Jy. Mabrut et al., Abdominal expansion using a polytetrafluoroethylene prosthesis in the treatment of Pepper syndrome, PEDIAT SURG, 16(3), 2000, pp. 219-221
The authors report three cases of stage IV-S neuroblastoma in infants aged
4, 6, and 8 weeks, who despite chemo- and radiotherapy required surgical in
tervention to urgently relieve major thoracoabdominal compression secondary
to massive hepatomegaly. The results were successful, with abdominal expan
sion being achieved by the introduction of a polytetrafluoroethylene prosth
esis, which was removed during the 2nd, 3rd and 7th postoperative month, re
spectively, after tumor regression. Two children were in complete remission
32 and 38 months later, the 3rd died after 16 months of tumor progression.