Unusual presentation of an inhaled foreign body [a case report]

We are presenting a case of inhaled wild barley spike, which presented with relatively non-distressing symptoms and was ignored till it presented as subcutaneous abscess like mass

Chronic intussusception in children

Chronic intussusception in three children is reported. Review of the literature is given as well as a discussion of the variation in the course of intussusception. Its symptomatology, modes of presentation, and methods of diagnosis are reviewed. The clinical significance of interserosal adhesions has been evaluated and shown to be of no etiologic importance. These adhesions are the result of chronicity and recurrence ultimately leading to resection rather than reduction of the chronic intussusception. Based on the duration of symptoms, intussusception is classified into three variants: 1. Acute intussusception with its triad of abdominal pain, vomiting, and bloody mucous discharge per rectum. 2. Subacute intussusception in which the symptoms continue from four days to as long as two weeks prior to therapy[13]. Chronic intussusception which continues for more than 14 days prior to therapy[1,2].This classification is totally dependent on the duration of symptoms which should not be the only criterion to determine the ultimate outcome of the individual patient[3] In acute intussusception, the clinical picture is so typical that its diagnosis may frequently be made over the telephone[4]. In contrast, the clinical picture in subacute and chronic intussusception is vague and poorly recognized. This atypical vague clinical picture, together with the chronicity of the symptoms are responsible for delay in the diagnosis in the majority of cases[5]. Interserosal adhesions have been observed by many authors, but their clinical significance has yet to be verified. In this paper, we report three cases in which interserosal adhesions have prevented operative reduction of the intussusception and hence primary resection was the only choice