scholarly journals Analysis and follow up of shotgun injuries in pediatric age group

2020 ◽  
Vol 08 (05) ◽  
Author(s):  
Dr Suraj S Horakeri ◽  
Keyword(s):  
Age Group ◽  
Pediatric Age ◽  
Pediatric Age Group

scholarly journals Vitreous Hemorrhage in Pediatric Age Group

2014 ◽  
Vol 2014 ◽  
pp. 1-12 ◽  
Author(s):  
Dora H. AlHarkan ◽  
Eman S. Kahtani ◽  
Priscilla W. Gikandi ◽  
Ahmed M. Abu El-Asrar
Keyword(s):  
Visual Acuity ◽  
Retinal Detachment ◽  
Vitreous Hemorrhage ◽  
Visual Outcome ◽  
Age Group ◽  
Pediatric Age ◽  
Pediatric Age Group ◽  
Good Visual Outcome ◽  
Negative Predictor

Purpose.To identify and study causes of vitreous hemorrhage (VH) in pediatric age group and to investigate factors predicting visual and anatomical outcomes.Procedure.A retrospective review of patients aged 16 years or less with the diagnosis of vitreous hemorrhage from January 2005 until December 2010.Results.A total number of 230 patients (240 eyes) were identified. Traumatic vitreous hemorrhage accounted for 82.5%. In cases of accidental trauma, final visual acuity of 20/200 was significantly associated with visual acuity of ≥20/200 at presentation and the absence of retinal detachment at last follow-up. Patients with nontraumatic vitreous hemorrhage were significantly younger with higher rates of enucleation/evisceration/exenteration and retinal detachment at last follow-up compared to traumatic cases.Conclusion.Trauma is the most common cause of VH in pediatric age group. In this group, initial visual acuity was the most important predictor for visual outcome, and the presence of retinal detachment is a negative predictor for final good visual outcome. The outcome is significantly worse in nontraumatic cases compared to traumatic cases.

scholarly journals Revisiting ureteral substitution and its outcome in children: single centre 13 year experience

2020 ◽  
Vol 7 (6) ◽  
pp. 1218
Author(s):  
Natasha L. Vageriya ◽  
Shivaji B. Mane ◽  
Taha Daginawala ◽  
Himangi Athawhale ◽  
Hussain Kotawala ◽  
...  
Keyword(s):  
Age Group ◽  
Pediatric Age ◽  
Single Centre ◽  
Renal Functions ◽  
Pediatric Age Group ◽  
Small Series ◽  
Ureteral Replacement ◽  
Paediatric Age ◽  
Published Paper

Background: Objective of this study is to explore various ureteric substitutes in pediatric age group and their outcomes.Methods: Retrospective analysis was done from 2003-2016, of all patients operated in this hospital that had undergone ureteral replacement. Thirteen such patients (5 from initially published paper (1) and 8 new patients) were followed up to find conduit patency, renal function and related complications with their outcomes assessed.Results: Ureteric substitution was done in 8 patients. Age of the patient ranged from 4 months to 8 years. Out of these for 2 patients monti tube was created; one with colon and other jejunum, rest of the 6 patient appendix was used. On follow up one patient had early appendico-ureteral leak requiring re-anastomosis and one patient had partial obstruction at 6 months corrected by dividing mesentry and untwisting appendix. With a mean follow up of 3.8 years all patients have preserved renal functions and drainage present. Also 5 patients of ureteral substitution performed at this institution and published prior were followed up with mean follow up of 10.4 years having no complaints with preserved function and unobstructed drainage.Conclusions: This small series supports that not only appendix and ileum but even colon as well as jejunum should be considered as Monti’s tube for ureteric replacement, when confronting with short ureter in paediatric age group.

scholarly journals Autoimmune pulmonary alveolar proteinosis successfully treated with lung lavage in an adolescent patient: a case report

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Abdalla Mohmed Alasiri ◽  
Reem Abdullah Alasbali ◽  
Meaad Ali Alaqil ◽  
Aishah Marei Alahmari ◽  
Nouf Dagash Alshamrani ◽  
...  
Keyword(s):  
Pulmonary Alveolar Proteinosis ◽  
Lung Lavage ◽  
Age Group ◽  
Pediatric Age ◽  
Adolescent Patient ◽  
Low Oxygen ◽  
Whole Lung Lavage ◽  
Pediatric Age Group ◽  
Alveolar Proteinosis

Abstract Background Pulmonary alveolar proteinosis is a rare interstitial lung disease characterized by accumulating surfactant materials in the alveoli. The autoimmune form is by far the most common in adults, while in the pediatric age group, the vast majority of cases are congenital. We report a case of an adolescent patient diagnosed with autoimmune pulmonary alveolar proteinosis, which is unusual in this age group. Case presentation A-15 year-old Saudi male presented to the emergency department with a history of shortness of breath and low oxygen saturation. High-resolution computed tomography of his chest showed a global crazy-paving pattern. Autoantibodies against granulocyte-macrophage colony-stimulating factor were detected in his serum. A diagnosis of the autoimmune form of pulmonary alveolar proteinosis was confirmed after excluding other possible causes. The patient improved after he underwent whole lung lavage under general anesthesia, and he was independent of oxygen therapy after 6 months of follow-up. Conclusion The autoimmune form of pulmonary alveolar proteinosis is rare in the pediatric age group and should be considered when no apparent cause of this disease was found. Whole lung lavage should be the first treatment modality offered in this setting with close follow-up and monitoring.

scholarly journals Primary Corneoscleral Cyst in a Pediatric Patient

2017 ◽  
Vol 8 (2) ◽  
pp. 425-428 ◽  
Author(s):  
Charudutt Kalamkar ◽  
Amrita Mukherjee
Keyword(s):  
Visual Acuity ◽  
Surgical Excision ◽  
Corneal Opacity ◽  
Age Group ◽  
Pediatric Age ◽  
Visual Axis ◽  
Pediatric Age Group ◽  
Eye Examination ◽  
Scleral Graft

Purpose: Primary corneoscleral cyst is a rare disease occurring in the pediatric age group. We report a case of corneoscleral cyst with visual diminution. Methods: We conducted a case report. Results: A 7-year-old girl presented with corneal opacity in the left eye. Examination revealed a corneoscleral cyst. The corneal part of the cyst involved visual axis. Surgical excision with a scleral graft was performed, leading to an improvement in visual acuity. No recurrences were observed until the last follow-up at 18 months. Conclusions: Corneoscleral cyst should be considered in the differential diagnosis of cystic ocular surface disorders in the pediatric age group.

Uvulopalatopharyngoplasty in a child with obstructive sleep apnea

1988 ◽  
Vol 102 (6) ◽  
pp. 546-548 ◽  
Author(s):  
Mufid H. Abdu ◽  
Joseph G. Feghali
Keyword(s):  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Sleep Apnea Syndrome ◽  
Age Group ◽  
Pediatric Age ◽  
Pediatric Age Group ◽  
Obstructive Sleep ◽  
Apnea Syndrome ◽  
One Year

Abstract Uvulopalotopharyngoplasty (UPPP) has been recently popularized for the treatment of snoring and sleep apnea syndrome (SAS). All reported cases so far have been adults and the use of this procedure in the pediatric age group has not as yet been reported. Obstructive sleep apnea in children has been classically treated previously either medically or by adeno-tonsillectomy. The case of a three year old child with obstructive sleep apnea secondary to a large uvula and a redundant soft palate is reported. The child was successfully treated by UPPP, and remained free of symptoms for a follow-up period of one year.

Dual Chronic Ossified Epidural Hematomas Presented with Seizures 23 Years after Head Injury in an Adult Male: Case Report and Literature Review

2018 ◽  
Vol 15 (01) ◽  
pp. 041-042
Author(s):  
Vivek Agrawal ◽  
Pramod Giri
Keyword(s):  
Case Report ◽  
Head Injury ◽  
Literature Review ◽  
Rare Case ◽  
Age Group ◽  
Pediatric Age ◽  
Rare Entity ◽  
Presenting Symptoms ◽  
Pediatric Age Group

AbstractThe authors report a rare case of dual chronic ossified epidural hematomas (EDHs) in a 35-year-old man with complaint of seizures after 23 years of head injury. Ossified EDH is a rare entity, and it commonly presents in pediatric age group. Presenting symptoms include headache and very rarely seizures. Asymptomatic cases may produce symptoms after decades; hence, regular follow-up is required. Treatment includes craniotomy or conservative management.

scholarly journals Outcome assessment for pyeloplasty in pediatric age group on the basis of ultrasonography

2021 ◽  
Vol 7 (2) ◽  
pp. 57-62
Author(s):  
Vasu Gautam ◽  
RK Maurya ◽  
RK Tripathi ◽  
Ajay Kumar ◽  
Pinaki Ranjan Debnath ◽  
...  
Keyword(s):  
Renal Function ◽  
Functional Outcome ◽  
Outcome Assessment ◽  
Clinical Evaluation ◽  
Renal Pelvis ◽  
Age Group ◽  
Pediatric Age ◽  
Pediatric Age Group ◽  
Better Than

At present, duration and methods of radiographic follow-up after pediatric pyeloplasty are not well defined. We prospectively studied pediatric age group patients to assess outcome for cases of pyeloplasty on the basis of ultrasonography and DTPA scan. : We assessed all cases of PUJ obstruction in age group 0-18 years, who got admitted in LLR hospital, Kanpur and underwent pyeloplasty. Patients were excluded if cause of pyeloplasty was acquired. Preoperatively patients underwent clinical evaluation with history and examination followed by radiological investigations including Renal USG & DTPA scan. All patients were followed up postoperatively at 3, 6, 9 & 12 months. In USG, renal parenchyma thickness, antero-posterior diameter of renal pelvis was assessed. In DTPA scan, differential renal function was assessed. Data of USG and DTPA scan were statistically compared. 32 patients who underwent pyeloplasty at a median age of 4.2 years were studied. Follow-up was done for 1 year. On the basis of our study, DTPA scan is better than renal USG to assess functional outcome after pyeloplasty in pediatric age group up to 6 months during follow-up. But results are comparable for follow-up during 9 & 12 months postoperatively. The results of our study show that in the first 6 months, renal USG is not as much informative as DTPA scan to assess functional outcome after pyeloplasty but after 6 months, renal USG is equally effective as DTPA scan.Our study concludes that for poor resource countries, renal USG can be used to assess functional outcome after pyeloplasty in pediatric age group for post-operative follow-up, instead of costly & scarcely available investigation like Renal DTPA scan.

scholarly journals Efficacy of early thoracoscopic debridement for syn-pneumonic pleural effusions in pediatric age group

2019 ◽  
Vol 6 (1) ◽  
pp. 46
Author(s):  
Kiran Grandhi ◽  
Prashant Kokiwar
Keyword(s):  
Hospital Stay ◽  
Symptomatic Relief ◽  
Age Group ◽  
Pediatric Age ◽  
Pleural Effusions ◽  
X Ray ◽  
Pediatric Age Group ◽  
Antibiotic Group ◽  
Chest X Ray

Background: Pleural effusion can be treated by antibiotics alone but thoracoscopy assisted debridement has proved superior to antibiotics alone. There is need to study this aspect in more details related to the superiority of the treatment. The objective was to study efficacy of early thoracoscopic debridement for syn-pneumonic pleural effusions in pediatric age group.Methods: A hospital based follow up study was carried out among 40 children of 1-7years of age. They were divided into two groups. One group with 15 children received only antibiotics while the other group with 25 children received thoracoscopic debridement. The results were compared in terms of hospital stay and clinical outcome.Results: It was found that the hospital stay was significantly shorter in children who received thoracoscopic debridement compared to antibiotic group. The chest X-ray was normal in all cases who received thoracoscopic debridement compared to antibiotic group. Decortications were required in five children in antibiotic group compared to none who received thoracoscopic debridement. There was no morbidity and mortality in the children received thoracoscopic debridement. Clinical and symptomatic relief was much better in children received thoracoscopic debridement compared to antibiotic group where there was persistence of the symptoms.Conclusions: Thoracoscopy done in 3days of syn-pneumonic effusions give better out come in terms of hospital stay, morbidity, radiological resolution, compared to thoracocentesis done cases.

scholarly journals Hemisacrectomy with preservation of the contralateral sacral nerve roots and sacroiliac joint for pelvic neurofibrosarcoma in a 7-year-old child: case report with 2-year follow-up

2017 ◽  
Vol 19 (1) ◽  
pp. 102-107 ◽  
Author(s):  
Ali H. Palejwala ◽  
Jared S. Fridley ◽  
Krystal Garcia ◽  
Sanjeev A. Vasudevan ◽  
David Khechoyan ◽  
...  
Keyword(s):  
Functional Outcomes ◽  
Age Group ◽  
Pediatric Age ◽  
Rare Tumor ◽  
Nerve Roots ◽  
Sacral Nerve ◽  
Pediatric Age Group ◽  
Group A

Neurofibrosarcoma is rare in the pediatric age group. A malignant tumor of the sacrum presents significant challenges, especially if the goals are to resect with wide and clean surgical margins and to achieve acceptable functional outcomes. The authors report a case of this rare tumor affecting the sacrum and sacral nerve roots of a 7-year-old girl and review the role of total hemisacrectomy sparing the contralateral sacral nerve roots and lumbopelvic reconstruction in the treatment of this disease. This patient is, to the best of the authors' knowledge, the youngest to be treated in this manner.

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