A retrospective review was carried out to determine the incidence of various causes and outcome of management in patients with acute scrotum. Fifty children had a diagnosis of acute scrotum between 1st January 2007 and 15th May 2012. Age, mode of presentation, associated anomalies, and results of treatment were studied. Diagnosis of acute scrotum was confirmed by physical examination, Doppler ultrasound and biochemical investigations. Clinical presentation consisted of sudden swelling and pain in the inguinoscrotal region. The average age was 7.5 years (2 months-14 years). Causes of acute scrotum were orchitis/epididymo-orchitis (O /EO) in 22, strangulated inguinal hernia (SIH) in 16, testicular torsion (TT) in 11, and torsion of testicular appendage (TTA) in 1. Associated urological anomalies were found in 5 patients with O /EO. Medical treatment was applied to patients with O /EO, and surgical treatment was performed in patients with SIH, TT and TTA. In this series, O /EO was found to rank first as the cause of acute scrotum. Immediate surgical treatment in acute scrotum patients, except those with O /EO, is necessary. Associated urological anomalies should be investigated in patients with O /EO.

Objective: Congenital segmental intestinal dilatation (SID) and bronchogenic cyst in the abdomen are two uncommon and different pathologies. We report a bronchogenic cyst associated with segmental intestinal dilatation. Case: A 2-day-old 3300 g term infant developed bilious vomiting. A jejunoileal segment with a diameter of 10 cm was detected at surgery. Histologically, the wall musculature and enteric plexus of the segmentally enlarged small intestine stained normally for CD117 and negative for calretinin. A bronchogenic cyst of 3 cm in diameter was centered on the mesenteric border of the dilated intestine. Conclusion: SID has a normal staining pattern for CD117 (for interstitial cells of Cajal) and negative for calretinin. it would suggest that the innervation is defective, may be associated with a bronchogenic cyst in the newborn, causing obstruction, requiring surgery.

Introduction: This study aims to evaluate the accuracy and quality of responses generated by ChatGPT-4o to frequently asked questions (FAQs) posed by practicing physicians regarding the initial assessment of pediatric burn injuries, as assessed by pediatric burn specialists. Material and Methods: Thirty-four FAQs about pediatric burn care were posed to ChatGPT-4o twice, 2 weeks apart, in a blinded manner by 4 experienced pediatric surgeons who work at a national tertiary referral burn center. Questions were divided into 5 subgroups; initial assessment and triage, fluid resuscitation and hemodynamic management, wound care and infection prevention, pain management and sedation, special situations and follow-up. The reliability of ChatGPT-4o’s answers was evaluated utilizing the modified 5-point DISCERN tool (mDISCERN). The comprehensive quality of the answers was assessed using the Global Quality Score (GQS). Inter-rater reliability was measured using intraclass correlation coefficients (ICCs). Results: ChatGPT-4o demonstrated high-quality and reliable responses to questions. The median GQS was 4.75 (range: 3.50-5.00). The mDISCERN median score was 9.25 (range: 7.00-10.00), reflecting strong informational reliability. There was a very strong correlation between GQS and mDISCERN scores (r = 0.858, P < .001), indicating consistent alignment between content quality and reliability. Inter-rater reliability analysis showed excellent consistency for average scores (ICC = 0.87, P < .001), supporting the robustness of the reviewers’ assessments. Conclusions: ChatGPT-4o demonstrated itself to be a high-quality and reliable source of information for the initial evaluation of pediatric patients with burn injuries, providing substantial support for healthcare professionals in clinical decision-making.