RESUMO
The authors report the case of a 12-year-old boy admitted to the surgical emergency department of Charles de Gaulle Paediatric Teaching Hospital of Ouagadougou for acute abdominal pain. A strangulation of the terminal ileum by a tumour-like appendix wound around the bowel loop was seen during operation. The histological examination of the removed appendix disclosed eggs of Schistosoma haematobium and concluded to bilharzian appendicitis. A course of praziquantel treatment was instituted, and the patient underwent an event-free recovery. Such cases report are infrequent, even in areas where bilharzia-related diseases are endemic. It is important to recognise them and to treat them in an aetiological manner so as to prevent any potential complications. The diagnosis is always an operatory and histological curiosity. Appendectomy and treatment with a course of praziquantel seem quite suitable for this situation.
Assuntos
Apendicectomia/métodos , Apêndice/parasitologia , Doenças do Ceco/etiologia , Obstrução Intestinal/etiologia , Schistosoma haematobium/isolamento & purificação , Esquistossomose Urinária/complicações , Doença Aguda , Animais , Apêndice/patologia , Apêndice/cirurgia , Doenças do Ceco/diagnóstico , Doenças do Ceco/cirurgia , Criança , Diagnóstico Diferencial , Humanos , Obstrução Intestinal/diagnóstico , Obstrução Intestinal/cirurgia , Masculino , Esquistossomose Urinária/diagnóstico , Esquistossomose Urinária/parasitologiaAssuntos
Cálculos Urinários/patologia , Infecções Urinárias/epidemiologia , Adolescente , Burkina Faso/epidemiologia , Criança , Pré-Escolar , Feminino , Hospitalização/estatística & dados numéricos , Humanos , Lactente , Masculino , Estudos Retrospectivos , Cálculos Urinários/epidemiologia , Cálculos Urinários/terapia , Infecções Urinárias/microbiologiaRESUMO
Late presentation of congenital diaphragmatic hernia is uncommon. It poses considerable diagnostic challenges when it strangulates. The authors report a case of a left posterolateral strangulated congenital diaphragmatic hernia in a 5-year-old child diagnosed at the stage of acute intestinal occlusion with intestinal necrosis and managed successfully. A strangulated congenital diaphragmatic hernia should be suspected in the case of an association of sudden-onset respiratory and digestive manifestations with no sign of trauma or specific pulmonary history. It then requires an antero posterior thoracic X-ray or, even better, a thoracic-abdominal scan to confirm the diagnosis.