1,721,050 research outputs found
Polyhydramnios: a predictor of severe growth impairment in achondroplasia
No full textThe phenotypical characteristics in 20 children with achondroplasia were examined in relation to the occurrence of polyhydramnios. A history of polyhydramnios (9 of 20 cases) was associated with a lower height (SD) (P <.05), more severe shortening of the lower segment and upper limbs (P =.0001), and higher frequency of left-handedness (P =.0081)
Ectopia renale semplice
No full textRenal ectopy is a rare congenital malformation, related to an abnornal migration of the kidney from the sacral to lumbar region. Three possibilities are present: absent migration (pelvic ectopia), excessive (intrathoracic ectopia), or to the opposite side (crossed ectopia). During the last 3 years in the Paediatric Surgery Department of University of Siena 7 cases of simple renal ectopy have been observed.
Five patients were female and two were male. Associated anomalies were present in three patients: two presented cardiological malformation, one was polimalformated (anal atresia with rectum-urethral fistula, bilateral clubfoot, microphtalmia of left eye, large coloboma of righ eye, IAD, IVD, ectopic horseshoe kidney). One patient, who ha renal function reduced to 10%, was operated, while the remaining six were under clinical control
Intrauterine volvulus with malrotation: prenatal diagnosis
No full textVolvulus is a very rare condition which consists of the rotation of the small intestine and the proximal colon around the superior mesenteric artery, leading to complete intestinal obstruction and ischemic vascular damage. The frequency of this condition is 1 in 6000 live births. We report a case of midgut vovulus with malrotation with a prenatal diagnosis at the end of the week 33. We describe the importance of prenatal echotomographic diagnosis which offers the possibility of performing differential diagnosis. Additionally, it is important to remember that the prognoses of these patients depend on the length of remaining intestine, the location of the intestinal obstruction, the presence of meconium peritonitis, the possibility of associated malformations, but above all, on birth weight and level of prematurit
Neonatal intestinal occlusion due to duodenal duplication in association with malformed gallbladder sludge
No full textDuodenal duplications are rare observations which can be diagnosed during early pregnancy via US scan. In the neonate they are often cause for intestinal occlusions. Surgical treatment can be limited by the duplication's anatomical interrelationships with adjacent organs. Biliary sludge is an uncommon finding in the first year of life, and can readily regress spontaneously. The association between duodenal duplication and sludge has never been described in the literature in the neonatal period. Here, for the first time, we report on the case of a newborn infant with cystic duplication of the duodenum associated with sludge in a misshapen gallbladder
Treatment of varicocele in the pediatric age: Videolaparoscopic versus "traditional" open techniques [Trattamento del varicocele in età pediatrica: tecnica VLS vs open]
No full textAim. Varicocele is determìned by an ectasia of the veins of the pampinous plexus, and its incidence ranges from 2%to 16% in the different ages. Etiology and pathogenic mechanism are not clear; on the other hand it is absolute1y certain that an early onset ofvaricocele in the prepuberal age can heavily condition testicular
development and function, with a condition of hypo-infertility which will be irreversible in the adult age. Up to date, there are not clear data allowing to state a "gold standard" therapy, although there is a general goodwill in affirming the usefulness of an early operation to prevent a gonadic damage. The aim of our study was to carry out an accurate analysis of postoperative clinical and instrumental data and to point out advantages and disadvantages of the traditional surgical technique versus the more recent videolaparoscopic technique (VLS).
Metbods. Twenty-eight patients were consecutively treated for hydiopathic, III Horner degree, I Coolsaet degree left varicocele. In the first 15 patients an "open" operation was performed, while in the other 13 VLS technique according to Palomo was used.
Results. Follow-up, based on 9 different parameters, such as duration of hospitalisation and postoperative recovery was continued for a mean period of 18,67 months.
Conclusions. An anaIysis of the results showed that both techniques are effective, although VLS can offer advantages as far as reduction of hospitalisation, reduction of duration of operation and postoperative recovery are concerned, as well as an increasing of compliance due to a better cosmetic result
Hyperplasia of thymic gland: left video-assisted thoracoscopic approach
Full text linkHyperplasia of thymic gland is a rare benign entity that should be considered in the differential diagnosis of anterior mediastinal masses in children and young adolescents. We report a case of a patient with a thymic mass, diagnosed occasionally for respiratory symptoms and treated by video-assisted thoracoscopic surgery. A previously healthy 10 years-old boy presented to our hospital for retrosternal pain and dyspnea with restriction to daily activities from four months. Diagnostic imaging was performed, including a chest x-ray and a magnetic resonance imaging, showing a large homogeneous anterosuperior mediastinal mass, more extended on the left side. The additional laboratory analysis, considered essential for differential diagnosis with myasthenia gravis and lymphoma, resulted negative. In view of these findings, our patient underwent to video assisted thoracoscopy with left-sided approach for a total resection of thymus and perithymic fat. The patient made an excellent recovery without postoperative complications and was discharged from the hospital four days later. Histopathological examination showed a normal thymic architecture like a true thymic hyperplasia. At follow up, chest x-ray was normal in absence of pleural and parenchimal alterations. Thoracoscopic thymectomy is a safe technique that allows to achieve the goal of early thymectomy with the advantages of less invasive procedure
Hypoplastic or absent mandibular frenulum: a new predictive sign of infantile hypertrophic pyloric stenosis
No full textAbstract
Among 25 patients with hypertrophic pyloric stenosis, a hypoplastic or absent mandibular frenulum was noted in 92%, compared with 1.6% of 319 control infants (P <.001). This previously unrecognized sign may prove helpful in identifying newborns at risk of developing the disorder
Oral vascular network geometry in infantile hypertrophic pyloric stenosis.
No full texthttp://www.nature.com/pr/journal/v54/n4/full/pr2003472a.htm
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