Left hepatic lobe infarction in a ten year old girl

Hepatic infarction is rare, probably due to the dual blood supply by portal vein and hepatic artery. The causes of hepatic artery occlusion include: atherosclerotic, embolus, arteritis, aneurysm, neoplasia, sepsis, shock, general anesthesia and transcatheter embolization for treatment of malignant hepatic tumors. Abdominal trauma rarely leads to hepatic infarction, causing significant morbidity and may require emergency intervention. We are reporting a case of left hepatic lobe infarction developed after blunt abdominal trauma in a ten year-old girl. It was managed successfully by conservative treatment. The sequela of hepatic infarction, in this case, was evaluated by ultrasound

Wound infection in perforated appendectomy: a proposed solution to decrease the risk, advantages and disadvantages

Wound infection is the commonest complication post-appendectomy especially in perforated and gangrenous appendicitis. Our aim is to study the incidence of wound infection in cases of perforated or gangrenous appendicitis, and search for the possible solution to overcome this post operative complication, which leads to lengthy hospital stay and increases the cost of treatment. We conducted a retrospective study for all the registered cases of appendicitis then, selected cases of perforated and gangrenous appendicitis. Prevalence of wound infection in this group was 28%, which is within the accepted range. We have reviewed the literature searching for the methods to help us to avoid or decrease this complication. In conclusion we found that there is no use of practicing delayed primary wound closure for perforated or gangrenous appendicitis, but laparscopic appendectomy can dramatically decrease the chance of wound infection and shorten duration of surgery in expert hand by improving instruments and techniques which can decrease the incidence intraabdominal abscess

Sublingual ectopic thyroid gland simulating a thyroglossal duct cyst

Ectopic thyroid is a rare embryological aberration of the thyroid descend in children. We present a case of ectopic thyroid simulating a thyroglossal cyst in a two year old boy, who was diagnosed intra-operatively. The patient was treated with L-thyroxine. We review the embryological features and the approach to the diagnosis and management of this congenital anomaly