Tumores testiculares na infância: [revisão] / Testicular tumors in childhood: [review]

Testicular and paratesticular prepuberal tumors are rare. They represent around 1 percent of the total of tumors of infancy. They subdivide in 2 groups: germ cells tumors and non germ cells tumors, being able to occur in all the ages, and about 75 percent are malignant, and about 19 percent of these they present metastasis. The tumors of germ cells tumors represent 60 75 percent of the tumors testiculars in infancy, having as main example the yolk sac tumor (65 percent of the neoplasms), followed for teratomas (14 percent); although some works to exist where teratoma, if presents as most common .The non germ cells tumors include the Leydig cell tumor and Sertoli cell tumor. The Leydig cell tumor, are most frequent between the non germ cells tumors testicular. This review article on epidemiology, diagnosis and treatment of to testicular and to paratesticular tumors in child.

Pancreatite aguda biliar na infância / Acute gallstone pancreatitis in childhood

Acute pancreatitis is an uncommon condition in childhood. Gallstones rarely cause pancreatitis in children. Instead, the leading causes of pancreatitis tend to be trauma, infecctions, drugs, congenital disorders. One rare case of acute gallstone pancreatitis in children is described, showing the diagnosis clinical/radiologic and surgery treatment (videocolecistectomy).

Síndrome de Prune Belly / Prune Belly syndrome

Prune Belly Syndrome is a fetal uropathy of unknown etiology with incidence of 1/35000 to 1/50000 alive been born, characterized by a classical triad: abdominal musculature congenital deficiency, bilateral criptorquidia and urinary tract malformations. The authors present a case of this rare pathology associated with a patent urachus. After complementary exams confirmed urinary tract alterations (bilateral ureterohidronefrosis and vesicoureteral reflux degree 5, besides urinary infection), the surgical approach was vesicostomy to decrease urinary infections and sepsis. Definitve surgery should be accomplished around the 12th month of life. Nowadays, the child is asymptomatic , with follow-up every two months, with return consultation bimonthly.

Hemobilia pós-trauma / Hemobilia post trauma

Our objective is to report a case of a patient, with a thoraco-abdominal gunshot wound with right hemothorax and liver lesion in the right lobe. The liver and the diafragm were sutured and the chest was drained. On the 9th post operative day the patient had hematemesis, jaundice and pain in the right upper quadrant of the abdomen. The abdominal ultrasound image with Doppler, revealed arteriobiliary fistulae. The diagnosis of hemobilia was made and the patient underwent embolization of the fistulae by liver arteriography.