Pyloric atresia: a case report

Pyloric atresia is an uncommun condition occuring in 1/100.000 live births. It can be isolated or associated with other congenital anomalies. Authors present a case of isolated pyloric atresia in a male neonate explored for non bilious vomiting. Diagnosis was done on plain abdominal x-ray which showed a distended stomach as a single gas-filled bubble with a gasless abdomen. Digestive opacification showed distended stomach. The surgical treatement consisted on the excision of the web in combination with pyloroplasty. Pyloric atresia is establish on plain radiograph and must alert the surgeon of the severity of this condition

[Pathogen complete ureteric duplication in children. A 20 cases report]

Duplex System is a relatively rare malformative uropathy. It represents 0.2% of general population, with 15 to 25% of pathogen forms. A retrospective study of 20 cases, reported in 12 years is presented. Patient's age at diagnosis varied between 10 days and 10 years [mean age: 47.5 months]. Feminine predominance was noted, with a sex-ratio of 0.42. Clinical features were dominated by urinary infection [65% of cases]. Antenatal diagnosis represented 25% of cases. Diagnosis was confirmed by ultrasound, intravenous urography, cystography and cystoscopy. We noted a vesico-ureteral ref lux in the lower pole in 15 cases, 9 ureteroceles and two ectopic ureteral implantation. Conservative treatment was endoscopic in 5 cases of vesico-ureteral reflux and surgical [reimplantation +/- ureterocele excision] in 10 patients. An upper pole nephrectomy was done in 8 cases and a lower pole nephrectomy in 1 case. Outcome was uneventful in all cases. Ureteric duplication is complex with prognosis depending essentially on early diagnosis and the degree of renal parenchyma damage