Cocoon peritonitis secondary to perforated appendicitis

A young man was admitted due to gastrointestinal obstruction and was diagnosed as having cocoon peritonitis secondary to perforated appendicitis. He suffered from small intestine partial obstruction because of multiple adhesion bands whose obstructive symptoms completely resolved after single balloon enteroscopy. So balloon enteroscopy could be offered as a therapeutic option for partial small intestine obstruction

Acute poisoning in children

To find out the common causes of poisoning in infants and children. In a retrospective cross-sectional study we evaluated all infants and children who were hospitalized due to acute poisoning between 2001 to 2004 in two Ahwaz university hospitals. One hundred forty three cases were evaluated, 71% of poisonings occurred in the age range of 1-5 years. Causes were accidental ingestion [77.8%], given by others [16%] and suicide attempts [6.2%]. The most common ingested substances were petroleum products [16%]. Alkaline cleaners [12.6%], Opiates [11.9%], Tricyclic Antidepressants [8.4%] and Benzodiazepines [7.7%]. About 2.8% of cases were multi-drug poisoning. Opiates were the most common agents which accounted for poisoning in below 6 months old. Decreased level of consciousness [67.6%] and vomiting [50%] were the most common signs and symptoms. There was no mortality in this study. Petroleum products are stilt common source of poisoning but their frequency is decreasing. Parents should be educated about the harms of some herbal agents containing opiates and on safe storage of medicines and household products