ABSTRACT
Cervical teratomas are uncommon neoplasms. Although these lesions are histologically benign they are usually large and may cause airway obstruction. Cervical teratomas are usually diagnosed at birth. In-utero diagnosis is possible by prenatal ultrasound which assists in planning early airway management and surgical intervention. Mortality is significant but prognosis is good with airway control and complete surgical excision. However, pressure injury of contiguous structures can limit resectability and adversely affect outcome. Malignant cervical teratoma with metastasis has been reported mostly arising in adults with poor outcome. We present nine cases of neonatal cervical teratoma identified at two institutions between 1984 and 1996. One patient died before surgical intervention. All others underwent resection. There was one intraoperative death and one postoperative death. The remaining six patients did well postoperatively with no significant sequelae with 3 to 14 years follow-up.
Subject(s)
Head and Neck Neoplasms/congenital , Teratoma/congenital , Female , Head and Neck Neoplasms/epidemiology , Head and Neck Neoplasms/surgery , Humans , Infant, Newborn , Male , Prognosis , Teratoma/epidemiology , Teratoma/surgeryABSTRACT
Schistosomiasis is an infection caused by flukes (trematodes) of any species of the genus Schistosoma whereas bilharzioma implies a localized mass of fibrous and inflammatory tissue, which usually contains many eggs, frequently involving serosa and mesentery. Bilharziomas are probably caused by a reaction to numerous eggs produced by one or more pair of worms in a single site, although altered host reactivity may also be a factor. Bilharziomas, even in endemic areas are quite uncommon lesions in adults. So far they have not been reported to cause intestinal obstruction in children. Herein we present a case masquerading as large bowel malignancy in a child. Management and follow up are also mentioned.
Subject(s)
Intestinal Diseases, Parasitic/complications , Intestinal Obstruction/etiology , Schistosomiasis haematobia/complications , Schistosomiasis mansoni/complications , Child , Diagnosis, Differential , Humans , Intestinal Diseases, Parasitic/diagnosis , Intestinal Diseases, Parasitic/surgery , Intestinal Obstruction/diagnosis , Intestinal Obstruction/surgery , Male , Schistosomiasis haematobia/diagnosis , Schistosomiasis haematobia/surgery , Schistosomiasis mansoni/diagnosis , Schistosomiasis mansoni/surgeryABSTRACT
Over the last 10 years, in the operating rooms of Maternity and Children Hospital, Jeddah, more than 3,200 surgical incisions of skin made for minor surgical operations were closed without suturing by using tissue adhesive Histoacryl Blue. In addition to this, in the emergency rooms over 2,600 small lacerations of skin on various parts of the body were also repaired by the same technique. The method has certain distinct advantages over conventional suturing. The success rate was very high.
