RESUMO
Background: Mediastinal pancreatic pseudocyst is a rare complication of pancreatitis.Case characteristics: An 8-year-old boy with chest pain and shortness of breath.Computed tomography of chest showed a cystic mass in the mediastinum. The cyst aspiraterevealed high amylase and lipase levels, suggestive of pancreatic pseudocyst. Outcome:The patient gradually recovered after Roux-en-Y cystojejunostomy. Message: Cystojejunostomy is a viable treatment option for mediastinal pancreatic pseudocyst, especiallywith failure of medical therapy.
RESUMO
Background: Outcome of pseudomonas enteric fever is unpredictable as multiple systemic lethal complications occur abruptly. Case characteristics: A 9-month-old girl with multiple ileal perforations, leukocoria, ecthyma gangrenosum, hemiplegia and a perforated ulcer in the soft palate. Blood culture suggested Pseudomonas aeruginosa infection. Operative repair of multiple ileal perforations and multidisciplinary management was provided. Outcome: On 10th post-operative day, patient succumbed to multiple organ dysfunction syndrome. Message: Early detection and management of complications of P. aeruginosa enteric disease is important.
RESUMO
Two children presented with massive generalised enlargement of abdomen simulating ascites. Common medical causes being excluded. They were treated with antituberculous drugs without any response until the radiological features suggested and surgical exploration proved the condition to be omental cyst.