scholarly journals Congenital Neonatal Intestinal Obstruction: Retrospective Analysis at Tertiary Care Hospital

2016 ◽  
Vol 5 (4) ◽  
pp. 49 ◽  
Author(s):  
Vijay Singh ◽  
Manish Pathak
Keyword(s):  
Intestinal Obstruction ◽  
Clinical Presentation ◽  
Tertiary Care ◽  
Intestinal Atresia ◽  
Duodenal Atresia ◽  
Care Hospital ◽  
Abdominal Radiography ◽  
Colonic Atresia ◽  
Neonatal Intestinal Obstruction ◽  
Overall Mortality

Background: The purpose of this study is to analyze the etiology, clinical presentation and outcome of neonatal intestinal obstruction at our institute.Materials and Methods: The medical record of all the patients, presented with intestinal obstruction in neonatal period during 2014 and 2015 was reviewed retrospectively for etiology, clinical features, investigations, management, and outcome.Results: Out of total 53 cases of neonatal intestinal obstruction, 27 were of intestinal atresia (9 cases (17%) were of duodenal atresia, 7 (13%) were of jejunal atresia and 8 (13%) were ileal atresias and 3 cases were found with colonic atresia); 7 were malrotation, 17 were Hirschsprung’s disease (HD). All the patients were investigated with abdominal radiography and sonography. All patients were managed surgically. Overall mortality was 10/53 (18.8%). Out of 27 cases of atresia, 9 patients died (33% mortality). Septicemia was the cause of death in 7 patients (58.3%). Anastomotic leak was present in one mortality case.Conclusion: The most common cause of neonatal intestinal obstruction is atresia. Duodenal atresia was the most common atresia in our study followed by ileal atresia. Postoperative complications like septicemia led to most of deaths in our series. Septicemia, wound infection, hypothermia, prematurity need special attention for survival of neonates.

scholarly journals Neonatal intestinal obstruction: report

2000 ◽  
Vol 6 (1) ◽  
pp. 187-193
Author(s):  
G. A. Nasir ◽  
S. Rahma ◽  
A. H. Kadim
Keyword(s):  
Mortality Rate ◽  
Conservative Treatment ◽  
Intestinal Obstruction ◽  
Imperforate Anus ◽  
Surgical Intervention ◽  
Duodenal Atresia ◽  
Colonic Atresia ◽  
Neonatal Intestinal Obstruction ◽  
Age Range ◽  
Surgical Unit

We reviewed 36 cases of neonatal intestinal obstruction admitted to our surgical unit over a 10-year period, 1986-1996, for surgical intervention following the failure of conservative treatment. There were more males than females and the age range was 12 hours-26 days. Imperforate anus was the main cause of the obstruction [27.8%] followed by duodenal atresia [13.9%] and colonic atresia and meconium ileus [11.1% each]. There were 8 deaths following surgery [22% mortality rate], the main causes being aspiration pneumonia, septicaemia and hypothermia

scholarly journals Clinicoetiological and imaging profile of intracerebral haemorrhage in a tertiary care hospital of Western Odisha

2020 ◽  
Vol 8 (12) ◽  
pp. 4369
Author(s):  
Purna Chandra Karua ◽  
Shiny Joy
Keyword(s):  
Basal Ganglia ◽  
Mortality Rate ◽  
Clinical Presentation ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Care Hospital ◽  
Hematoma Volume ◽  
The Mean ◽  
Diagnosis Of Hypertension ◽  
Overall Mortality

Background: Intracerebral hemorrhage has an annual incidence of 10-30/100,000 population, accounting for 2 million (10-15%) of about 15 million strokes worldwide each year. The outcome of ICH depends on the clinical presentation and radiological parameters. The objective of current study was to study the etiology, clinical patterns and imaging profile in patients of intracerebral hemorrhage.Methods: All patients admitted in department of medicine, VIMSAR, Burla, with a diagnosis of ICH during a period of November 2017 to October 2019 were evaluated for their clinical presentation, etiology and radiological parameters.Results: A total of 105 patients with a diagnosis of ICH were included in the study. The sites of ICH were basal ganglia (49%) followed by lobar (19%), thalamus (14%), cerebellum (11%) and brain stem (8%). A pre-diagnosis of hypertension was present in 33% of the cases. Headache was the most common presenting symptom, present in 38.2% of patients followed by paralysis in 29.5%, vomiting in 27.6% and seizures in 20.9% of cases. Overall mortality rate was 39%. The mean GCS of patients who expired was 8.8 when compared to 11.28 of those patients who survived (p=0.00009). The mean hematoma size of patients who expired was 20.98 while that of those who survived was 17.41 (p=0.047). The presence of IVC was associated with mortality (p=0.006).Conclusions: A lower GCS at presentation and a mean hematoma volume >20 ml with intraventricular extension at presentation are associated with increased mortality in ICH.

scholarly journals Closed Gastroschisis

2017 ◽  
Vol 6 (3) ◽  
pp. 61 ◽  
Author(s):  
Mohammed Abdel-Latif ◽  
Mohamed Hisham Soliman ◽  
Khaled Mohaned El-Asmar ◽  
Mohamed Abdel-Sattar ◽  
Ibrahim M Abdelraheem ◽  
...  
Keyword(s):  
Intestinal Obstruction ◽  
Short Bowel Syndrome ◽  
Intestinal Atresia ◽  
Rare Entity ◽  
Short Bowel ◽  
Neonatal Intestinal Obstruction

Closed gastroschisis is a rare entity usually associated with intestinal atresia and short bowel syndrome. We report two cases of closed gastroschisis presenting with neonatal intestinal obstruction and para-umbilical evisceration without an abdominal defect.

scholarly journals A Case of Congenital Tuberculosis in a Tertiary Care Hospital

2012 ◽  
Vol 1 (2) ◽  
pp. 85-87
Author(s):  
Ishrat Jahan ◽  
Mehedi Parvez ◽  
Laisha Yeasmin
Keyword(s):  
Clinical Presentation ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Male Infant ◽  
Abdominal Distension ◽  
Drug Regimen ◽  
Care Hospital ◽  
Gastric Aspirate ◽  
Congenital Tuberculosis ◽  
Low Weight

Congenital tuberculosis is an unusual and severe clinical presentation of Mycobacterium tuberculosis (MTB) infection. It is usually difficult to diagnose and treat. We report a tenweek-old male infant who had presented with fever, difficulty in breathing, abdominal distension, convulsion, low weight gain since one month of his age. The diagnosis was made by demonstration of MTB bacilli in the gastric aspirate of baby and chest radiography. Treatment with the four drug regimen including streptomycin was initiated, but the baby died   on the third day of ATT. This case gives an account of difficulties in diagnosis and therapeutic   management of congenital tuberculosis and alerts for development of protocols that foresee   these difficulties. DOI: http://dx.doi.org/10.3329/jemc.v1i2.11469   J Enam Med Col 2011; 1(2): 85-87  

Pyomyositis mimicking leptospirosis: two cases in a Brazilian tertiary care hospital in a non-tropical area

2008 ◽  
Vol 38 (4) ◽  
pp. 254-256
Author(s):  
Letícia Perondi Luz ◽  
José Miguel Dora ◽  
Luciano Zubaran Goldani
Keyword(s):  
Skeletal Muscle ◽  
Muscle Pain ◽  
Clinical Presentation ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Care Hospital ◽  
Southern Brazil ◽  
Temperate Region ◽  
Tropical Area ◽  
Tropical Areas

Pyomyositis is a subacute, deep suppurative bacterial infection of skeletal muscle not arising from contiguous infection. It is presumably haematogenous in origin, and characterized by muscle pain and swelling. We report on two patients who presented with pyomyositis in a tertiary care hospital in temperate region located in southern Brazil with a clinical presentation, which was initially suggestive of leptospirosis. This report discusses the pathogenesis, clinical presentation, diagnosis and management of pyomyositis. Physicians living in non-tropical areas should note that pyomyositis might occur in those areas, and its initial clinical presentation may be similar to leptospirosis

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