Associating urinary tract anomalies in ano-rectal malformations

Detailed study of the urinary tract had been done in our last twenty consecutive children born with anorectal malformations [A.R.M.] of both sexes. Associated urologic anomalies other than those anomalies which are part of the syndrome [e.g. rectourinary fistula] were found in sixteen out of the twenty children. This high incidence of associated urinary tract anomalies in patients with A.R.M. reflects the importance of a thorough urologic study irrespective of the sex or the type of the anorectal anomaly

Evaluation of computed tomography and hormonal profile in empty sella syndrome

Hormonal assay was done in 20 patients diagnosed as having empty sella syndrome using CT scan. 10 patients had the galactorrhea amenorrhea syndrome. There was significant increase in prolactin level and non significant decrease in gonadotrophic hormones. Both thyroid and adrenal hormones were normal. The role of CT scan as an important tool for diagnosis was reassessed and evaluated

Surgical reconstruction in benign strictures of bile duct

Reconstructive biliary surgery is mandatory in obstructive jaundice due to benign causes. Twenty five patients operated upon due to stricture in the common bile duct and/or common hepatic duct after cholycystectomy operation during the period from 1982-1988. Operations performed were choledchoduodenostomy for stricture of the common bile duct and hepaticojejunostomy using a Roux-en- Y loop of the jejunum for stricture of the common hepatic duct. The results were good with minimal complications and one mortality. In severely ill patients, percutaneous transhepatic biliary drainage improved the condition preoperatively