SYSTEMATIC REVIEW OF THE LITERATURE
A total of 1334 titles and abstracts were identified from searching the
scientiļ¬c databases (Figure 2). After the removal of duplicates, a total
of 313 full-text journal articles were retrieved. Of these, 71 contained
adequate data on ECT in children and were therefore included in the
final review.4-8, 10-13, 15-76 These included both
case series and case reports. A total of 192 (unilateral and bilateral)
cases of ECT reported in children were identified. 42 cases (4
studies2, 9, 14, 77) were excluded because of
insufficient data resulting in 150 cases (7 bilateral) in a total of 143
patients (Figure 3). We classified cases according the surgical
management and pathology as: ECT identified at autopsy, conservatively
managed solid and cystic ECT, surgically excised solid ECT and
surgically excised cystic ECT. Some manuscripts reported more than one
type of ECT.12, 18, 34, 51, 68