External hemorrhoids in children

Hemorrhoids in children are not common. The most common cause of hemorrhoids in the young children is portal hypertension. A 3 year old boy with history of hematemsis and external hemorrhoids is being reported. Patient had associated varices for which he was put on proparnolol

Peutz-Jeghers syndrome in a girl with chronic abdominal pain

It is a report of a seven years old girl with Peutz-Jeghers syndrome. Mode of presentation, various investigations, pattern of family history and management aspect are reported

Evaluation of lab tests and correlation with hospital stay, transfusion and ICU care in paediatric trauma patients

The aim of this study was evaluation of lab tests and their correlation with hospital stay, transfusion and ICU care in pediatric trauma patients. Analytical study. Department of pediatric surgery at Imam Khomeini Hospital, Ahwaz, Iran from 2002 to 2006. All pediatric trauma patients, under 15 years of age admitted to the department during the study period were included. Their file record was put on a specially designed proforma noting age, gender, lab tests like complete blood count, serum electrolytes, urea, blood sugar, urine analysis etc. The data collected was analyzed by X[2] test via SPSS. A total of 86 patients were admitted during the study period. Among these 53 were boys. Abnormal tests were white blood cell / hemoglobin [68.6%, 23%] Na[+]/ K[+]/BS [7%, 15.1%, 60.5] and U/A 31.4%. Most of patients did not require blood transfusion, ICU care and surgery. The results for lab tests in trauma were similar to the results of studies in other countries. Leucocytes and hyperglycemia are important findings. Other laboratory results like anemia, hematuria and change of Na[+] and K[+] levels are of little value in the management of injured children

Role of anorectal manometry to improve the results of biopsy in diagnosis of chronic constipation

Most pediatric constipation cases may be treated with an adequate diet and moderate use of laxatives and enemas. A significant proportion of patients, however, does not show improvement with these therapeutic measures. In these cases, it is necessary to establish the differential diagnosis between functional and structural constipation. The objective of this study was to compare the result of two methods of evaluation, manometry before biopsy and biopsy alone. This cross sectional study was carried out in the children with chronic constipation that were referred to Mofid Children Hospital and underwent rectal manometry from 2002-2006. Chi-square test was used for the analysis. From 347 patients who underwent anorectal manometry, 134 patients had evidence that indicated neurologic abnormality and hirschprung disease. From these patients, based on parental agreement, biopsy were obtained from 69 patients. Histopathologic study was performed on 69 samples, and 57[82.6%] specimens had evidence of neuroanatomic abnormality as a cause of the disease. From the 423 biopsy that were obtained from rectal wall without previous anortectal manometry, only 125[29.55%] patients had pathological evidence of structural abnormalities due to Hirschprung disease. From all the biopsy [480], only 57[11.87%] patients had anorectal manometry. Based on there results of anorectal manometry they underwent biopsy. Performing anorectal manometry as a first step to approach constipation could increase specifity of biopsy in contrast to performing biopsy without anorectal manometry. Due to some limitation, we did not obtain biopsy from patients whose manometry was normal