RESUMO
Appendicitis is rare in the neonatal period. A 6-week-old baby presented with fulminant appendicitis. At the age of 6 months, the infant was diagnosed with Cow milk protein allergy. Association between CMPA and appendicitis was a rare association in our case, showing that CMPA can have a wide spectrum of gastrointestinal involvement.
Assuntos
Apendicite , Hipersensibilidade a Leite , Animais , Apendicite/diagnóstico , Apendicite/cirurgia , Bovinos , Feminino , Humanos , Lactente , Hipersensibilidade a Leite/diagnóstico , Proteínas do LeiteRESUMO
We report a case of prolonged post-operative stridor in a full-term neonate who was operated for tracheoesophageal fistula. Initial evaluation including an endoscopy and contrast-enhanced computed tomography scan was normal. Repeat endoscopic evaluation under anesthesia revealed tight aryepiglottic folds. Aryepiglottic split was performed and stridor improved dramatically. Tight aryepiglottic folds should be kept in differential diagnosis in a case of postoperative stridor in an infant.
Assuntos
Laringomalácia/diagnóstico , Complicações Pós-Operatórias/diagnóstico , Sons Respiratórios/etiologia , Fístula Traqueoesofágica/cirurgia , Broncoscopia/métodos , Diagnóstico Diferencial , Humanos , Recém-Nascido , Músculos Laríngeos , Laringomalácia/etiologia , Laringomalácia/cirurgia , Laringoscopia/métodos , Masculino , Complicações Pós-Operatórias/etiologia , Complicações Pós-Operatórias/cirurgia , Respiração Artificial/métodosRESUMO
AIM: To study the effect of nonclosure of rectourethral (RU) fistula and to do a comparative analysis of the complications with and without nonclosure of RU fistula during posterior sagittal anorectoplasty (PSARP) in anorectal malformation cases (ARM). MATERIALS AND METHODS: A total of 68 cases of ARM were included in the study group, of which 34 cases were those in whom RU fistula was not closed (group A) during PSARP. Another 34 successive cases were included in study group B in whom the RU fistula was closed as is conventionally done by using interrupted sutures. RESULTS: Comparatively, group A had none or minimum urological complications as compared to Group B. CONCLUSION: RU fistula closure is not mandatory during PSARP and nonclosure avoids urological complications. It especially avoids urethral complications, which are 100% preventable.
RESUMO
We describe a neonate in whom a right congenital diaphragmatic hernia and an anorectal malformation coexisted. Their coexistence in the same patient is rare.
