Images in Paediatrics
Esophageal atresia and airway malformations: beyond tracheoesophageal fistula. Atresia de esófago y malformaciones de la vía aérea: más allá de la fístula traqueoesofágica
Julio César Moreno-Alfonsoa,d,
, Alejandro Peñarrieta-Daherb, Mario Peñac, Cristian Zalles-Vidalb
Corresponding author
a Cirugía Pediátrica, Hospital Universitario de Navarra, Pamplona, Spain
b Cirugía Neonatal, Hospital Infantil de México Federico Gómez, Ciudad de México, México
c Cirugía de Tórax y Endoscopia Pediátrica, Hospital Infantil de México Federico Gómez, Ciudad de México, México
d Universidad Pública de Navarra, Pamplona, Spain
Read
1731
Timeswas read the article
619
Total PDF
1112
Total HTML
Share statistics
array:24 [ "pii" => "S2341287923001588" "issn" => "23412879" "doi" => "10.1016/j.anpede.2023.02.024" "estado" => "S300" "fechaPublicacion" => "2023-08-01" "aid" => "3412" "copyright" => "Asociación Española de Pediatría" "copyrightAnyo" => "2023" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "An Pediatr (Barc). 2023;99:143-4" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "Traduccion" => array:1 [ "es" => array:19 [ "pii" => "S1695403323000395" "issn" => "16954033" "doi" => "10.1016/j.anpedi.2023.02.003" "estado" => "S300" "fechaPublicacion" => "2023-08-01" "aid" => "3412" "copyright" => "Asociación Española de Pediatría" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "An Pediatr (Barc). 2023;99:143-4" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "es" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Imágenes en pediatría</span>" "titulo" => "Atresia de esófago y malformaciones de la vía aérea: más allá de la fístula traqueoesofágica" "tienePdf" => "es" "tieneTextoCompleto" => "es" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "143" "paginaFinal" => "144" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Esophageal atresia and airway malformations: Beyond tracheoesophageal fistula" ] ] "contieneTextoCompleto" => array:1 [ "es" => true ] "contienePdf" => array:1 [ "es" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figura 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1044 "Ancho" => 1005 "Tamanyo" => 156363 ] ] "descripcion" => array:1 [ "es" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Sonda orogástrica en el bolsón esofágico superior a nivel de T2 (flecha). Obsérvese la ausencia de gas en el estómago.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Julio César Moreno-Alfonso, Alejandro Peñarrieta-Daher, Mario Peña, Cristian Zalles-Vidal" "autores" => array:4 [ 0 => array:2 [ "nombre" => "Julio César" "apellidos" => "Moreno-Alfonso" ] 1 => array:2 [ "nombre" => "Alejandro" "apellidos" => "Peñarrieta-Daher" ] 2 => array:2 [ "nombre" => "Mario" "apellidos" => "Peña" ] 3 => array:2 [ "nombre" => "Cristian" "apellidos" => "Zalles-Vidal" ] ] ] ] ] "idiomaDefecto" => "es" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S2341287923001588" "doi" => "10.1016/j.anpede.2023.02.024" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2341287923001588?idApp=UINPBA00005H" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1695403323000395?idApp=UINPBA00005H" "url" => "/16954033/0000009900000002/v2_202403140519/S1695403323000395/v2_202403140519/es/main.assets" ] ] "itemSiguiente" => array:19 [ "pii" => "S2341287923001564" "issn" => "23412879" "doi" => "10.1016/j.anpede.2023.02.023" "estado" => "S300" "fechaPublicacion" => "2023-08-01" "aid" => "3414" "copyright" => "Asociación Española de Pediatría" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "An Pediatr (Barc). 2023;99:145" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "en" => array:10 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Images in Paediatrics</span>" "titulo" => "Palatal tremor in a teenager" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "145" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Temblor del paladar en un adolescente" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Marta Rodríguez-Díaz, Mónica Hernando Cuñado, Elena María Rincón-López" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Marta" "apellidos" => "Rodríguez-Díaz" ] 1 => array:2 [ "nombre" => "Mónica" "apellidos" => "Hernando Cuñado" ] 2 => array:2 [ "nombre" => "Elena María" "apellidos" => "Rincón-López" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S1695403323000413" "doi" => "10.1016/j.anpedi.2023.02.005" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1695403323000413?idApp=UINPBA00005H" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2341287923001564?idApp=UINPBA00005H" "url" => "/23412879/0000009900000002/v2_202403140552/S2341287923001564/v2_202403140552/en/main.assets" ] "itemAnterior" => array:19 [ "pii" => "S2341287923001552" "issn" => "23412879" "doi" => "10.1016/j.anpede.2023.07.001" "estado" => "S300" "fechaPublicacion" => "2023-08-01" "aid" => "3416" "copyright" => "Asociación Española de Pediatría" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "An Pediatr (Barc). 2023;99:141-2" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Images in Paediatrics</span>" "titulo" => "Easily constructed and low-cost ultrasound-guided pericardiocentesis simulation model" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "141" "paginaFinal" => "142" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Modelo fácilmente reproducible para simular pericardiocentesis ecoguiada" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:8 [ "identificador" => "fig0010" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 672 "Ancho" => 1340 "Tamanyo" => 163440 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0230" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Construction of the ultrasound-guided pericardiocentesis model using tofu. (a) Model materials. (b) Paediatric size thoracic skeleton (20<span class="elsevierStyleHsp" style=""></span>cm long) from the <span class="elsevierStyleItalic">El cuerpo humano</span> collection, linear ultrasound probe and pericardiocentesis needle.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Daniel Palanca Arias, Marcos Clavero Adell, Ariadna Ayerza Casas, Victoria Estabén Boldova" "autores" => array:4 [ 0 => array:2 [ "nombre" => "Daniel" "apellidos" => "Palanca Arias" ] 1 => array:2 [ "nombre" => "Marcos" "apellidos" => "Clavero Adell" ] 2 => array:2 [ "nombre" => "Ariadna" "apellidos" => "Ayerza Casas" ] 3 => array:2 [ "nombre" => "Victoria" "apellidos" => "Estabén Boldova" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S1695403323000437" "doi" => "10.1016/j.anpedi.2023.02.007" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1695403323000437?idApp=UINPBA00005H" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2341287923001552?idApp=UINPBA00005H" "url" => "/23412879/0000009900000002/v2_202403140552/S2341287923001552/v2_202403140552/en/main.assets" ] "en" => array:16 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Images in Paediatrics</span>" "titulo" => "Esophageal atresia and airway malformations: beyond tracheoesophageal fistula. Atresia de esófago y malformaciones de la vía aérea: más allá de la fístula traqueoesofágica" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "143" "paginaFinal" => "144" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Julio César Moreno-Alfonso, Alejandro Peñarrieta-Daher, Mario Peña, Cristian Zalles-Vidal" "autores" => array:4 [ 0 => array:4 [ "nombre" => "Julio César" "apellidos" => "Moreno-Alfonso" "email" => array:1 [ 0 => "juliomoreno.md@gmail.com" ] "referencia" => array:3 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">d</span>" "identificador" => "aff0020" ] 2 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "Alejandro" "apellidos" => "Peñarrieta-Daher" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 2 => array:3 [ "nombre" => "Mario" "apellidos" => "Peña" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff0015" ] ] ] 3 => array:3 [ "nombre" => "Cristian" "apellidos" => "Zalles-Vidal" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] ] "afiliaciones" => array:4 [ 0 => array:3 [ "entidad" => "Cirugía Pediátrica, Hospital Universitario de Navarra, Pamplona, Spain" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Cirugía Neonatal, Hospital Infantil de México Federico Gómez, Ciudad de México, México" "etiqueta" => "b" "identificador" => "aff0010" ] 2 => array:3 [ "entidad" => "Cirugía de Tórax y Endoscopia Pediátrica, Hospital Infantil de México Federico Gómez, Ciudad de México, México" "etiqueta" => "c" "identificador" => "aff0015" ] 3 => array:3 [ "entidad" => "Universidad Pública de Navarra, Pamplona, Spain" "etiqueta" => "d" "identificador" => "aff0020" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:8 [ "identificador" => "fig0010" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 758 "Ancho" => 1340 "Tamanyo" => 119779 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0145" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">(A) Bronchoscopy images showing a subtle mucosal fold in the middle third and posterior wall of the trachea concealing a diverticulum measuring at least 1<span class="elsevierStyleHsp" style=""></span>cm in diameter (arrowhead) and image showing tracheal trifurcation with an ectopic opening in the right lateral wall of the trachea (arrow). (B) The injection of contrast material evinced a tracheal bronchus that ended in the right upper lobe (arrow), ruling out tracheo-oesophageal fistula.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">We present the case of a female term newborn aged 2 days with a history of severe polyhydramnios referred for management of oesophageal atresia (OA) (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>). Once additional malformations had been ruled out, a bronchoscopic examination was performed, revealing a diverticulum in the posterior wall of the trachea and a third opening next to the carina (<a class="elsevierStyleCrossRef" href="#fig0010">Fig. 2</a>A). Given the absence of air in the abdomen suggesting the presence of tracheo-oesophageal fistula (TOF), water-soluble contrast material was injected through the opening, leading to identification of a tracheal bronchus associated with OA type I (<a class="elsevierStyleCrossRef" href="#fig0010">Fig. 2</a>B; Appendix B video), followed by gastrostomy. The patient is currently awaiting oesophageal anastomosis, and has remained free of respiratory symptoms.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">The incidence of OA is of 1 case per 4000 live births, and in 37% of cases OA is associated with intrathoracic malformations. In the respiratory tract, TOF is the most frequent anomaly (84%–90%), but OA may also be associated with lobar agenesis or pulmonary aplasia, among others.<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> To date, few cases of tracheal bronchus in the context of OA have been reported in the literature (≈4%), and, to our knowledge, none associated with tracheal diverticulum.<a class="elsevierStyleCrossRefs" href="#bib0005"><span class="elsevierStyleSup">1,2</span></a> Tracheal bronchus can be confused with TOF in the bronchoscopic examination, so it is important to assess the severity of polyhydramnios and the presence of air in the abdominal cavity.<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">3</span></a> Contrast-enhanced imaging may be useful in such cases. The usefulness of preoperative 3D computed tomography reconstruction has also been studied in these patients, as this technique could allow the identification of undetected malformations, but has not been found to have a significant impact in surgical planning while exposing the patient to high doses of ionising radiation (mean, 1.79 mSv).<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">4</span></a></p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2023-01-05" "fechaAceptado" => "2023-02-11" "apendice" => array:1 [ 0 => array:1 [ "seccion" => array:1 [ 0 => array:4 [ "apendice" => "<p id="par0025" class="elsevierStylePara elsevierViewall">The following is Supplementary data to this article:<elsevierMultimedia ident="upi0005"></elsevierMultimedia></p>" "etiqueta" => "Appendix A" "titulo" => "Supplementary data" "identificador" => "sec0010" ] ] ] ] "multimedia" => array:3 [ 0 => array:8 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1044 "Ancho" => 1005 "Tamanyo" => 156363 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0140" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Orogastric tube in the oesophageal diverticulum at the level of T2 (arrow). Notice the absence of air in the abdominal cavity.</p>" ] ] 1 => array:8 [ "identificador" => "fig0010" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 758 "Ancho" => 1340 "Tamanyo" => 119779 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0145" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">(A) Bronchoscopy images showing a subtle mucosal fold in the middle third and posterior wall of the trachea concealing a diverticulum measuring at least 1<span class="elsevierStyleHsp" style=""></span>cm in diameter (arrowhead) and image showing tracheal trifurcation with an ectopic opening in the right lateral wall of the trachea (arrow). (B) The injection of contrast material evinced a tracheal bronchus that ended in the right upper lobe (arrow), ruling out tracheo-oesophageal fistula.</p>" ] ] 2 => array:5 [ "identificador" => "upi0005" "tipo" => "MULTIMEDIAECOMPONENTE" "mostrarFloat" => false "mostrarDisplay" => true "Ecomponente" => array:3 [ "fichero" => "mmc1.mp4" "ficheroTamanyo" => 9584330 "Video" => array:2 [ "mp4" => array:5 [ "fichero" => "mmc1.m4v" "poster" => "mmc1.jpg" "tiempo" => 0 "alto" => 0 "ancho" => 0 ] "flv" => array:5 [ "fichero" => "mmc1.flv" "poster" => "mmc1.jpg" "tiempo" => 0 "alto" => 0 "ancho" => 0 ] ] ] ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:4 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Bronchopulmonary and vascular anomalies are frequent in children with oesophageal atresia" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "S. Lejeune" 1 => "A. Le Mee" 2 => "L. Petyt" 3 => "A. Hutt" 4 => "R. Sfeyr" 5 => "L. Michaud" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1111/apa.15086" "Revista" => array:6 [ "tituloSerie" => "Acta Paediatr." "fecha" => "2020" "volumen" => "109" "paginaInicial" => "1221" "paginaFinal" => "1228" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/31710383" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0010" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Bronchoscopy in newborns with esophageal atresia" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "A. Pigna" 1 => "A. Gentili" 2 => "V. Landuzzi" 3 => "M. Lima" 4 => "S. Baroncini" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Pediatr Med Chir." "fecha" => "2002" "volumen" => "24" "paginaInicial" => "297" "paginaFinal" => "301" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12197089" "web" => "Medline" ] ] ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib0015" "etiqueta" => "3" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Tracheal bronchus diagnosed in children undergoing flexible bronchoscopy" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "E. Pérez" 1 => "P. Caro" 2 => "A.I. Valdivielso" 3 => "S. Sanchís" 4 => "Y. Martínez" 5 => "J. Pérez" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.prrv.2018.03.009" "Revista" => array:6 [ "tituloSerie" => "Paediatr Respir Rev." "fecha" => "2018" "volumen" => "28" "paginaInicial" => "26" "paginaFinal" => "30" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/29914745" "web" => "Medline" ] ] ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bib0020" "etiqueta" => "4" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Role of preoperative 3D CT reconstruction for evaluation of patients with esophageal atresia and tracheoesophageal fistula" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "S.K. Mahalik" 1 => "K.S. Sodhi" 2 => "K.L. Narasimhan" 3 => "K.L.N. Rao" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1007/s00383-012-3111-9" "Revista" => array:6 [ "tituloSerie" => "Pediatr Surg Int." "fecha" => "2012" "volumen" => "28" "paginaInicial" => "961" "paginaFinal" => "966" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/22722826" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] "agradecimientos" => array:1 [ 0 => array:4 [ "identificador" => "xack734034" "titulo" => "Acknowledgments" "texto" => "<p id="par0015" class="elsevierStylePara elsevierViewall">We thank Katherine Bautista (MD), María Lourdes Meléndez (MD), Miguel Astudillo (MD) and Alex Vásquez (MD) for their collaboration in image acquisition and the surgical management of the patient.</p>" "vista" => "all" ] ] ] "idiomaDefecto" => "en" "url" => "/23412879/0000009900000002/v2_202403140552/S2341287923001588/v2_202403140552/en/main.assets" "Apartado" => array:4 [ "identificador" => "77701" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Images in Paediatrics" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/23412879/0000009900000002/v2_202403140552/S2341287923001588/v2_202403140552/en/main.pdf?idApp=UINPBA00005H&text.app=https://analesdepediatria.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2341287923001588?idApp=UINPBA00005H" ]
| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 October | 34 | 22 | 56 |
| 2024 September | 51 | 35 | 86 |
| 2024 August | 63 | 69 | 132 |
| 2024 July | 57 | 33 | 90 |
| 2024 June | 66 | 34 | 100 |
| 2024 May | 67 | 43 | 110 |
| 2024 April | 44 | 42 | 86 |
| 2024 March | 55 | 25 | 80 |
| 2024 February | 75 | 44 | 119 |
| 2024 January | 75 | 31 | 106 |
| 2023 December | 71 | 19 | 90 |
| 2023 November | 103 | 61 | 164 |
| 2023 October | 84 | 35 | 119 |
| 2023 September | 71 | 46 | 117 |
| 2023 August | 158 | 52 | 210 |
| 2023 July | 38 | 28 | 66 |
Show all
