58 research outputs found

    Successful management of aberrant subclavian artery-esophageal fistula in an infant

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    This report describes a 4-month-old female infant with complex congenital heart disease and prolonged nasogastric intubation who developed an aberrant subclavian artery-esophageal fistula that was successfully managed in a two-staged procedure. To our knowledge, this is the first patient to survive correction of this problem after massive hemorrhage. © 1989

    Treatment of congenital microgastria and dumping syndrome

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    Two children with congenital microgastria and associated anomalies requiring surgery as infants, developed severe dumping syndrome which necessitated a remedial operation. A Roux-en-Y jejunal pouch (Hunt-Lawrence) was formed at 22 months and 10 months respectively. Weight gain was immediate in both patients and has been sustained for 6 months and 8 years respectively. Symptoms of the dumping syndrome were relieved and the pouch delays filling of the jejunum. © 1983 Grune & Stratton, Inc

    Antireflux cologastric anastomosis following colonic interposition for esophageal replacement

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    Colon interposition is an accepted method of esophageal replacement in children. Severe symptomatic reflux has occurred in only two of our patients with colonic esophageal substitution. Formation of an antireflux submucosal gastric tunnel eliminated gastrocolic reflux in both patients without impeding normal passage of food into the stomach. © 1986

    Lumbar hernia in a case of posterior meningomyelocele

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    A child with a superior lumbar hernia and a posterior meningomyelocele is described in this report. Although congenital lumbar hernia may be associated with lumbocostal vertebral deficiency syndromes, we believe this patient\u27s condition became obvious due to the repair of the meningomyelocele. This is the first case report of this combination of defects. © 1986 Grune & Stratton, Inc

    Appendicitis is like a box of chocolates

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    AbstractAppendicitis is the most commonly encountered abdominal emergency in pediatric surgery. However, the presentation of acute appendicitis is as diverse as the patient population. We present here a case of appendicitis presenting as an intra-abdominal mass consistent with lymphoma. Our patient is a 3 year old male with an atypical presentation of acute appendicitis. Additionally, he was found to have malrotation at the time of surgery. A delayed presentation, coupled with anomalous laboratory findings and aberrant anatomy made for a difficult diagnosis and overall interesting case of appendicitis
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