RESUMO
The 3 cases presented here involve 3 unusual and different complications of costal exostoses: spontaneous hemothorax, pneumothorax, and pericardial effusion. All of the cases presented with chest pain to the emergency department. Two of the cases have hereditary multiple exostoses. All but one of the patients required surgical intervention. Complications of costal exostoses are rare, but hemothorax, pneumothorax, and pericardial effusions can occur.
Assuntos
Neoplasias Ósseas/complicações , Dor no Peito/etiologia , Hemotórax/etiologia , Osteocondroma/complicações , Derrame Pericárdico/etiologia , Pneumotórax/etiologia , Costelas/patologia , Adolescente , Neoplasias Ósseas/diagnóstico , Neoplasias Ósseas/patologia , Neoplasias Ósseas/cirurgia , Criança , Diafragma/patologia , Diafragma/cirurgia , Dispneia/etiologia , Exostose Múltipla Hereditária/complicações , Feminino , Humanos , Masculino , Osteocondroma/diagnóstico , Osteocondroma/patologia , Osteocondroma/cirurgia , Derrame Pleural/etiologia , Costelas/cirurgia , Cirurgia Torácica VídeoassistidaRESUMO
Intussusception is a relatively common problem requiring evaluation and treatment by pediatric surgeons and radiologists. While ileocolic and small bowel intussusceptions are frequently observed, cecocolic intussusception is a rare event, most commonly occurring as a result of a pathologic lead point. To our knowledge, this is the first reported case of cecocolic intussusception occurring without an identifiable pathologic lead point or intestinal infection.
Assuntos
Doenças do Ceco/diagnóstico , Intussuscepção/diagnóstico , Dor Abdominal/etiologia , Adolescente , Apendicectomia , Doenças do Ceco/cirurgia , Diarreia/etiologia , Humanos , Intussuscepção/cirurgia , Doenças Linfáticas/diagnóstico , Masculino , Tomografia Computadorizada por Raios XRESUMO
While newly recognized neck masses in children previously treated for malignancy raise the specter of recurrent disease, recent experience with 2 patients has shown us that enlargement of cervical thymic tissue should be considered in the differential diagnosis, especially early after the completion of chemotherapy or immunotherapy.
Assuntos
Coristoma , Pescoço/patologia , Timo , Criança , Pré-Escolar , Coristoma/diagnóstico , Diagnóstico Diferencial , Humanos , Neoplasias Renais/cirurgia , Masculino , Melanoma/tratamento farmacológico , Melanoma/cirurgia , Recidiva Local de Neoplasia/diagnóstico , Neoplasias Cutâneas/tratamento farmacológico , Neoplasias Cutâneas/cirurgiaRESUMO
Non-bilious vomiting in the newborn is common. Etiologies include both surgical and medical conditions. Gastroesophageal reflux, soy or milk protein allergy, and prostaglandin-induced foveolar hyperplasia are among the medical causes. Surgical entities include gastric antral webs, pre-ampullary duodenal and pyloric atresia, and hypertrophic pyloric stenosis. We report the unique case of an 8-day-old girl who presented with gastric outlet obstruction secondary to infantile myofibromatosis.
