RESUMO
Wandering spleen is a rare clinical entity characterised by splenic hypermobility resulting from laxity or maldevelopment of the suspensory gastrosplenic, splenorenal, and phrenicocolic ligaments. Diagnosis is quite difficult, especially in children because of the lack of symptoms and signs until splenic torsion have occurred. An array of investigations is possible but US with color Doppler, CT with intravenous contrast and MRI are frequently being used to diagnose wandering spleen with or without torsion. We present a case of 5 years old child with torsion of wandering spleen to highlight the importance of prompt diagnosis and management.
Assuntos
Baço/anormalidades , Esplenopatias/diagnóstico , Infarto do Baço/diagnóstico , Baço Flutuante/diagnóstico , Dor Abdominal/etiologia , Adulto , Pré-Escolar , Feminino , Humanos , Laparotomia , Baço/diagnóstico por imagem , Esplenectomia , Esplenopatias/cirurgia , Infarto do Baço/etiologia , Tomografia Computadorizada por Raios X , Anormalidade Torcional/complicações , Anormalidade Torcional/diagnóstico , Anormalidade Torcional/cirurgia , Resultado do Tratamento , Ultrassonografia Doppler em Cores , Baço Flutuante/patologia , Baço Flutuante/cirurgiaRESUMO
Tracheoesophageal fistula (TEF) without associated esophageal atresia (EA) is a rare congenital anomaly. Diagnosis in neonatal period is usually not made and most of the patients are treated as cases of pneumonia. A case of H-type of tracheoesophageal fistula, diagnosed within 24 hours of delivery based upon choking and cyanosis on first trial of feed, is being reported. Diagnosis was confirmed with contrast esophagram. Through cervical approach fistula was repaired and baby had uneventful post operative outcome.
RESUMO
Neonatal testicular torsion, also known as perinatal testicular torsion is a subject of debate among surgeons. Neonatal testicular torsion either intrauterine or postnatal results into extravaginal torsion which is a different entity than intravaginal type but has the same devastating consequences if not diagnosed and managed well in time. Testicular torsion results into acute ischemia with its resultant sequelae such as abnormality of testicular function and fertility. Urgent surgical exploration and fixation of the other testis are the key points in the management. General anesthesia is not a contraindication for exploration as thought before. Diagnosis and controversies on management of testicular torsion are discussed in this review.
