Résumé
Thirty children (45 units) in the age group 1 day-12 yrs with primary vesicoureteral reflux were studied prospectively and periodically assessed for renal function, scarring, grade of reflux and somatic growth parameters. Four children (6 units) with grade IV reflux underwent ureteric reimplantation. Complete resolution with medical management was seen in all 12 units of grade I-III reflux and in 5 of the remaining 27 units of grade IV-V reflux over 6 months-6 yrs. This group showed highly significant improvement in height . The weight gain of the above 2 groups was statistically significant compared to those with persistent reflux. Focal defects were seen initially in 62 percent refluxing units. None of the patients showed deterioration in renal function or formation of new scars over the next 1-7 years. Three children on conservative management showed persistent growth retardation with associated breakthrough infection, hypertension, multiple renal scars and poor renal functional volume.
Sujets)
Évolution de la maladie , Femelle , Humains , Tests de la fonction rénale , Tables de survie , Mâle , Études prospectives , Infections urinaires/étiologie , Reflux vésico-urétéral/complicationsRésumé
Duplications of the esophagus are the second most common duplication of the gastrointestinal tract. The children with esophageal duplication cyst usually present with respiratory distress or as asymptomatic thoracic mass found on incidental chest x-ray. We report a case of infected esophageal duplication cyst initially confused with empyema in a two years old boy.
Sujets)
Enfant d'âge préscolaire , Empyème/étiologie , Kyste oesophagien/complications , Oesophage/malformations , Humains , MâleRésumé
Anorectal malformations are one of the commonest anomalies in the new born. Major advances have been made in the last decade in operative techniques to reconstruct this abnormality. The final outcome in these babies is dependent on careful planning and operative intervention in the neonatal period. The purpose of this paper is to discuss the varied presentations of this anomaly, initial assessment and operative management with reference to our own experience.
Sujets)
Femelle , Humains , Nouveau-né , Mâle , Rectum/malformationsSujets)
Femelle , Mort foetale , Humains , Nourrisson , Mâle , Grossesse , Grossesse multiple , JumeauxSujets)
Enfant , Humains , Tumeurs du rein , Foie/chirurgie , Tumeurs du foie/secondaire , Mâle , Tumeur de Wilms/chirurgieRésumé
A case of malignant rhabdoid tumour of kidney is reported. Interesting features are bony metastasis at presentation and FNAB diagnosis of metastasis.