scholarly journals Stridor in infant caused by subglottic hemangiome: case report

2020 ◽  
Vol 10 (3) ◽  
Author(s):  
Raquel Lot ◽  
Caroline Rosa ◽  
Camila Freitas ◽  
Gracinda Adnet ◽  
Luisa Costa ◽  
...  
Keyword(s):  
Beta Agonist ◽  
First Year ◽  
Vascular Neoplasms ◽  
Threatening Condition ◽  
Life Threatening ◽  
Diagnostic Hypothesis ◽  
Therapeutic Measures ◽  
The Right ◽  
First Year Of Life ◽  
Age Range

Subglottic hemagioma is a rare cause of stridor, but it is one of the most common vascular neoplasms of the airways in childhood. If the treatment is not promptly instituted, it becomes a life-threatening condition. The diagnosis should be suspected when infants outside the age range for acute laryngitis present with stridor associated with severe respiratory effort, without viral prodromes, with a condition that is not responsive to initial therapeutic measures considering the main diagnostic hypothesis. Infantile hemangiomas begin to proliferate during the first year of life (between the 1st and 2nd month of life). Involution usually occurs between 6 months and 12 months of life (most involution until 4 years). The case is a 5-month-old female infant, with sudden stridor associated with respiratory distress without viral prodromes or fever, with little response to inhaled short-acting beta-agonist, inhaled adrenaline, as well as corticosteroids inhalation/parenteral. Bronchoscopy showed a bulging of the submucosa to the right of the subglottis with slight vascularization, suggestive of subglottic hemangioma. Treatment with propranolol was initiated orally with the aim of regressing the hemangioma and after clinical stability, the infant was discharged with outpatient follow-up.

scholarly journals Stridor in infant caused by subglottic hemangiome: case report

2020 ◽  
Vol 10 (3) ◽  
Author(s):  
Raquel Lot ◽  
Caroline Rosa ◽  
Camila Freitas ◽  
Gracinda Adnet ◽  
Luisa Costa ◽  
...  
Keyword(s):  
Beta Agonist ◽  
First Year ◽  
Vascular Neoplasms ◽  
Threatening Condition ◽  
Life Threatening ◽  
Diagnostic Hypothesis ◽  
Therapeutic Measures ◽  
The Right ◽  
First Year Of Life ◽  
Age Range

Subglottic hemagioma is a rare cause of stridor, but it is one of the most common vascular neoplasms of the airways in childhood. If the treatment is not promptly instituted, it becomes a life-threatening condition. The diagnosis should be suspected when infants outside the age range for acute laryngitis present with stridor associated with severe respiratory effort, without viral prodromes, with a condition that is not responsive to initial therapeutic measures considering the main diagnostic hypothesis. Infantile hemangiomas begin to proliferate during the first year of life (between the 1st and 2nd month of life). Involution usually occurs between 6 months and 12 months of life (most involution until 4 years). The case is a 5-month-old female infant, with sudden stridor associated with respiratory distress without viral prodromes or fever, with little response to inhaled short-acting beta-agonist, inhaled adrenaline, as well as corticosteroids inhalation/parenteral. Bronchoscopy showed a bulging of the submucosa to the right of the subglottis with slight vascularization, suggestive of subglottic hemangioma. Treatment with propranolol was initiated orally with the aim of regressing the hemangioma and after clinical stability, the infant was discharged with outpatient follow-up.

scholarly journals GENERAL CHARACTERISTICS OF THE MAIN MORPHOMETRIC INDICATORS OF THE SHAPE AND ANGIOARCHITECTURE OF THE HUMAN GREATER OMENTUM

2019 ◽  
Vol 19 (4) ◽  
pp. 148-153
Author(s):  
I.L. Fedorchenko
Keyword(s):  
Blood Supply ◽  
Anterior Abdominal Wall ◽  
Individual Variability ◽  
Mesenteric Arteries ◽  
Greater Omentum ◽  
First Year ◽  
Linear Dimensions ◽  
The Right ◽  
First Year Of Life ◽  
Age Range

The review examines the age characteristics of the greater omentum, its metric and topographic parameters. It has been revealed that the shape of the greater omentum can be single-, two- and multi-lobular, which is determined by its loose part. The linear dimensions of the greater omentum are consistent with the stature type and age range. The length of the loose portion of the greater omentum varies widely and ranges from 20 to 43 cm (average 31.58 ± 0.8 cm); the area of the surface of the greater omentum in adults reaches an average of 0.81 m2, which is almost half the entire surface of the peritoneum and is on average 0.40 m2. The range of individual variability in the size of the greater omentum varies at different ages of the child's development. It is especially large at the end of the first year of life. In the next 2-4 years of life, the range of variability of the greater omentum narrows slightly, the largest growth of linear sizes of the greater omentum is observed during the first year of life of the child and they increase by 2 times, and the area – by 3 times. The asymmetry of the longitudinal dimensions of the greater omentum on the right and left also increases. The boundaries of the greater omentum are: liver, spleen, parietal peritoneum of anterior abdominal wall, small intestine, ascending and descending part of the colon. It has been revealed that the main source of blood supply of the human greater omentum is the abdominal and upper mesenteric arteries, the anterior duplication of the greater omentum receives nutrition from the short and long omental arteries, and numerous small arterial vessels are involved in the blood supply of the upper left part of the omentum; they are located in the thickness of the gastro-splenic ligament. Usually 5-13 branches ramify from the right gastrointestinal artery, and one branches off from the left one. The left gastrointestinal artery has a length of 7 to 21 cm and the right gastrointestinal artery – from 10 to 38 cm.

scholarly journals Brief resolved unexplained event: how life-threatening are they? (literature review)

2020 ◽  
Vol 1 (3) ◽  
pp. 5-10
Author(s):  
Natalya N. Korableva ◽  
Leonid M. Makarov ◽  
Larisa A. Balykova ◽  
Natalya P. Kotlukova
Keyword(s):  
Risk Stratification ◽  
Action Plan ◽  
Sudden Infant Death ◽  
Sudden Infant ◽  
First Year ◽  
Strategic Action ◽  
Threatening Condition ◽  
Life Threatening ◽  
Clinical Conditions ◽  
First Year Of Life

This article presents the view expressed in contemporary scientific literature on the evolution of definitions, diagnostic approaches and risk stratification for suddenly occurred life-threatening conditions accompanied by cardiorespiratory disorders in children of the first year of life. The term “brief resolved unexplained event (BRUE)” has replaced the terms “apparent life-threatening event” and “aborted sudden infant death syndrome”. The provided information is derived from clinical guidelines of the American Academy of Pediatrics and the Italian Society of Pediatrics dealing with the above clinical conditions. The authors’ view is focused on the life-threatening situations and risk stratification for adverse outcome. The criteria for classifying infants’ condition as a low risk of life-threatening condition following the occurred event are provided. The authors’ collective invites the national pediatric community for a discussion on the issue of a life-threatening nature of BRUE among children of the first year of life in order to build a strategic action plan dealing with the necessity of hospitalization and scope of diagnostic insight into the cause of the event.

May-Thurner syndrome – Are we aware enough?

VASA ◽  
2019 ◽  
Vol 48 (5) ◽  
pp. 381-388 ◽  
Author(s):  
Katalin Mako ◽  
Attila Puskas
Keyword(s):  
Contraceptive Use ◽  
Iliac Vein ◽  
Common Iliac Vein ◽  
Vein Thrombosis ◽  
Compression Syndrome ◽  
Threatening Condition ◽  
Life Threatening ◽  
Iliac Vein Compression ◽  
Iliac Vein Compression Syndrome ◽  
The Right

Summary. Iliac vein compression syndrome (May-Thurner syndrome – MTS) is an anatomically variable clinical condition in which the left common iliac vein is compressed between the right common iliac artery and the underlying spine. This anatomic variant results in an increased incidence of left iliac or iliofemoral vein thrombosis. It predominantly affects young women in the second or third decades of life with preponderance during pregnancy or oral contraceptive use. Although MTS is rare, its true prevalence is underestimated but it can be a life-threatening condition due to development of pulmonary embolism (PE). In this case based review the authors present three cases of MTS. All patients had been previously confirmed with PE, but despite they were admitted to hospital, diagnosed and correctly treated for PE and investigated for thrombophilia, the iliac vein compression syndrome was not suspected or investigated. With this presentation the authors would like to emphasize that MTS is mostly underdiagnosed, and it needs to be ruled out in left iliofemoral vein thrombosis in young individuals.

AGE-RELATED CHANGES IN THICKNESS OF CORTEX AND ITS LAYERS IN THE PARAMEDIAN LOBULE OF THE CEREBELLUM IN CHILDREN

2020 ◽  
pp. 14-18
Author(s):  
Татьяна Александровна Цехмистренко ◽  
Аслан Батразович Мазлоев ◽  
Дмитрий Константинович Обухов
Keyword(s):  
Right Hemisphere ◽  
Molecular Layer ◽  
First Year ◽  
Age Related ◽  
Average Group ◽  
Computer Morphometry ◽  
The Right ◽  
First Year Of Life ◽  
Granular Layers ◽  
Age Related Changes

Цель - изучение возрастных изменений толщины коры и ее слоев в парамедианной дольке мозжечка у детей. Материал и методы. Работа выполнена на постмортальном материале (62 мозжечка), полученном от детей в возрасте от рождения до 12 лет, умерших в результате травм без повреждений головного мозга. С помощью компьютерной морфометрии на окрашенных методом Ниссля фронтальных гистологических срезах коры, взятой билатерально в области парамедианной (тонкой) дольки (HVIIB) на вершине листков мозжечка, измеряли толщину коры, а также толщину ее молекулярного и зернистого слоев. Анализ количественных данных проводили в годовых интервалах. Результаты. В парамедианной дольке мозжечка увеличение толщины коры происходит в четыре этапа: в правом полушарии - от рождения к 1, 3, 5 и 9 годам, в левом полушарии - к 1, 5, 7 и 9 годам. Левосторонняя асимметрия толщины коры мозжечка отмечается у детей 1 и 2 лет, толщины молекулярного слоя - у детей 3 лет жизни. Правосторонняя асимметрия характерна для толщины зернистого слоя у детей 3 лет и поперечника коры, в целом, у детей 6 лет. Толщина коры и слоев в области парамедианной дольки мозжечка по среднегрупповым показателям достигает уровня взрослых людей к 9 годам. Выводы. Толщина коры мозжечка и ее слоев в области дольки H VII B увеличивается гетерохронно и гетеродинамически в правом и левом полушариях мозжечка у детей на первом году жизни, а также в периоды раннего, первого и второго детства. Уменьшения поперечника коры и слоев в парамедианной дольке мозжечка у детей от рождения до 12 лет не обнаружено. Objective - to study the age-related changes in the thickness of the cortex and its layers in the paramedian lobule of the cerebellum in children. Material and methods. The work was performed on postmortem material (62 cerebellums) obtained from children aged from birth to 12 years who died from injuries but without brain damage. The thickness of the cortex, as well as the thickness of its molecular and granular layers, were measured using computer morphometry on the Nissl-stained frontal histological sections of the cortex taken bilaterally in the region of the paramedian (gracile) lobule (HVIIB) at the top of the folia of cerebellum. Analysis of quantitative data was performed at annual intervals. Results. In the paramedian lobule of the cerebellum, the increase in the thickness of the cortex occured in four stages: in the right hemisphere - from birth to 1, 3, 5 and 9 years, in the left hemisphere - to 1, 5, 7 and 9 years. Left-sided asymmetry of the cortical thickness of the cerebellum was observed in 1 and 2-year old children, the thickness of the molecular layer - in 3-year old children. Right-sided asymmetry was characteristic for the thickness of the granular layer in 3-year old children and a cross-section of the cortex in 6-year old children. The thickness of the cortex and layers in the area of the paramedian lobule of the cerebellum on the average group indicators reached the level of adults by 9 years. Conclusions. The thickness of the cerebellar cortex and its layers in the area of the lobule HVIIB increased heterochronically and heterogeneously in the right and left hemispheres of the cerebellum in children of the first year of life, and in the periods of early, first and second childhood. No reduction in the diameter of the cortex and layers in the paramedian lobule of the cerebellum of children from birth to 12 years was found.

scholarly journals Necrotizing fasciitis with group A Streptococci and Eggerthella lenta as a complication of Varicella in a child – case presentation –

2014 ◽  
Vol 20 (1) ◽  
pp. 35-39
Author(s):  
Cambrea Simona Claudia ◽  
Ilie Maria Margareta ◽  
Carp Dalia Sorina ◽  
Ionescu C.
Keyword(s):  
Necrotizing Fasciitis ◽  
Severe Disease ◽  
The Body ◽  
Group A Streptococci ◽  
Threatening Condition ◽  
Life Threatening ◽  
Group A ◽  
The Right ◽  
Surgery Department ◽  
Short Time

ABSTRACT Necrotizing fasciitis is a life threatening condition that can be quickly spread through the flesh surrounding the muscle. The disease can be polymicrobial, or caused by group A beta hemolytic Streptococci, or by Clostridium spp. We present a case of a 7 years old girl, which was hospitalized in Children Infectious Diseases Department in a 7th day of chickenpox (hematic crusts all over the body), high fever, asthenia, vomiting, oligoanuria, and tumefaction, pain and functio lessa in the right thigh. In a very short time in the right thigh swelling, edema and congestion have increased gradually, and in the third highest middle thigh the ecchymotic areas appeared evolving towards bubbles and blisters which included the right thigh and calf. After excluding the diagnosis of thrombophlebitis was raised suspicion of necrotizing fasciitis. CT pelvic scan evidenced pelvic asymmetry by maximus and medium right gluteal muscles swelling with important inflammatory infiltrate extended laterally in the subcutaneous adipose tissue. In blood culture was isolated Eggerthella lenta, and from throat swab was isolated group A Streptococci. Treatment consists of a combination of antibiotics associated with intravenous immunoglobulin administration. Despite medical treatment evolution worsened and required transfer in a pediatric surgery department where emergent surgical debridement associated with intensive antibiotic therapy was done. After this intervention evolution was slowly favorable without major limb dysfunction. Polymicrobial necrotizing fasciitis is a severe disease, which if recognized early can have a favorable outcome.

Intracranial aneurysm following radiation therapy for medulloblastoma

1997 ◽  
Vol 38 (1) ◽  
pp. 37-42 ◽  
Author(s):  
F. K. Jensen ◽  
A. Wagner
Keyword(s):  
Radiation Therapy ◽  
Intracranial Aneurysm ◽  
Intracranial Aneurysms ◽  
Distal Part ◽  
Anterior Cerebral Artery ◽  
Craniospinal Radiation ◽  
Threatening Condition ◽  
Life Threatening ◽  
Radiation Induced ◽  
The Right

Radiation-induced intracranial aneurysm formation is a rare but life-threatening condition with a high mortality rate secondary to rupture of the aneurysm. Further-more, this condition can mimic tumour recurrence. Only 10 months after craniospinal radiation therapy for medulloblastoma, a 9-year-old boy developed a subarachnoid haemorrhage secondary to a ruptured saccular aneurysm arising from the distal part of the right anterior cerebral artery. The development of intracranial aneurysms and rupture following radiation damage of the arteries has been reported previously, but in no case as soon as 10 months after radiation therapy. It is important to diagnose these aneurysms as they can be successfully treated.

Malignant extrarenal rhabdoid tumor: a case report

2015 ◽  
Vol 4 (1) ◽  
Author(s):  
Tanja Stüber ◽  
Eric Frieauff ◽  
Joachim Diessner ◽  
Arnd Hönig ◽  
Monika Rehn
Keyword(s):  
Fetal Distress ◽  
Rhabdoid Tumor ◽  
First Year ◽  
Therapeutic Trial ◽  
Male Fetus ◽  
Preterm Baby ◽  
Histopathologic Analysis ◽  
The Right ◽  
First Year Of Life ◽  
Extrarenal Rhabdoid Tumor

AbstractThe fetal extrarenal rhabdoid tumor is a highly aggressive and rare neoplasm that mostly occurs in the first year of life. In this case, a remarkably enlarged right upper arm was diagnosed in a male fetus at 31+2 weeks of gestation. Because of a fast progressive tumor volume and signs of fetal distress, a cesarean section was performed at 34 weeks of gestation. The preterm baby showed a blue livid tumor reaching from the right elbow up to the shoulder that resulted in an extrarenal rhabdoid tumor on histopathologic analysis. A therapeutic trial with cyclophosphamide was not effective and the child died at the age of 26 days because of multi-organ failure.

scholarly journals Laparoscopic Treatment of a Rare Right Diaphragmatic Rupture with Small Bowel Herniation after Blunt Thoracic Trauma

2010 ◽  
Vol 2010 ◽  
pp. 1-2 ◽  
Author(s):  
H. Hoffmann ◽  
D. Oertli ◽  
O. Heizmann
Keyword(s):  
Small Bowel ◽  
Laparoscopic Approach ◽  
Diaphragmatic Rupture ◽  
Laparoscopic Treatment ◽  
Diaphragm Rupture ◽  
Traumatic Diaphragmatic Rupture ◽  
Threatening Condition ◽  
Life Threatening ◽  
The Right ◽  
Delay Of Diagnosis

Blunt traumatic diaphragmatic rupture (BTDR) is a life-threatening condition with an incidence from 0,8%–1,6% in blunt trauma, mostly located on the left side. The main prognostic factors are severe side injuries and the delay of diagnosis. We present a rare case of a 68-year-old female, with an isolated right diaphragm rupture. The diagnosis was done with a delay of 4 days by thoracic radiographs, which showed a herniation of small bowel into the right thoracic cavity. A reposition of the small bowel and a closure of the diaphragmatic defect by running suture were carried out laparoscopicly. Although large prospective studies concerning the outcome of laparoscopic approach to right BTDR are still missing, we could show, that laparoscopy can be performed safely in right traumatic diaphragm rupture.

Surgical ablation of a cardiac rhabdomyoma in an infant with tuberous sclerosis

1998 ◽  
Vol 8 (1) ◽  
pp. 134-135 ◽  
Author(s):  
Dagmar Henglein ◽  
Nabil-Maurice Guirgis ◽  
Gérard Bloch
Keyword(s):  
Tuberous Sclerosis ◽  
Conservative Therapy ◽  
Surgical Intervention ◽  
First Year ◽  
Rare Tumor ◽  
Surgical Ablation ◽  
Cardiac Rhabdomyoma ◽  
Mitral Valves ◽  
Life Threatening ◽  
First Year Of Life

AbstractCardiac rhabdomyoma is a rare tumor. Because of its rate of regression, mainly in the first year of life, conservative therapy is generally suggested when diagnosis occurs in infancy. We report surgical ablation of a rhabdomyoma in a 2-month-old boy in whom the tumor extended into the subaortic outflow tract. The tumor, which had a dual attachment to the aortic and mitral valves, was safely removed without any valvar damage. We suggest immediate surgical intervention for those rhabdomyomas which are life-threatening because of their size, location, or arrhythmogenicity.

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