ABSTRACT
Four children with renal echinococcal cyst and associated liver involvement were treated in our clinic in the last 10 years. The diagnoses were suspected by ultrasonography and computed tomography and confirmed by the operative investigation that followed. One nephrectomy, one heminephrectomy and two cystectomies were performed. All children had uneventful recovery and they have not presented any recurrence so far. The value of the diagnostic modalities and the principles of the operative management are discussed.
Subject(s)
Echinococcosis/diagnostic imaging , Kidney Diseases/diagnostic imaging , Child , Child, Preschool , Combined Modality Therapy , Cystectomy , Echinococcosis/complications , Echinococcosis/surgery , Echinococcosis, Hepatic/complications , Echinococcosis, Hepatic/diagnostic imaging , Echinococcosis, Hepatic/surgery , Echinococcosis, Pulmonary/complications , Echinococcosis, Pulmonary/diagnostic imaging , Female , Greece , Hospitals, General , Humans , Kidney Diseases/complications , Kidney Diseases/surgery , Male , Mebendazole/administration & dosage , Mebendazole/therapeutic use , Nephrectomy , Radionuclide Imaging , Retrospective Studies , Tomography, X-Ray Computed , Ultrasonography , UrographyABSTRACT
An unusual case of duodenal obstruction in an infant with isolated levocardia is described. The following anatomic features were shown preoperatively: (1) duodenal obstruction; (2) right-sided stomach and spleen; (3) left-sided liver; (4) totally right-sided located colon in mirror image nonrotation; and (5) levocardia without any defect or dysfunction. The mentioned findings were verified intraoperatively and the cause of the duodenal obstruction was found to be an aberrant vessel. This case is a rare one regarding the lack of heart and spleen defects and the cause of duodenal obstruction. It also demonstrates the necessity of meticulous investigation and precise description of the anomaly and suggests individualization as far as the management of these cases is concerned.
