RESUMEN
A rare disorder called newborn hydronephrosis is mostly caused by the obstruction of the pyeloureteral junction. We describe a case study of a male neonate who underwent Anderson-Hynes pyeloplasty to effectively cure hydronephrosis in a single kidney that was further complicated by early renal failure. Considering kidney failure can result in progressive renal fibrosis, early management is essential. The gold standard is Anderson-Hynes pyeloplasty, which is usually advised for individuals who weigh over 10 kg. Percutaneous nephrostomy is frequently used in the early stages of care for newborns in order to reduce dilatation and restore renal elasticity. After surgery, the resolution of hydronephrosis may take up to 24 months. We note that pyeloureteral junction obstruction can appear as a single anomaly or a component of a multifactorial illness. This study aims to contribute to the discourse surrounding the optimal timing of Anderson-Hynes pyeloplasty in pediatric patients, providing insights into clinical management strategies and outcomes.
RESUMEN
Non traumatic or spontaneous splenic ruptures are rare but potentially fatal. Mortality is mainly due to delayed and therapeutic diagnosis as well as to the risks associated with a predisposed condition and with the severity of underlying pathologies. Splenectomy is necessary in the majority of cases. They can occur either in subject with macroscopically healthy spleen but, for instance, with infectious mononucleosis (IMN) or malaria or in subjects with pathologic spleen due to tumor, for example, but even in patients with some coagulopathies. We here report the case of a 6 year old child followed up for coagulopathy, admitted with diffuse violent abdominal pain, cutaneous-mucous paleness with hemodynamic stability. Laboratory tests showed macrocytic normochromic anemia; the diagnosis of splenic rupture was based on ultrasound and abdominal CT scan. Because the patient was hemodynamically stable, conservative treatment with 2 packed red blood cell transfusions was proposed. Patient's outcome was favorable.
Asunto(s)
Dolor Abdominal/etiología , Trastornos de la Coagulación Sanguínea/complicaciones , Transfusión de Eritrocitos/métodos , Rotura del Bazo/diagnóstico por imagen , Niño , Humanos , Masculino , Rotura Espontánea/diagnóstico por imagen , Rotura Espontánea/etiología , Rotura del Bazo/etiología , Rotura del Bazo/terapia , Tomografía Computarizada por Rayos X , UltrasonografíaRESUMEN
Frequent and recurrent pathology, bladder stone is a constant complication in enterocystoplasty enlargement. The occurrence of this lithiasis is due to some factors such as urinary tract infections, mucus secretion by the intestine segment moved, poor urinary emptying and foreign bodies (sutures, staples) intra-vesical. Clinical signs are not specific. However the formation of giant lithiases remains exceptional. Some cases have been documented in the literature. The occurrence of this affection must be prevented by dietary measures and regular follow up. New therapies for the control of mucus in the bladder tank have been emerged. Open surgical remains the most common. Today, One port trocar endoscopy enables to handle and extracted lithiases of every size.
Asunto(s)
Litiasis/etiología , Cálculos de la Vejiga Urinaria/diagnóstico , Procedimientos Quirúrgicos Urológicos/efectos adversos , Anastomosis Quirúrgica/métodos , Femenino , Humanos , Mucosa Intestinal/metabolismo , Intestinos/cirugía , Litiasis/patología , Vejiga Urinaria/patología , Vejiga Urinaria/cirugía , Cálculos de la Vejiga Urinaria/etiología , Procedimientos Quirúrgicos Urológicos/métodos , Adulto JovenRESUMEN
Congenital buried penis in the child is a congenital malformation where the penis appears small in size while all the parts of the organ are normal (the urethra, the erectile tissue and the glans penis). Our study aimed to describe our experience in the surgical treatment of this abnormality. We report the case of a 18-months old infant with bilateral hydrocele initially admitted to the Emergency Department and then referred to our Department. Clinical examination showed buried penis with tight foreskin and a dilation of the preputial reservoir due to urine. Surgical procedure included several steps: Z-shaped incision, pulling back of the foreskin of the penis, release of the adhesions surrounding the corpus cavernosum and ventral penile skin coverage using bladder catheter kept for a week to protect the wound healing. Aesthetic and functional result was satisfactory after 1-year follow-up. Congenital buried penis is a very debated subject in the literature. Our technique was simple and easily reproducible. Voiding difficulties and urinary infection are the main indications of this surgical procedure.
Asunto(s)
Enfermedades del Pene/cirugía , Pene/anomalías , Hidrocele Testicular/cirugía , Estudios de Seguimiento , Humanos , Lactante , Masculino , Enfermedades del Pene/congénito , Pene/cirugía , Hidrocele Testicular/congénito , Resultado del Tratamiento , Cicatrización de HeridasAsunto(s)
Neoplasias de las Glándulas Suprarrenales/patología , Neoplasias Primarias Múltiples/patología , Feocromocitoma/patología , Neoplasias de las Glándulas Suprarrenales/cirugía , Adrenalectomía/métodos , Niño , Femenino , Humanos , Neoplasias Primarias Múltiples/cirugía , Feocromocitoma/cirugía , Accidente Cerebrovascular/etiologíaAsunto(s)
Abdomen , Bezoares/diagnóstico por imagen , Bezoares/patología , Abdomen/cirugía , Absceso Abdominal/diagnóstico por imagen , Absceso Abdominal/cirugía , Adolescente , Bezoares/cirugía , Diagnóstico Diferencial , Femenino , Humanos , Laparotomía , Radiografía , Tricotilomanía/complicaciones , Tricotilomanía/patología , Tricotilomanía/cirugíaAsunto(s)
Equinococosis Pulmonar/cirugía , Toracoscopía , Adolescente , Dolor en el Pecho/parasitología , Niño , Preescolar , Tos/parasitología , Eosinofilia/parasitología , Femenino , Fiebre/parasitología , Hemoptisis/parasitología , Hospitales Universitarios , Humanos , Leucocitosis/parasitología , Masculino , Marruecos , Complicaciones Posoperatorias , Estudios RetrospectivosAsunto(s)
Neoplasias Óseas/diagnóstico , Osteoma Osteoide/diagnóstico , Astrágalo , Niño , Femenino , HumanosAsunto(s)
Osteoma Osteoide/complicaciones , Escoliosis/etiología , Neoplasias de la Columna Vertebral/complicaciones , Vértebras Torácicas/diagnóstico por imagen , Adolescente , Dolor de Espalda/etiología , Femenino , Humanos , Osteoma Osteoide/diagnóstico por imagen , Osteoma Osteoide/cirugía , Inducción de Remisión , Neoplasias de la Columna Vertebral/diagnóstico por imagen , Neoplasias de la Columna Vertebral/cirugía , Vértebras Torácicas/cirugía , Tomografía Computarizada por Rayos XRESUMEN
Shah-Waardenburg syndrome (SWS) is a neurocristopathy and is characterized by Hirschsprung's disease (HD), deafness, and depigmentation of hairs, skin, and iris. Is a very rare congenital disorder with variable clinical expression. This report describes a 4-day-old male newborn with Waardenburg's syndrome associated with aganglionosis of the colon and terminal ileum, and review the relevant literature for draws attention to the causal relationship between these two entities.
Asunto(s)
Enfermedad de Hirschsprung/diagnóstico , Trastornos de la Pigmentación/diagnóstico , Síndrome de Waardenburg/diagnóstico , Endotelinas/fisiología , Resultado Fatal , Enfermedad de Hirschsprung/patología , Enfermedad de Hirschsprung/cirugía , Humanos , Recién Nacido , Masculino , Síndrome de Waardenburg/clasificación , Síndrome de Waardenburg/genética , Síndrome de Waardenburg/patologíaRESUMEN
Hibernomas are uncommon benign soft tissue tumours mimicking brown fat. They are mostly seen in the fourth and fifth decades of life. Only few cases in the cervical area have been reported. Because of its rarity in pediatrics and difficult diagnosis, we report a tow year-old patient with a cervical tumor. Ultrasound and computed tomography exams showed an infiltrative, with hypervascular and lipomatous features. After tumor excision, histopathological exam confirmed the diagnosis of hibernoma or brown fat tumor. This presentation describes the characteristics of this type of tumor, rare in children.
Asunto(s)
Neoplasias de Cabeza y Cuello/diagnóstico , Lipoma/diagnóstico , Tejido Adiposo Pardo , Preescolar , Diagnóstico Diferencial , Neoplasias de Cabeza y Cuello/patología , Neoplasias de Cabeza y Cuello/cirugía , Humanos , Lipoma/patología , Lipoma/cirugía , MasculinoRESUMEN
Congenital granular cell epulis (CGCE) is a very rare benign soft tissue lesion of the neonate, it most frequently located on the anterior maxillary alveolar ridge. It has a female predilection. It is a tumor with no tendency to recur after excision. The exact histogenesis of this tumor remains unresolved and it may be hamartomata.
Asunto(s)
Anestesia Local/métodos , Neoplasias Gingivales/patología , Tumor de Células Granulares/patología , Femenino , Neoplasias Gingivales/congénito , Neoplasias Gingivales/cirugía , Tumor de Células Granulares/congénito , Tumor de Células Granulares/cirugía , Humanos , Recién NacidoRESUMEN
Giant cystic lymphangioma is an uncommon mesenteric tumor which is usually reported in children. In this paper, we describe 3 cases, that was admitted in our department, two with abdominal distension, pain, and an abdominopelvic mass; the other present an acute abdomen. Preoperative studies including abdominal ultrasonography and computed tomography failed to determine the cause of the pain for the female patients. The laparotomy found a giant cystic tumor of the small bowel mesentery. The histological study showed a tumor that was diagnosed as a cystic lymphangioma. Based on those three cases a review of the literature is suggested.
Asunto(s)
Linfangioma Quístico/patología , Mesenterio , Neoplasias Peritoneales/patología , Niño , Femenino , Humanos , Linfangioma Quístico/cirugía , Masculino , Neoplasias Peritoneales/cirugíaAsunto(s)
Helmintiasis del Sistema Nervioso Central/complicaciones , Helmintiasis del Sistema Nervioso Central/diagnóstico , Coma/diagnóstico , Coma/etiología , Equinococosis/complicaciones , Equinococosis/diagnóstico , Helmintiasis del Sistema Nervioso Central/patología , Niño , Diagnóstico Diferencial , Equinococosis/patología , Femenino , HumanosRESUMEN
Urethral diverticula are saclike dilations of the urethra and are classified as either congenital or acquired. While urethral diverticula are commonly seen in female patients, they are rarely seen in men. The most common etiologies of male acquired diverticula include urethral trauma, stricture, abscess or post-hypospadias repair. We report a case of acquired urethral diverticula caused by a traumatic vesical catheterization in a 6-year old boy and review the literature on the topic.
Asunto(s)
Divertículo/etiología , Enfermedades Uretrales/etiología , Vejiga Urinaria/lesiones , Cateterismo Urinario/efectos adversos , Niño , Divertículo/patología , Humanos , Masculino , Enfermedades Uretrales/patologíaRESUMEN
Cystic lymphangioma is an uncommon mesenteric tumor which is usually reported in children. We describe a case of a 12-years old girl who was admitted in our hospital with abdominal distension and pain. Physical examination showed an abdomino-pelvic mass. Preoperative studies including abdominal ultrasonography and computed tomography failed to determine the cause of the pain. Laparotomy found a giant cystic tumor of the small bowel mesentery. Histological studies confirm the diagnosis of cystic lymphangioma. Based on this case, a review of the literature is suggested.