A seven-day old male infant (weight 3.5 kg) presented with abdominal distension and a mass in the abdomen since birth. There was no history of exposure to any drugs or radiation to the mother in the antenatal period. All the laboratory investigations including beta-human chorionic gonadotropin (hCG) and alpha-fetoprotein (AFP) were normal. X-ray abdomen showed a mass effect in the abdomen with calcifications in the left hypochondrium (Fig.1A).

Isolated female epispadias without bladder exstrophy is a rare congenital anomaly affecting 1 in 484,000 females. The presenting features of female epispadias are urinary incontinence and abnormal anatomical features. A 6-year-old girl presented with primary urinary incontinence who on physical examination had a bifid clitoris and labia minora. The vagina and hymen were normal. Voiding cystourethrogram showed no reflux and a funnel shaped proximal urethra. With the diagnosis of isolated female epispadias, one-stage reconstruction of the urethra, bladder neck, labia minora and clitoris was performed.

Background: necrotizing enterocolitis is a serious condition that affects mostly preterm infants, with high mortality rate. Aim: to estimate the influence of potentially contributing factors of this multifactorial disease. Methods: the study group included 51 necrotizing enterocolitis infants who were less than 37 week gestation who were hospitalized in NICU during a five year period. The control group consisted of 71 patients with approximately the same gestational age and birth weight. Average gestational age in the study group was 30.2 weeks (SD 3.7), average birth weight 1502g (SD 781.5). Average postnatal age in the time of the presenting NEC was 18.2 days (SD 12.8). Results: Logistic regression estimates the influence of risk factors, which in our study related to the treatment of preterm infants on the likelihood of NEC development. Our regression model consisted of seven independent variables (nosocomial infections, mechanical ventilation, nasal continuous positive pressure, morphine, inotropes, blood transfusions, and H2 blockers), which were shown to have a statistically significant impact, X2 (7, n=1222) = 49.522, p<0.0001; two independent variables (nosocomial infection and H2 blockers use) were statistically significant. Preterm infants with nosocomial infection had a three times greater chance of developing NEC, and infants who received H2 blockers had a 1.5 higher risk. Conclusions: Underlying pathology of very low birth weight infants and their treatment in NICU contribute to NEC development. Identifying risk factors can be crucial for the early diagnosis and outcome of disease. Awareness of risk factors should influence changes in practice to reduce the risk of NEC.

ABSTRACT Goal: The goal of this study was to determine relationship between the sensitivity and specificity of testicular volume (TV) and testicular atrophy index (TAI) in the indirect assessment of functional ability of cryptorchid testicles. Material and Methods: The study included sixty children with unilateral cryptorchidism who were treated surgically at the Clinic of Pediatric Surgery, Clinical Center University of Sarajevo. We evaluated the correlation of the size of cryptorchid testicles with its locations in various age groups. Results: The results showed a significant decrease in TV and TAI in the all cryptorchid groups after the sixth month of age compared with the same parameters in control group (p<0.001). It is also determined a strong correlation between the TV and TAI of cryptorchid testicles with its locations in various age groups. Conclusion: Our results showed that the average volume of cryptorchid testicles decreased after the sixth month as well as that the reduction of testicular size correlated with increasing distance of cryptorchid testicles from the scrotum.

Abstract. We report a case of grade IV blunt renalinjury in an hemodynamically unstable 12-year-old boy successfully treated byprimary open surgery. Adequate surgical treatment in strictly defined cases ofblunt renal injuries provide the long-term preservation of injured kidneywithout significant complications. Key words: Severity blunt renal injury, children, hematuria, management