ABSTRACT
A case report of a perforated choledochal cyst with bile peritonitis occurring in a 13-month old girl is presented. The perfortion was identified on the right lateral aspect of the common bile duct. And T-tube drainage was instituted. Episodes of ascending cholangitis followed pooling of the stagnant bile in the biliary system. Reoperation was recommended but in vain.
Subject(s)
Female , Humans , Infant , Bile , Biliary Tract , Cholangitis , Choledochal Cyst , Common Bile Duct , Drainage , Peritonitis , ReoperationABSTRACT
The authors experienced a case of generalized bytomegalic inclusion diseas, characterized by numerous petechiae associated with anemia and hepatomegly, in the premature infant who was hypotonic and cyanosed, with respiratory difficulty and an Apgar score of 4 at 1 minute. The rapid deterioration of the case condition was followed by the death occurring nine hours after birth. The diagnosis was confirmed by the autopsy, and a brief review of the literature was made.
Subject(s)
Humans , Infant, Newborn , Anemia , Apgar Score , Autopsy , Cytomegalovirus Infections , Diagnosis , Infant, Premature , Parturition , PurpuraABSTRACT
One of the rarest anomalies of the urinary tract is crossed renal ectopia. In Crossed Renal Ectopia, the kidney may be fused or unfused. The fused type is more common. The Diagnosis is made by a combination of urologic and radiologic technics including intravenous pyelography, Cytoscopic examination, retrograde pyelography and retroperitoneal air insufflation. The treatment of renal ectopia without fusion is that of the complicating disease in a kindney normally placed. This paper presented one care of crossed renal ectopia with fusion in a 5 month old female patient who admitted with high fever, oliguria and a palpable abdominal mass. The literatures were reviewed briefly.
Subject(s)
Female , Humans , Infant , Diagnosis , Fever , Insufflation , Kidney , Oliguria , Urinary Tract , UrographyABSTRACT
A case of histiocytic medullary reticulosis in 14-years-old girl was presented, who had characteristic clinical and histiopathologic findings. The patient manifested intermitten fever, general weakness, weight loss, multiple skin lesion and pancytopenia with terminal massive bleeding. The clinical finding with fatal course and hematologic features were basically identical to those of previously documented histiocytic medullary reticulosis and verified with autopsy. On autopsy, systemic proliferation of the actively phagocytic atypical histiocytes was found. The authors report the case with review of pertinent literature.
Subject(s)
Female , Humans , Autopsy , Fever , Hemorrhage , Histiocytes , Pancytopenia , Skin , Weight LossABSTRACT
A case of congenital diaphragmatic hernia in a newborn was presented, who had characteristic clinical and X-ray findings. The case manifested dyspnea, cyanosis and shift of the heart and mediastinum to the right immediately after birth, which was throught to be congenital diaphragmatic hernia and verified by autopsy. On autopsy, a large left diaphragmatic defect resulting massive diaphragmatic hernia and ipsilateral pulmonary hypoplasia were found. The authors report the case with review of pertinent literature.
Subject(s)
Humans , Infant, Newborn , Autopsy , Cyanosis , Dyspnea , Heart , Hernia, Diaphragmatic , Lung , Mediastinum , ParturitionABSTRACT
A case of acute Gingko poisoning in a year and 7 months old boy was presented. The patient manifested vomiting and tonic convulsive seizure after 2 hours of Gingko ingestion and followed by sensory disturbance, miosis, positive Babinski sign, leukocytosis and increased CSF pressure. Patient recovered 3 days later with symptomatic treatment such as anticonvulsanr and parenteral fluid administration. The authors report the case with review of prtinent literature.