Résumé
Testicular tumors are very uncommon in children and teratomas are the commonest of these tumors. We are reporting our experience with five cases of testicular teratomas in the last 25 years.
Résumé
A rare occurrence of an omphalomesenteric duct cyst in an exomphalos minor sac is reported herein. The noteworthy points in this case were an unusual presentation of the rarest variety of umbilical cord cyst. The tapering intra-abdominal end of the cyst was found to be attached to the ileal mesentry, thereby simulating a herniating mesenteric cyst till the histolopathological report resolved the issue.
Sujets)
Hernie ombilicale/étiologie , Humains , Nouveau-né , Mâle , Kyste ouraquien/complications , Canal vitellin/malformationsSujets)
Douleur abdominale/diagnostic , Ponction-biopsie à l'aiguille , Enfant , Femelle , Études de suivi , Humains , Immunohistochimie , Occlusion intestinale/étiologie , Laparotomie/méthodes , Mésentère/anatomopathologie , Tumeurs du péritoine/complications , Maladies rares , Appréciation des risques , Tératome/complications , Résultat thérapeutiqueSujets)
Facteurs âges , Enfant , Enfant d'âge préscolaire , Femelle , Humains , Nourrisson , Atrésie intestinale/complications , Occlusion intestinale/étiologie , Intussusception/complications , Mâle , Complications postopératoires/chirurgie , Sténose hypertrophique du pylore/complications , Adhérences tissulaires/complicationsRésumé
Traumatic diaphragmatic hernia is rare in children. Left-sided Herniations are seen in 90%. The diagnosis is often delayed for months to years because of its rarity and overshadowing injuries. Chest/abdominal radiographs and, in particular cases, computed tomography and ultrasound improve the accuracy of diagnosis. We report two cases of traumatic diaphragmatic rupture in children. The history of trauma along with plain X-rays/barium study was diagnostic in both the cases.
Sujets)
Accidents de la route , Enfant , Enfant d'âge préscolaire , Femelle , Hernie diaphragmatique traumatique/imagerie diagnostique , Humains , Mâle , Radiographie thoraciqueSujets)
Enfant , Enfant d'âge préscolaire , Kyste du cholédoque/diagnostic , Femelle , Humains , Nourrisson , Nouveau-né , Jéjunostomie , Foie/chirurgie , MâleRésumé
OBJECTIVE: To find the prevalence of associated anomalies in children with anorectal malformation (ARM). METHODS: One hundred and forty patients (80 males and 60 females) with expand were studied to detect associated anomalies and to find their prevalence. High and low type of ARM was seen in 52.14% and 47.86% of patients respectively. Associated anomalies were more common with high type of ARM (78.08%) than in patients with low type of ARM (37.31%). 58.57% patients had associated anomalies which included those of urinary system (37.14%), vertebral system (34.28%), skeletal system other than vertebral (15.17%), genital system (14.29%), cardiovascular system (12.14%), gastrointestinal tract (10.7%) and spinal cord (10%). RESULTS: 37.43% patients had 3 or more than 3 components of VACTERL association. Two patients had all six components of VACTERL. Most common association was vertebral, anal and renal anomalies seen in 16 patients. CONCLUSION: Patients with ARM should undergo a detailed general physical, systemic and radiological examination (infanto-gram, echocardiography, US of urogenital system) in neonatal period to detect associated anomalies in early period.
Sujets)
Canal anal/malformations , Os et tissu osseux/malformations , Malformations/épidémiologie , Femelle , Système génital/malformations , Humains , Inde/épidémiologie , Nourrisson , Nouveau-né , Mâle , Prévalence , Rectum/malformations , Voies urinaires/malformations , Malformations urogénitales/épidémiologieRésumé
Foregut duplication cysts are rare congenital anomalies of enteric origin. In majority of the patients, the diagnosis is made in infancy. The authors report 4 cases of mediastinal foregut duplication cyst in children diagnosed on CT/MRI and confirmed on histopathology. In none of the cases the cysts had intraspinal extension nor heterotopic gastric mucosa.
Sujets)
Enfant , Enfant d'âge préscolaire , Malformations de l'appareil digestif/diagnostic , Kyste oesophagien/congénital , Femelle , Humains , Inde , Nourrisson , Intestins/malformations , Laparotomie , Imagerie par résonance magnétique , Mâle , Kyste médiastinal/congénital , Pronostic , Appréciation des risques , Études par échantillonnage , Résultat thérapeutiqueRésumé
OBJECTIVE: The present study aims at establishing the exact role and limitation of ultrasound in pediatric acute abdomen. METHODS: Fifty children less than 14 years of age presenting with acute abdomen were evaluated by US and other imaging modalities. The mean age of presentation was 3 1/2 years. Maximum number of cases were seen in less than two years of age. There were 17 cases of intussusception with US sensitivity and specificity of 88.2% and 100% respectively and positive and negative predictive values of 100% and 94.5% respectively. There were 13 cases of appendicitis. US was diagnostic in 11 with sensitivity and specificity of 91.6% and 97%; the positive and negative predictive values were 91.6% and 97% respectively. RESULTS: There were two cases each of congenital bands, adhesive intestinal obstruction, malrotation of bowel with volvulus, incarcerated inguinal hernia, hypertrophic pyloric stenosis, duplication cyst and pseudopancreatic cyst, one case each of trichobezoar, Meckel's diverticulum, ureteric calculus and worms as a cause of intestinal obstruction. The sensitivity of US for diagnosing specific cause of acute abdomen was found to be 77.5%. The main limitation of US was in the diagnosis of acute intestinal obstruction such as congenital bands and adhesions. CONCLUSION: US should now be considered as imaging modality of choice in pediatric acute abdomen. However, at times, plain radiography, conventional contrast studies and CT may be vital to reach the true diagnosis.