Résumé
Congenital hypoparathyroidism, growth retardation and dysmorphism is a rare autosomal recessive syndrome among Arab population commonly known as Sanjad-Sakati syndrome(SSS).Several metabolic and septic complications are known to manifest in the neonatal age. We describe the first report of morbid pathological fractures affecting a neonate with SSS.
Résumé
Several embryopathies involve umbilicus including midgut herniation, omphaloceles, urachal and vascular anomalies. Although described earlier, hernia into umbilical cord has not found enough mention in the literature. Poor understanding of its clinical characteristics has made to miscategorization of this entity as "omphalocele minor" by many. Some of these undergo spontaneous reduction or epithelialisation if left alone. The present study describes a series of four consecutive cases of this entity and describe their clinical characteristics, associated GI anomalies and possible embryogenesis.
Sujets)
Diverticulite/congénital , Femelle , Hernie ombilicale/complications , Hernie ombilicale/diagnostic , Hernie ombilicale/chirurgie , Humains , Iléum/malformations , Nouveau-né , Atrésie intestinale/complications , Occlusion intestinale/complications , Occlusion intestinale/congénital , Mâle , Diverticule de Meckel/chirurgieRésumé
Allantoic cysts of the umbilical cord are extremely rare anomalies. Only few cases have been reported in the postnatal life. The etiopathogenesis is still obscure. We describe a case of allantoic cyst and patent urachus in a newborn associated with hypospadias and meatal obstruction. We also present the review of literature regarding this entity, embryology and etiopathogenesis.
Sujets)
Kystes/chirurgie , Humains , Hypospadias/diagnostic , Nouveau-né , Mâle , Cordon ombilical/malformations , Ouraque/malformations , Procédures de chirurgie urologique/méthodesRésumé
Varried conditions such as ranula, epidermal/dermal inclusion cyst, lymphatic cyst, thyroglossal cyst, sialolithiasis, branchial cleft cyst are known to produce swelling in the floor of mouth. Rarely imperforate or duplication anomaly of submandiblar duct may produce cystic lesion in the floor of mouth. We present a case of congenital imperforate submandibular duct with cyst formation in a newborn. We also review the literature regarding management.
Sujets)
Kystes/congénital , Diagnostic différentiel , Humains , Nouveau-né , Mâle , Glande submandibulaire/malformationsRésumé
Ventriculo peritoneal shunt is the preferred surgical management for hydrocephalus. Various sites namely cardiac atrium, pleural cavity, ureter, fallopian tubes, bladder and gastric lumen have been used as alternative for distal CSF flow. Gallbladder has been used sparingly in the past as a reservoir of CSF diversion. We report our experience with ventriculo-cholecystic (VC) shunt in 2 cases and recommend it as a simple and safe alternative .for CSF drainage particularly in the situations where serosal surface of abdomen is unfit or unavailable for absorption.
Sujets)
Enfant d'âge préscolaire , Femelle , Vésicule biliaire/chirurgie , Humains , Hydrocéphalie/chirurgie , Nourrisson , Mâle , Dérivation ventriculopéritonéale/méthodesRésumé
Obstruction of passage of a catheter through esophagus in a newborn is mostly diagnosed as esophageal atresia (EA) with or without tracheo esophageal fistula (TEF). Rarely a traumatic instrumentation may produce pharyngeal or upper esophageal perforation and attempt at passage of a catheter may produce a false passage submucosally called pseudodiverticulum. Here it is present the case of a extremely premature (28 wk) and low birth weight (950 gms) newborn with traumatic laceration and pharyngeal pseudodiverticulum mimicking EA. The authors discuss the diagnostic characteristics and management of such a situation.
Sujets)
Traumatismes néonatals , Diagnostic différentiel , Diverticule/diagnostic , Atrésie de l'oesophage/diagnostic , Femelle , Âge gestationnel , Humains , Nourrisson de poids extrêmement faible à la naissance , Nouveau-né , Unités de soins intensifs néonatals , Intubation trachéale/effets indésirables , Maladies du pharynx/diagnostic , Pharynx/traumatismes , Grossesse , Syndrome de détresse respiratoire du nouveau-né/diagnostic , Appréciation des risquesRésumé
Meckels diverticula are known to present with a myriad of complications. However its perforation followed by development of a giant pseudocyst and secondary appendicitis is not reported in literature thus far. We report this complication in a five and half month old infant.