ABSTRACT
Bronchomalacia is a rare cause of recurrent pneumonia, atelectasis, and in advanced cases, respiratory failure. It is generally treated symptomatically, but in end-stage cases with respiratory failure, bronchial resection can be performed with significant clinical benefit. This paper described the second reported case of successful bronchial resection for bronchomalacia.
Subject(s)
Bronchial Diseases/surgery , Bronchi/surgery , Bronchial Diseases/complications , Bronchial Diseases/diagnostic imaging , Child, Preschool , Humans , Infant , Male , Pneumonia/etiology , RadiographyABSTRACT
The technical limitations of peritoneovenous shunting in small children were overcome by placing the valve in the iliac fossa. Both collecting and venous tubing are readily positioned from this approach. The valve is easily accommodated in this location.
Subject(s)
Peritoneovenous Shunt/methods , Vascular Surgical Procedures/methods , Humans , Infant , MaleABSTRACT
Arteriovenous malformations of the gastrointestinal tract are uncommon and treatment is problematic because routine barium contrast studies and endoscopy fail to demonstrate the lesion. Diagnosis is by selective mesenteric arteriography, demonstrating a characteristic vascular tuft and very early venous phase. Two cases of arteriovenous malformation are presented and 47 other reported cases are reviewed. Forty-five per cent were found in the cecum; 37, or 80%, involved the distal ileum, cecum ascending colon, or hepatic flexure. Seventy-five per cent of all patients fall into the 50--80 year age range. The literature reveals a recurring pattern of chronic gastrointestinal blood loss, anemia, and delay (even negative abdominal explorations) before the diagnosis is finally made. A more aggressive approach to chronic gastrointestinal bleeding is suggested through the use of selective mesenteric arteriography.
