SYSTEMATIC REVIEW OF THE LITERATURE
A total of 1334 titles and abstracts were identified from searching the scientific 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