Late presentation of congenital cystic adenomatoid malformation

We present the case of a 9 year old girl with history of progressive pneumatoceles and infection since she was 3 years old. A chest computerized tomography revealed a cystic lung mass. The patient was taken to surgery and a left lower lobe lobectomy was performed. The pathologic diagnosis was that of a congenital cystic adenomatoid malformation. We discuss the clinical presentation, and pathology of this entity with a brief review of the literature.

Gastric emphysema simulating perforated hollow viscus: case report and review of literature

Gastric emphysema is a benign condition in which air from non bacterial sources accumulate within the wall of the stomach. This pathology is usually associated with gastric and, or small bowel obstruction. A case report of gastric emphysema is presented, together with a pertinent review of the literature

Resting energy expenditure in children after major surgery

Resting energy expenditure (REE) is reported to increase by 24 in adults following elective operations. We studied REE in 12 children after major surgery to check if they had a similar response. REE was measured by indirect calorimetry. All subjects (6 males, 6 females; age range 6 to 12 years) were measured supine in bed, and after overnight fast. REE was expressed as kilocalories per unit body surface area (BSA) per day. In addition, respiratory quotient (RQ) was calculated for each patient. Contrary to adults, these children did not demonstrate a significant increase in REE following major operative procedures. Furthermore, there was no change in RQ postoperatively. These data demonstrate that children might have a different response to surgical stress than adults. We believe that children are able to convert energy expended on growth to energy spent on wound repair and healing, thus avoiding the overall increase in energy expenditure seen in the adult population