ABSTRACT
BACKGROUND: Traumatic inguinal lesions in children are relatively unusual and those caused by impalement are less common. The purpose of this paper is to demonstrate the clinical course of two similar cases. CLINICAL CASES: A 13-year-old male and a 7-year-old female are presented in this report. During an accidental fall, they sustained an inguinal wound. In the emergency room, a wooden stake and a metallic bar were seen in the inguinal region. The surgical procedure shows absence of vascular, neurological, visceral and testicular damage. Both wounds caused by foreign bodies were subcutaneous and removed without complications. CONCLUSIONS: These types of accidents are uncommon and the absence of damage is the most relevant issue.
Subject(s)
Humans , Male , Female , Child , Adolescent , Foreign Bodies/surgery , Wounds, Penetrating/etiology , Groin/injuries , Accidental Falls , Construction Materials , Hip/injuries , Emergencies , Scrotum/injuries , Wounds, Penetrating/surgery , Household Articles , Groin/surgeryABSTRACT
Introducción. Las complicaciones abdominales de las derivaciones ventrículo-peritoneales por hidrocefalia aparecen de manera infrecuente. Han sido reportados pseudoquistes, peritonitis, ascitis, pseudo-tumores, volvulus, perforación vaginal, umbilical e intestinal. Sin embargo, la migración espontánea del catéter distal hacia la cavidad peritoneal y perforación subsecuente y asintomática del colon y expulsión completa por el recto es un evento muy raro. Caso clínico. Femenino de 4 años de edad con antecedentes de higroma subdural fronto-parietal bilateral, a la que se le efectuó derivación subaracnoideo-peritoneal con catéter de silastic, evolucionando desfavorablemente, presentando convulsiones tónico clónicas generalizadas; se le realizó radiografía simple de abdomen encontrando como hallazgo migración casi completa del catéter hacia la cavidad peritoneal. Conclusiones. Esta entidad es poco usual; la paciente se encuentra asintomática a seis meses de haber expulsado por vía rectal el tubo de derivación.
Introduction. Abdominal complications of peritoneal shunts for hydrocephalus occur infrequently. Pseudocysts, peritonitis, ascites, pseudotumors, volvulus, vaginal, umbilical and bowel perforation have been reported. However, spontaneous migration of the distal catheter into peritoneal cavity and subsequent asymptomatic perforation of the colon and total expulsion by rectum is a very uncommon event. Case report. We are presenting the second registered patient who developed this complication in the literature. Conclusions. This event is very uncommon.
ABSTRACT
La miofibromatosis es una enfermedad tumoral que afecta casi exclusivamente a lactantes y preescolares. Se caracteriza por múltiples lesiones nodulares compuestas de tejido colágeno y células fusiformes que afectan piel, huesos, tejidos blandos e incluso las vísceras; puede ser solitaria o multicéntrica. Presentamos la evolución clínica de un niño que a los dos años de edad fue llevado por primera vez a consulta por una masa cervical derecha de 4.5 x 6 cm, subcutánea, inmóvil e indolora. Fue intervenido quirúrgicamente en 13 ocasiones; en la última falleció. El caso corresponde al número once reportado con patrón familiar.
This rare entity is characterized by multiple nodular lesions largely composed of collagen-forming spindle cells and involving the subcutis, skeletal muscle, bone and viscera of newborns and infants that occurs in either a solitary or multicentric form. The clinical course of a case is presented. The patient is a 2-year-old male who was brought to our hospital because of a large cervical mass. On physical examination a firm, subcutaneous, immobile painless mass measuring 4.5x6 cm was palpated at right side of neck. After the first admission, 13 complete surgical resections were performed. This patient is the eleventh familial case in the literature. The patient died 10 years after the first surgery.