ABSTRACT
We report a penetrating abdominal injury due to a piece of glass, a very unusual domestic accident, in a 2-year-old boy who was admitted to the emergency department with an evisceration through the umbilicus. His mother reported that she was asleep when the boy came to her room, and did not know how it had happened. We primarily suspected child abuse, but the presence of a piece of glass in the boy's heel led us to think of a domestic accident. He had poured himself a glass of water, and then fell on the glass. We could not find a similar case in the literature on domestic accidents.
Subject(s)
Abdominal Injuries/etiology , Accidents, Home , Foreign Bodies/etiology , Glass , Jejunum/injuries , Wounds, Penetrating/etiology , Abdominal Injuries/diagnostic imaging , Abdominal Injuries/surgery , Anti-Bacterial Agents , Antibiotic Prophylaxis , Child, Preschool , Drug Therapy, Combination/therapeutic use , Follow-Up Studies , Foreign Bodies/diagnostic imaging , Foreign Bodies/surgery , Heel/injuries , Humans , Male , Radiography , Wound Infection/prevention & control , Wounds, Penetrating/diagnostic imaging , Wounds, Penetrating/surgeryABSTRACT
The ventriculoperitoneal shunts (VPS) are commonly used to liberate the pressure of the cerebrospinal fluid in hydrocephalus. It is a very common therapy in pediatric neurosurgery. It is also considered as a safe and efficient, well tolerated control in the hydrocephalus patient. But it may bring complications. We present a case of sigmoid perforation due to a ventriculoperitoneal shunt unnoticed and symptomless until the tube broke through the rectum. The abdominal complications of VPS, their diagnosis, and management are also commented.
Subject(s)
Hydrocephalus/surgery , Intestinal Perforation/diagnosis , Ventriculoperitoneal Shunt/adverse effects , Child, Preschool , Colon, Sigmoid/physiopathology , Colon, Sigmoid/surgery , Female , Humans , Intestinal Perforation/physiopathology , Intestinal Perforation/surgeryABSTRACT
The intestinal atresia is a common cause of neonatal bowel obstruction, but the colonic atresia is an uncommon cause of neonatal intestinal obstruction. We present a newborn with congenital colon atresia who underwent laparotomy, revealing a colonic atresia type III. We recommend resection of the dilated proximal colon with primary anastomosis end to end if the patient is not perforated or in bad general conditions.
Subject(s)
Colonic Diseases/congenital , Colonic Diseases/complications , Intestinal Obstruction/etiology , Anastomosis, Surgical , Colonic Diseases/surgery , Humans , Infant, Newborn , Intestinal Obstruction/diagnostic imaging , Intestinal Obstruction/surgery , Laparotomy , Male , RadiographyABSTRACT
The parasitic disease may be encountered as a surgical entity. A massive infestation by Ascaris can produce intestinal obstruction, resulting in the need of an immediate surgical response. We present a case of intestinal obstruction caused by Ascaris, with a secondary volvulus due to the bolus of worms.
