RESUMO
Congenital anterolateral diaphragmatic hernia is rare, with few cases reported in the literature. This anomaly is usually associated with left pulmonary hypoplasia. Treatment is surgical and prognosis depends on the presence and severity of associated malformations. We report a case of an intraoperative discovery of this unusual type of diaphragmatic hernia in an infant.
Assuntos
Hérnias Diafragmáticas Congênitas/diagnóstico , Pré-Escolar , Seguimentos , Hérnias Diafragmáticas Congênitas/cirurgia , Humanos , Lactente , Masculino , Pneumotórax/etiologia , Complicações Pós-Operatórias/etiologia , Prognóstico , Tomografia Computadorizada por Raios XRESUMO
UNLABELLED: Oesophageal duplication is a rare form of digestive duplication. This congenital malformation can be asymptomatic or manifest itself through respiratory signs due to airway compression. We report 2 cases of oesophageal duplication discovered in the neonatal period. CASE REPORT: In both cases, symptoms were dominated by respiratory distress and vomiting. Diagnosis was confirmed by oesophageal contrast X-rays, which revealed a total tubular form in the 1st case and a cystic form in the 2nd case. CONCLUSION: Oesophageal duplication is a rare abnormality of benign nature, which can be revealed in neonatal period by a noisy compression picture. Diagnosis of this anomaly should trigger a search for other digestive duplications, as well as associated malformations, in particular vertebral.
Assuntos
Esôfago/anormalidades , Esôfago/diagnóstico por imagem , Feminino , Seguimentos , Trânsito Gastrointestinal , Humanos , Lactente , Recém-Nascido , Masculino , Radiografia Torácica , Síndrome do Desconforto Respiratório do Recém-Nascido/etiologia , Fatores de Tempo , Vômito/etiologiaRESUMO
Rectal atresia is a rare condition, with a reported incidence of 1-2% of all anorectal anomalies. The extensive list of ingenious operative procedures used for the correction of this malformation is testimony to the great difficulty faced in treating this anomaly. Posterior sagittal anorectoplasty using end-to-end anastomosis is a safe, technically well known that achieves this goal.
Assuntos
Anus Imperfurado/cirurgia , Atresia Intestinal/cirurgia , Reto/anormalidades , Anastomose Cirúrgica/métodos , Colostomia , Humanos , Recém-Nascido , Masculino , Reto/cirurgiaRESUMO
BACKGROUND/PURPOSE: Five children with pancreatic pseudocyst were treated from 1986 to 1998, 4 of these pseudocysts have a traumatic origin. Medical therapy reduces the pancreatic stimulation and favors the resolution or the maturation of the pseudocyst. METHODS: First, all the children were treated with ultrasound-guided drainage. The duration of this drainage varied from 1 to 10 days with successful results in 3 cases. The internal drainage by cystogastrostomy was used in 2 cases. RESULTS: The first showed a cystogastric fistula in the fifth day of the external drainage, the second was drained 2 times without success. There were no pseudocyst recurrences, and children treated surgically were discharged home within 7 to 10 days after operation.
