RESUMO
Two neonates with colon atresia and one with colon stenosis presented in Harare over a six month period. The first patient was treated with a local resection and primary anastomosis for a type II colon atresia. The second had an excision of obstructing septum, widening coloplasty and cecostomy for a type I colon atresia. The third patient had a sigmoido-rectoplasty and cecostomy for a sigmoid colon stenosis. The third patient also had a cystic duplication of the small bowel. No other anomalies were noted. All three patients survived and were developing normally at six months post-operatively. A review of medical records at Harare and Parirenyatwa Hospitals revealed no other case of colon atresia in the last 10 years. The incidence by site of gastro-intestinal atresias in Zimbabwe is consistent with other reports.
Assuntos
Colo/anormalidades , Atresia Intestinal , Obstrução Intestinal , Feminino , Humanos , Incidência , Recém-Nascido , Atresia Intestinal/classificação , Atresia Intestinal/epidemiologia , Atresia Intestinal/cirurgia , Obstrução Intestinal/classificação , Obstrução Intestinal/epidemiologia , Obstrução Intestinal/cirurgia , Masculino , Zimbábue/epidemiologiaRESUMO
A case of severe tetanus complicated by intestinal perforation is described. Because of the nature of the treatment in tetanus, the diagnosis was missed for several weeks and the patient's life consequently put at great risk. The possibility that the perforation may have resulted from extreme intra-abdominal pressure changes during spasms is discussed as well as the difficulties of managing such complications in an intensive care unit.