[Gastric duplication with pancreatic homes hyterotopie in children]

The digestive duplications are defined as tubular or cystic-like malformations, sitting on a segment of the gastro-intestinal tract from the oral cavity to the anus. The wall of the duplication is formed by a double muscular tunic lined interiorly by a digestive-type mucous membrane. These malformations are characterized by a very large pathogenic, clinic and path anatomic polymorphism. It can be revealed by benign signs or sometimes by serious ones when a complication occur [hemorrhage, perforation]. Despite the fact, that the diagnosis is suspected clinically and largely evoked on the radiologic exams, it requires path anatomic confirmation. The authors report three cases of girls aged respectively 2,6 and 12 years without previous medical history, which first showed diffuse abdominal pain and periodicals, the radiological assessment including ultrasound abdominal CT scan and barium strongly suspected duplication in all three cases; however, confirmation was made by pathologists in three cases. Surgical excision has healing in our three patients. Our retrospective work consists of a survey of three gastric duplication cases seen at our hospital between years 1988 and 2008. It insists on different clinical and radiological aspects; relate diagnostic difficulties and therapeutic choices. Finally our set is particular by the presence of islands of heterotopic pancreatic tissue in all cases

[Abdominal pains in childhood: viewpoint of the paediatric surgeon]

The abdominal pains are very frequent symptoms in pediatric pathology. concerned that is has multiple aetiologies we distinguish that the actue abdominal pains are generally of organic aetiology dominated by surgical intervention and reccurent als abdominal pains generally of functional artiology. The diagnosis of an abdominal pain above all will be determined by the most precise possible semiological anaysis [anamnesis], and by the physical examination. The place of the complementary examinations must remain limited, according to the clinical assumptions or be summarized with simple examinations of orientation. The pediatric surgeon in practice is in front of a double trap: to standardize abdominal pains which will prove to be of organic origin, or to contemplate organic cause with the risk to suggest expensive and intensive complementary examinations to the child and his family, which are likely to fix them still more on this symptom

Neonatal appendicitis in an incarcerated inguinal hernia

Acute appendicitis is rare in newborn and premature. Only a hundred of cases are reported in literature. The diagnosis is difficult and often delayed, leading to complications and a high mortality rate. When appendicitis occurs in a hernia, the prognosis seems better. The authors report a case of acute appendicitis in incarcerated inguinal hernia in a newborn. The diagnosis was made by surgery without post-operative complications