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Paediatric surgery.Ukraine͘ϮϬϮϬ͘ϮΈϲϳΉ͗ϳϯͳϳϳ͖ K/ ϭϬ͘ϭϱϱϳϰͬW^͘ϮϬϮϬ͘ϲϳ͘ϳϯ For ĐŝƚĂƟŽŶ͗ ĂďƵĐŝ ^͕ ƌĞŵŝĂ s͕ WĞƚƌŽ|ŝĐŝ s͘ ;ϮϬϮϬͿ͘ ůŝŶŝĐĂůͲĞ|ŽůƵƟ|Ğ͕ ĚŝĂŐŶŽƐƟĐ ĂŶĚ ƚƌĞĂƚŵĞŶƚĂů ƉĂƌƟĐƵůĂƌŝƟĞƐ ŝŶ ƚƌĂƵŵĂƟĐ ĚŝĂƉŚƌĂŐŵĂƟĐ ŚĞƌŶŝĂ ŝŶ ĐŚŝůĚƌĞŶ͘ ůŝŶŝĐĂů ĐĂƐĞ ƉƌĞƐĞŶƚĂƟŽŶ ĂŶĚ ůŝƚĞƌĂƚƵƌĞ ƌĞ|ŝĞǁ͘ WĂĞĚŝĂƚƌŝĐ ^ƵƌŐĞƌLJ͘hŬƌĂŝŶĞ͘ Ϯ;ϲϳͿ͗ ϳϯͲϳϳ͘ ĚŽŝ ϭϬ͘ϭϱϱϳϰͬW^͘ϮϬϮϬ͘ϲϳ͘ϳϯDiaphragmatic-traumatic hernia represents an entity in the child. Frequency reduced, delayed clinical manifestations, nonspecific symptomatology determines multiple diagnostic difficulties, which increases the risk of developing severe complications.The authors present the case of a 4-year-old child with late manifestations of traumatic diaphragmatic hernia. The certainty diagnosis was established at thoracic CT with dynamic contrast in angiographic regime. The child underwent surgical treatment.The authors concluding that the primary repair with the application of nonabsorbable sutures and the concomitant use of the acellular pericardial mold for consolidation is an effective option in the surgical reconstruction of traumatic diaphragmatic defects in children.The authors declare no conflicts of interests.

Спонтанний розрив гемідіафрагми у випадках вродженої діафрагмальної евентрації зустрічається вкрай рідко, у літературі повідомляють про унікальні випадки.In this context, the authors present the case of an 8-year-old child who was hospitalized in the coloproctology service for abdominal pain, lack of stool for more than 7 days, pronounced abdominal distension. The child suffers from Down's disease. In 2017, he was occasionally diagnosed with right diaphragmatic eventration and underwent surgical correction by thoracic approach. After a thorough evaluation, with signs suggestive of diaphragmatic hernia on the right, the child underwent surgery, intraoperatively the rupture of the right hemidiaphragm was found with intrathoracic ascension of the malrotated intestinal loops, transverse colon and omentum. The repair of the diaphragmatic eventration complicated by rupture was used using the “overcoat” folding procedure, on the suture line being carefully applied a collagen foil covered with components of the fibrin adhesive. The postoperative period passed without complications.Conclusion. Spontaneous rupture of the diaphragm is a rare complication in children with diaphragmatic eventration, especially on the right side, in this case obstruction of the malformative colon ascended intrathoracically with progressive dilation of the intestinal loops being responsible for distension with gradual thinning of the hemidiaphragm sac resulting malformation in diaphragmatic rupture with herniation and progressive obliteration of the pleural space. The case of rupture of the diaphragmatic eventration associated with megadolicocolon confirms that the respiratory symptoms characteristic of this clinical situation may be overshadowed by the predominance of signs of intestinal obstruction, without leading to sudden progressive clinical deterioration, which proved to be a misleading moment in diagnosis. certainty of this serious complication rarity.

The authors present a clinical case that aims to elucidate the diagnostic tactics and the efficiency of the chystostomy procedure performed in children with complicated endobronchial lung hydatid cyst and the potential serious postoperative complications that may occur in the case of this non-capitonary residual cavity technique after pulmonary echinococectomy.Faced with the clinical, surgical and morphopathological investigations of the endobronchus ruptured lung hydatid cyst, the authors conclude that the spectra of morphological pathogenesis present in these cases are responsible for the development of persistent aerostatic disorder, resulting in a long-term postoperative morbidity, which confirms the need to optimize the methods of surgical correction of postechinococectomial residual cavities.