<strong>Introduction:</strong><span style="font-family:""><span style="font-family:Verdana;"> Spina bifida is the most common neural tube defect. Uterine prolapse is an...<strong>Introduction:</strong><span style="font-family:""><span style="font-family:Verdana;"> Spina bifida is the most common neural tube defect. Uterine prolapse is an exceptional presentation of its complications. We aim to describe the clinical and progressive features of uterine prolapse in a newborn baby with spina bifida. </span><b><span style="font-family:Verdana;">Observation:</span></b><span style="font-family:Verdana;"> 19-day-old newborn. Admitted for spina bifida. The clinical examination showed an anal gaping, the presence of uterovaginal prolapse and bilateral equine varus clubfoot. The particularity </span><span style="font-family:Verdana;">was that this prolapse had a spontaneous resolution but appears with</span><span style="font-family:Verdana;"> screams. We made a compression bandage at the time of resolution. After a 6-month of follow-up, the baby is in good general condition and, there is no recurrence of the prolapse. </span><b><span style="font-family:Verdana;">Conclusion:</span></b><span style="font-family:Verdana;"> Uterine prolapse is a rare complication of spina bifida. The main therapeutic component remains the prevention of spina bifida.</span></span>展开更多
<strong>Backgroun</strong><strong>d</strong><strong></strong><strong>:</strong><span><span><span style="font-family:""><span style=&q...<strong>Backgroun</strong><strong>d</strong><strong></strong><strong>:</strong><span><span><span style="font-family:""><span style="font-family:Verdana;"> Tuberculosis is still a public health problem in the third world. The peritoneal localization is common even in pediatric patients. The </span><span style="font-family:Verdana;">macroscopics</span><span style="font-family:Verdana;"> aspects of the peritoneal and/or intestine granulations are pathognomonic. However, its diagnosis by an inguinal hernia is exceptional. Our work aims to discuss the particularities of this unusual presentation of peritoneal tuberculosis.</span><b><span style="font-family:Verdana;"> Case report:</span></b><span style="font-family:Verdana;"> A 10-year-old girl </span><span style="font-family:Verdana;">who</span><span style="font-family:Verdana;"> presented with a painless inguinal hernia. </span><span style="font-family:Verdana;">In</span><span style="font-family:Verdana;"> per operatory, there was a granulomatous inflammation of the </span><span style="font-family:Verdana;">vaginalis</span><span style="font-family:Verdana;"> process. The diagnosis of tuberculosis was confirmed by histopathologic study and the patient started the anti-tuberculosis drugs. After one year of follow-up, the girl is good and has no symptoms. </span><b><span style="font-family:Verdana;">Discussion:</span></b><span style="font-family:Verdana;"> Opinions are divided when to cure the hernia. Is it necessary to do a laparoscopic exploration and biopsy then to secondarily cure the hernia;or go through the inguinal way to cure the hernia and do a peritoneal biopsy? In our case, we performed by the same surgical time the cure of the hernia and the biopsy and it did not impact negatively the follow-up. </span><b><span style="font-family:Verdana;">Conclusion:</span></b><span style="font-family:Verdana;"> This revelation mode of peritoneal tuberculosis by inguinal hernia is exceptional but possible.</span></span></span></span>展开更多
Perthes syndrome includes cervical and facial cyanosis, subconjunctival haemorrhage, petechial haemorrhages on the face, neck, and upper chest, secondary to chest compression. We report a clinical case of Perthes’ sy...Perthes syndrome includes cervical and facial cyanosis, subconjunctival haemorrhage, petechial haemorrhages on the face, neck, and upper chest, secondary to chest compression. We report a clinical case of Perthes’ syndrome in 3-year-old boy victims of chest crush by a tractor. Clinical examination found: a Glasgow score at 13/15, polypnea, tachycardia, hypotension;wound of the occipital scalp, a low abundance of hematuria, deformation of the left lower limb. Body scan: bilateral pneumothorax and pulmonary contusions, left hemothorax;lacerations at the medial and upper renal pole grade IV, a low abundance of retroperitoneal hematoma, fracture of the left femur. Biological assessment showed major metabolic disturbances with severe acute rhabdomyolysis and multi-visceral failure. Without clinical improvement, the patient died after 36 hours of intensive care.展开更多
Post-traumatic injuries of the gall bladder are rare. We report through a clinical description of its physio-pathological and evolutionary aspects. A 14-year-old boy was received 48 hours after a stabbing attack. Afte...Post-traumatic injuries of the gall bladder are rare. We report through a clinical description of its physio-pathological and evolutionary aspects. A 14-year-old boy was received 48 hours after a stabbing attack. After initial haemorrhage, the patient presented clinical improvement;then a sudden deterioration with vague symptoms and disturbance of the hepatic balance. The abdominal CT scan revealed a perivesicular hematoma with a focus on hepatic contusion. Laparoscopy showed a penetrating sore of the liver, but the exploration was limited by an important inflammation of the digestive tract. The diagnosis of gall bladder perforation was made during the operation. We performed a cholecystectomy by laparotomy. Postoperative evolution was simple, removal of the slides at D + 4 and discharged at D + 7 postoperative after improvement. At the 6th month, he presented an acute intestinal obstruction on bridles, managed at emergency by open surgery. After one year of follow up, the patient has no symptoms. We note that the vague clinical presentation and the limit of imaging examinations made the early diagnosis of a vesicular perforation a real challenge for the clinician. Cholecystectomy remains the optimal treatment.展开更多
文摘<strong>Introduction:</strong><span style="font-family:""><span style="font-family:Verdana;"> Spina bifida is the most common neural tube defect. Uterine prolapse is an exceptional presentation of its complications. We aim to describe the clinical and progressive features of uterine prolapse in a newborn baby with spina bifida. </span><b><span style="font-family:Verdana;">Observation:</span></b><span style="font-family:Verdana;"> 19-day-old newborn. Admitted for spina bifida. The clinical examination showed an anal gaping, the presence of uterovaginal prolapse and bilateral equine varus clubfoot. The particularity </span><span style="font-family:Verdana;">was that this prolapse had a spontaneous resolution but appears with</span><span style="font-family:Verdana;"> screams. We made a compression bandage at the time of resolution. After a 6-month of follow-up, the baby is in good general condition and, there is no recurrence of the prolapse. </span><b><span style="font-family:Verdana;">Conclusion:</span></b><span style="font-family:Verdana;"> Uterine prolapse is a rare complication of spina bifida. The main therapeutic component remains the prevention of spina bifida.</span></span>
文摘<strong>Backgroun</strong><strong>d</strong><strong></strong><strong>:</strong><span><span><span style="font-family:""><span style="font-family:Verdana;"> Tuberculosis is still a public health problem in the third world. The peritoneal localization is common even in pediatric patients. The </span><span style="font-family:Verdana;">macroscopics</span><span style="font-family:Verdana;"> aspects of the peritoneal and/or intestine granulations are pathognomonic. However, its diagnosis by an inguinal hernia is exceptional. Our work aims to discuss the particularities of this unusual presentation of peritoneal tuberculosis.</span><b><span style="font-family:Verdana;"> Case report:</span></b><span style="font-family:Verdana;"> A 10-year-old girl </span><span style="font-family:Verdana;">who</span><span style="font-family:Verdana;"> presented with a painless inguinal hernia. </span><span style="font-family:Verdana;">In</span><span style="font-family:Verdana;"> per operatory, there was a granulomatous inflammation of the </span><span style="font-family:Verdana;">vaginalis</span><span style="font-family:Verdana;"> process. The diagnosis of tuberculosis was confirmed by histopathologic study and the patient started the anti-tuberculosis drugs. After one year of follow-up, the girl is good and has no symptoms. </span><b><span style="font-family:Verdana;">Discussion:</span></b><span style="font-family:Verdana;"> Opinions are divided when to cure the hernia. Is it necessary to do a laparoscopic exploration and biopsy then to secondarily cure the hernia;or go through the inguinal way to cure the hernia and do a peritoneal biopsy? In our case, we performed by the same surgical time the cure of the hernia and the biopsy and it did not impact negatively the follow-up. </span><b><span style="font-family:Verdana;">Conclusion:</span></b><span style="font-family:Verdana;"> This revelation mode of peritoneal tuberculosis by inguinal hernia is exceptional but possible.</span></span></span></span>
文摘Perthes syndrome includes cervical and facial cyanosis, subconjunctival haemorrhage, petechial haemorrhages on the face, neck, and upper chest, secondary to chest compression. We report a clinical case of Perthes’ syndrome in 3-year-old boy victims of chest crush by a tractor. Clinical examination found: a Glasgow score at 13/15, polypnea, tachycardia, hypotension;wound of the occipital scalp, a low abundance of hematuria, deformation of the left lower limb. Body scan: bilateral pneumothorax and pulmonary contusions, left hemothorax;lacerations at the medial and upper renal pole grade IV, a low abundance of retroperitoneal hematoma, fracture of the left femur. Biological assessment showed major metabolic disturbances with severe acute rhabdomyolysis and multi-visceral failure. Without clinical improvement, the patient died after 36 hours of intensive care.
文摘Post-traumatic injuries of the gall bladder are rare. We report through a clinical description of its physio-pathological and evolutionary aspects. A 14-year-old boy was received 48 hours after a stabbing attack. After initial haemorrhage, the patient presented clinical improvement;then a sudden deterioration with vague symptoms and disturbance of the hepatic balance. The abdominal CT scan revealed a perivesicular hematoma with a focus on hepatic contusion. Laparoscopy showed a penetrating sore of the liver, but the exploration was limited by an important inflammation of the digestive tract. The diagnosis of gall bladder perforation was made during the operation. We performed a cholecystectomy by laparotomy. Postoperative evolution was simple, removal of the slides at D + 4 and discharged at D + 7 postoperative after improvement. At the 6th month, he presented an acute intestinal obstruction on bridles, managed at emergency by open surgery. After one year of follow up, the patient has no symptoms. We note that the vague clinical presentation and the limit of imaging examinations made the early diagnosis of a vesicular perforation a real challenge for the clinician. Cholecystectomy remains the optimal treatment.
