ABSTRACT
Ultrasound examinations were done to evaluate clinically palpable abdominal masses in 125 children. The examinations were normal in 21 patients. In 15 patients, the clinically palpable masses were actually anterior abdominal wall abscesses or hematomas. Final diagnosis was available in 87 of 89 patients with intraabdominal masses detected on ultrasound. The majority (71%) were retroperitoneal masses where two-thirds were of renal origin. Ultrasound diagnosis was correct in 68 patients (78%). All cases of hydronephrosis were correctly diagnosed based on characteristic ultrasound appearances. Correct diagnoses of all cases of adrenal hematoma, psoas abscess, liver hematoma, liver abscess and one case of liver metastases were achieved with correlation of relevant clinical information.
Subject(s)
Abdomen/diagnostic imaging , Abdominal Neoplasms/diagnostic imaging , Abscess/diagnostic imaging , Child , Child, Preschool , Cysts/diagnostic imaging , Humans , Infant , Palpation , Retrospective Studies , UltrasonographyABSTRACT
One hundred children with peritonitis resulting from a perforated appendix were treated with ceftazidime or netilmicin. Metronidazole was added to both groups to treat the anaerobic organisms commonly associated with the infecting aerobic organisms in peritonitis. Escherichia coli was the most common aerobe found in peritoneal pus. Wound infection occurred in nine patients of the netilmicin group and in none treated with ceftazidime (P less than 0.01). No bacterial resistance was evident in the ceftazidime group, but gram-positive streptococci found in eight patients were resistant to netilmicin. Thus it is recommended that an antibiotic of the penicillin group be added if netilmicin is used to treat peritonitis. The results indicate that ceftazidime was more effective than netilmicin in the treatment of children with peritonitis resulting from a perforated appendix.
Subject(s)
Appendicitis/complications , Ceftazidime/therapeutic use , Intestinal Perforation/complications , Metronidazole/therapeutic use , Netilmicin/therapeutic use , Peritonitis/drug therapy , Bacteria/isolation & purification , Child , Child, Preschool , Creatinine/blood , Drug Therapy, Combination/therapeutic use , Female , Humans , Male , Peritonitis/blood , Peritonitis/etiology , Postoperative Complications , Randomized Controlled Trials as Topic , Rupture, SpontaneousABSTRACT
In a two year period between 1985 and 1986, eight children presented with impacted blunt foreign bodies in the oesophagus were successfully treated by removal using a Foley catheter without anaesthesia. There were no complications. All patients were discharged well after one or two days in hospital. The technique is safe, rapid and easy to perform.
