RESUMO
Primary sternal osteomyelitis [PSO] is rare and of difficult premature diagnosis in pediatric population. We report a case of PSO complicated with abscess in a one and half-year-old child with a sickle cell disease. Surgery completed by antimicrobial treatment gave a good result and culture of aspirated materiel grew Salmonella Enteritidis
RESUMO
Pyloric atresia is an uncommun condition occuring in 1/100.000 live births. It can be isolated or associated with other congenital anomalies. Authors present a case of isolated pyloric atresia in a male neonate explored for non bilious vomiting. Diagnosis was done on plain abdominal x-ray which showed a distended stomach as a single gas-filled bubble with a gasless abdomen. Digestive opacification showed distended stomach. The surgical treatement consisted on the excision of the web in combination with pyloroplasty. Pyloric atresia is establish on plain radiograph and must alert the surgeon of the severity of this condition
Assuntos
Humanos , Masculino , Diagnóstico Pré-Natal , Ultrassonografia , Antro Pilórico/cirurgia , Ultrassonografia Pré-NatalRESUMO
The subacute osteomyelitis of the hip is rare and remains a difficult diagnostic. We report a case of right pain hip in a 9-year-old girl, associated with a slight fever, rebel to the antibiotic treatment. Biology showed moderated raised inflammatory markers. The plain radiographs of the pelvic showed a little bone demineralization of the acetabular roof. The ultrasonography of the right hip was normal. The pelvic magnetic resonance imaging [MRI] showed a medullary edema in the acetabular roof. The bone scintigraphy showed an intense uptake on the right acetabulum. The computed tomography [CT] of the hip revealed the presence in the right acetabular roof of two bone defects enclosing bony sequestra thus evoking the diagnosis of subacute osteomyelitis. The evolution was favourable under antibiotic treatment managed by the intravenous way during 15 days [Bristopen, Gentamycin] then relayed by the oral way for one month