Résumé
Intestinal perforation as a presentation of Hirschsprung disease is rare, occurring mostly in infants less than 3 months of age, usually those with long-segment disease. Hirschsprung disease may also be associated with other anomalies, that complicate the management and prognosis. Identifying Hirschsprung disease as a cause of perforation will thus help in deciding the site of colostomy and looking for associated anomalies. We report a case of Hirschsprung disease with multiple intestinal perforations and bilateral multicystic kidney disease.
Sujets)
Diagnostic différentiel , Procédures de chirurgie digestive/méthodes , Maladie de Hirschsprung/complications , Humains , Nouveau-né , Prématuré , Perforation intestinale/étiologie , Mâle , Dysplasie rénale multikystique/complications , TomodensitométrieRésumé
Life threatening hypokalemia can be a mode of presentation in renal salt wasting (Group-1) patients of Bartter's syndrome causing hypokalemic respiratory paralysis. Treatment on an emergent basis is required. In the long run, such patients may require higher doses of supplementary potassium and potassium sparing diuretics.
Sujets)
Syndrome de Bartter/complications , Humains , Hypokaliémie/étiologie , Nourrisson , Mâle , Potassium/métabolisme , Paralysie des muscles respiratoires/étiologieRésumé
Fetal vascular disruptions can cause specific patterns of birth depending on the location, extent and timing of the disruptive event in the embryonic life. An example of this is subclavian artery supply disruption sequence occurring around 6 weeks of gestation which causes various combinations of Poland, Klippel-Feil and Mobius anomalies. A one-month-old child with features of all three anomalies along with other associated features is described here.