ABSTRACT
Since the introduction of liver transplantation [LTx] in children suffering from liver failure in 1963, many centres around the world have offered this service to children that have no other alternative. The aim of this retrospective study is to analyse the results of paediatric liver transplant in Kuwait over the last decade. A retrospective chart review was done involving paediatric patients during the time period of 1995-2004. The information collected included patient demographics, indications for liver transplantation, survival of both patient and allograft, and complications. A total of 16 cases were found and analysed. The mean age was 3.6 years [ranged 5 months-17 years]. There were nine boys and seven girls. The most common indications for LTx were biliary atresia and metabolic liver disease. All the liver transplants were done abroad. There were totally nine deceased donor and seven living related cases. The complications were acute cellular rejection in five, hypertension in two, biliary complications in four, cytomegalovirus [CMV] infection in three and post lymphoprolifer-ative disease in two cases. All but one patient are presently alive. The above information demonstrates that LTx in Kuwati children is safe and improves the quality of life for those that would otherwise have no other alternative
ABSTRACT
Foreign body ingestion is a very well recognized problem that confronts surgeons. Toothbrush ingestion is rare, with only a few cases reported. We report a case of accidental swallowing of a long toothbrush and review the available literature on the complication and management of toothbrush swallowing. A 15-year-old female presented to the emergency room in Al-Sabah hospital, Kuwait, complaining of having swallowed her toothbrush. In addition to routine biochemical investigations, abdominal and chest X-ray were done. Abdominal X-ray revealed a foreign body [toothbrush] in the stomach. Endoscopy was used successfully to remove the toothbrush with no complication. The case is reported because of its rare nature