ABSTRACT
Meconium peritonitis is a sterile chemical peritonitis caused by peritoneal seeding of meconium from an antenatal gastrointestinal perforation. We report a 32-week preterm female neonate who developed meconium peritonitis due to bowel perforation, secondary to a twisted left fallopian tube mass, which was excised and confirmed by histopathology. This association has not been reported earlier. The infant also developed transient central diabetes insipidus, a very rare condition in a preterm neonate.
Subject(s)
Cysts/diagnosis , Diabetes Insipidus/diagnosis , Fallopian Tube Diseases/diagnosis , Peritonitis/diagnosis , Abnormalities, Multiple/diagnosis , Abnormalities, Multiple/diagnostic imaging , Cysts/complications , Cysts/diagnostic imaging , Diabetes Insipidus/complications , Diagnosis, Differential , Fallopian Tube Diseases/complications , Fallopian Tube Diseases/diagnostic imaging , Female , Humans , Infant, Newborn , Meconium , Peritonitis/complications , Peritonitis/diagnostic imaging , Radiography , Torsion Abnormality/complications , Torsion Abnormality/diagnosis , Torsion Abnormality/diagnostic imagingABSTRACT
Division of the bladder neck (BN) along with an augmentation cystoplasty and Mitrofanoff procedure was successfully employed in a group of patients with urinary incontinence. The BN division was buttressed with a unilateral vascularised rectus muscle flap, which effectively prevented urethral recanalisation without any cosmetic or functional disability.
Subject(s)
Abdominal Muscles/transplantation , Surgical Flaps , Urinary Incontinence/surgery , Adolescent , Child , Child, Preschool , Female , Humans , Male , Treatment OutcomeABSTRACT
We describe a simple technique of venting the dilated intestine proximal to a small-bowel anastomosis in nine neonates that promoted uneventful healing and early enteral feeding.
Subject(s)
Catheterization/methods , Enteral Nutrition , Enterostomy/methods , Intestinal Atresia/surgery , Anastomosis, Surgical , Catheterization/instrumentation , Dilatation, Pathologic , Female , Humans , Infant , Infant, Newborn , Intestine, Small/pathology , MaleABSTRACT
In a 1-month-old infant with a mucosal-line left hemiperineal defect associated with penoscrotal hypospadias, penoscrotal transposition (PST) and an overhanging caudal skin-covered soft-tissue flap resembling a caudal appendage, perineal anatomy could be restored by excising the mucosa and using the overhanging flap to cover the resultant defect. The PST was corrected at the same time. Squamous, gastric, small-intestinal, and respiratory epithelia were present histologically in the mucosa in addition to adjacent cartilaginous elements. A caudal duplication that had ruptured in utero through the hemiperineum could explain the anomaly.
Subject(s)
Abnormalities, Multiple/surgery , Hypospadias/complications , Perineum/abnormalities , Scrotum/abnormalities , Urologic Surgical Procedures, Male , Humans , Hypospadias/surgery , Infant , Male , Mucous Membrane/abnormalities , Mucous Membrane/surgery , Perineum/surgery , RuptureABSTRACT
Six children presented with clinical symptoms suggestive of a choledochal cyst (CC), but were found to have only mild dilatation of the common bile duct. Further imaging revealed a long common pancreaticobiliary channel in all cases. There was complete relief after surgery provided a pancreaticobiliary disconnection was incorporated in the operative management. A high index of suspicion is required to diagnose this condition, which has been previously reported as "forme fruste CC".
