feed after first few feeds. Contrast dye study done through feeding gastrostomy showed duodenal atresia which was missed during first surgery due to small, collapsed stomach and duodenum due to no gas in the abdomen due to pure oesophageal atresia. Second surgery duodenoduodenostomy was done on 3rd postoperative day of first surgery, but child succumbed postoperatively due to septic shock and prematurity.

Lumbar Disk Herniation (LDH) is one of the most common disorders among adults with degenerated lumbar intervertebral discs [1]. However, its occurrence in childhood and adolescence is less frequent mostly because children and adolescents tend to have a healthier lumbar spine as compared with adults [2]. The main factors associated with LDH in children are trauma with subsequent axial load or a sport-related injury in some findings [2-4]. According to previous publications, pediatric patients constituted 0.5% to 6.8% of all patients hospitalized for LDH [1]. Hence the structural malformations in the lumbar spine could predispose intervertebral disks to early degeneration; it is usually recommended to be fused surgically [2,4].

The aim of the present review is to provide the latest clinical information and findings of pediatric LDH. Since the disease is rare among pediatric population this article would be helpful to overcome the typical delay in diagnosis compared with the adult LDH.

A ten-year-old boy was referred to the Clinic for further treatment after frequent bronchopneumonia in the last 4 years. Each time on the X-ray, basal right, the shadow on the lungs was verified. After antibiotic therapy, the control X-ray always showed incomplete regression of the shadow. The boy was born with esophageal atresia with tracheoesophageal fistula and was successfully operated on the eighth day of life.