POSTERIOR SAGITTAL ANORECTOPEXY FOR PAEDIATRIC RECTAL PROLAPSE

2021 ◽  
pp. 47-48
Author(s):  
Shravya Shetty ◽  
Ajay Naik
Keyword(s):  
Rectal Prolapse ◽  
Conservative Management ◽  
Functional Results ◽  
Mucosal Prolapse ◽  
Age Group ◽  
Prolapse Recurrence ◽  
Paediatric Age ◽  
History Of ◽  
Suture Rectopexy ◽  
Limiting Condition

Introduction: Rectal prolapse is a very common and self limiting condition amongst the paediatric age group in India. Majority of the cases respond to conservative management. The various modalities of management of the same include surgical as well as medical modalities. Surgical namely Thierschs anal circlage, laparoscopic suture rectopexy, and posterior sagittal rectopexy Aim - To evaluate the safety and efcacy of posterior sagittal rectopexy in children with rectal prolapse. Patients and Methods: Twenty patients aged between 1 and 7 years presented with rectal prolapse. These patients underwent posterior sagittal anorectopexy after pre anaesthetic check up. These patients were followed up at 1week, 15days and 1month for 3 months. Results: Constipation improved in 18 out of 20 patients, who had a history of constipation before surgery. Partial mucosal prolapse recurrence occurred in two patients. Conclusion: Posterior Sagittal Rectopexy is a good option in cases of rectal prolapse in children once all the conservative methods have failed. The technique is safe and effective. It has satisfactory functional results.

scholarly journals Pediatric Rectal Prolapse

2018 ◽  
Vol 31 (02) ◽  
pp. 108-116 ◽  
Author(s):  
Rebecca Rentea ◽  
Shawn St Peter
Keyword(s):  
Early Childhood ◽  
Rectal Prolapse ◽  
Conservative Management ◽  
Recurrence Rates ◽  
Laparoscopic Suture ◽  
Suture Rectopexy ◽  
Infancy And Early Childhood ◽  
Limiting Condition

AbstractRectal prolapse is a common and self-limiting condition in infancy and early childhood. Most cases respond to conservative management. Patients younger than 4 years with an associated condition have a better prognosis. Patients older than 4 years require surgery more often than younger children. Multiple operative and procedural approaches to rectal prolapse exist with variable recurrence rates and without a clearly superior operation. These include sclerotherapy, Thiersch's anal cerclage, Ekehorn's rectopexy, laparoscopic suture rectopexy, and posterior sagittal rectopexy.

scholarly journals Torsion of an Epididymal Cyst: A Rare Finding on Scrotal Exploration for Acute Scrotum

2020 ◽  
Vol 2020 ◽  
pp. 1-4
Author(s):  
A. M. Omar Mohamed Ozaal ◽  
B. Pragalathan ◽  
S. Lavanya ◽  
S. T. Sarma
Keyword(s):  
Conservative Management ◽  
Cystic Lesion ◽  
Doppler Sonography ◽  
Acute Scrotum ◽  
Age Group ◽  
Rare Finding ◽  
Normal Testis ◽  
History Of

Torsion of epididymal cyst (EC) is an exceedingly rare cause of acute scrotum in both children and adults. We add our case as the ninth case to literature which was an 8-year-old child presented with features of acute scrotum with history of EC on conservative management. Doppler sonography showed perfused normal bilateral testes and a 4.1 × 1.7     cm septate cystic lesion of right epididymis. On scrotal exploration, we found a haemorrhagic cystic lesion attached to the upper pole of right testis and twisted for 540 degrees with normal testis and appendage. Cyst was excised, and histopathology revealed a haemorrhagic EC. Our case was peculiar due to, presenting as acute scrotum in a child of 1-10 years age group who was conservatively managed for right-sided EC and presence of 540 degrees torsion.

scholarly journals Homoeopathic management of chronic replapsing pancreatitis in a paediatric patient: A case report

2022 ◽  
Vol 4 ◽  
pp. 133-141
Author(s):  
Bipin Sohanraj Jain ◽  
Akshata Damodar Nayak
Keyword(s):  
Abdominal Pain ◽  
Case Report ◽  
Acute Exacerbation ◽  
Recurrent Fever ◽  
Age Group ◽  
Patient Reported ◽  
Paediatric Age ◽  
History Of ◽  
Chronic Relapsing Pancreatitis ◽  
Over Time

Chronic relapsing pancreatitis in the paediatric age group is a challenging case, especially when presenting in its acute exacerbation. This case report highlights the management of chronic relapsing pancreatitis in a 9-year-old female patient with homoeopathic treatment. The patient reported a year-long history of recurrent fever, abdominal pain, and raising titres of lipase and amylase; she had been admitted to a higher centre twice. The totality was constructed on day 1 and a homoeopathic remedy was prescribed. Detailed case taking, done after a week, confirmed the same remedy. Later, when the patient had an acute exacerbation, the same remedy-frequently repeated, helped settle the acute episode in a couple of days. The patient has been following up regularly for 3 years; the frequency and intensity of relapses reduced considerably over time and there have been no episodes for more than a year.

A Rare Abdominal Tumour in a Paediatric Age Group: Pheochromocytoma

2017 ◽  
Vol 37 (1) ◽  
pp. 86-88
Author(s):  
Rajesh Prasad Sah ◽  
R.G. Sah ◽  
Shaukat Mahmood
Keyword(s):  
Abdominal Pain ◽  
Abdominal Ultrasound ◽  
Age Group ◽  
Complete Excision ◽  
Abdominal Tumour ◽  
Preoperative Optimization ◽  
Paediatric Age ◽  
History Of

A 10 year boy presented with history of abdominal pain and palpitation. Abdominal ultrasound and CT oriented towards the diagnosis. After preoperative optimization, laparotomy with complete excision of an unusual pheochromocytoma tumour of about 8×10 cm adherent to liver and IVC performed. Histopathology confirmed the diagnosis without evidence of malignancy.

scholarly journals Paediatric multiple sclerosis: a case report of missed and dismissed diagnosis

2021 ◽  
Vol 63 (1) ◽  
pp. 36-39
Author(s):  
Nebal Wael Saadi ◽  
Qusay Abed Fahad
Keyword(s):  
Multiple Sclerosis ◽  
Nerve Palsy ◽  
Facial Nerve Palsy ◽  
Age Group ◽  
Clinical Presentations ◽  
Paediatric Age ◽  
History Of ◽  
The Central Nervous System ◽  
Inflammatory Autoimmune Disease ◽  
Chronic Inflammatory Autoimmune Disease

Multiple Sclerosis (MS) is a chronic inflammatory autoimmune disease of the central nervous system (CNS). Up to 10 % of MS patients have onset in paediatric age group. Although the clinical profile of MS appears similar to that seen in adults, several features may differ and specific issues arise in children. Here, we reported a 12-year old girl who presented with 3-year history of episodes of seizures and facial nerve palsy and finally fatigue and cognitive impairment were noted and interfered with her academic performance. Because of the presumed atypical clinical presentations, the diagnosis was missed then dismissed despite neuroimaging features and CSF immunological findings that were highly suggestive of MS. Later, evolution of the disease by neuroimaging helped confirming the diagnosis and directed toward the delayed therapy.

scholarly journals Massive epistaxis secondary to an impacted rhinolith in mentally disabled patient

2020 ◽  
Vol 6 (2) ◽  
pp. 391
Author(s):  
Nikma Fadlati Binti Umar ◽  
Ramiza Ramza Ramli
Keyword(s):  
Foreign Body ◽  
Middle Turbinate ◽  
Age Group ◽  
Disable Patient ◽  
Mentally Disabled ◽  
The Past ◽  
Paediatric Age ◽  
History Of ◽  
The Right ◽  
Multiple Episodes

<p class="abstract">Foreign body nose commonly seen in paediatric age group. In mentally disable patient this may occur and become asymptomatic for many years. We reported mentally disable patient presented with massive epistaxis and history of multiple episodes of foul-smelling discharge from his right nose for the past 20 years. After epistaxis resolved during nasal endoscopy noted impacted rhinolith foreign body in between the septum and the right middle turbinate. Rhinolith successful removed using bent tip of Jobson-Horne probe in otorhinolaryngology, head and neck clinic.</p>

scholarly journals Prevalence and Clinical Pattern of Localised Hypomelanosis in Children: An Observational Study

2021 ◽  
Author(s):  
Venkatesan Sahana ◽  
Muralidhar Krishnakanth ◽  
Dhanaraj Vishupriya ◽  
Rangarajan Sudha ◽  
Veeraraghavan Maalakshmi ◽  
...  
Keyword(s):  
Observational Study ◽  
Demographic Data ◽  
Systemic Disease ◽  
Pityriasis Versicolor ◽  
The Sun ◽  
Age Group ◽  
Multisystem Disease ◽  
Clinical Pattern ◽  
Paediatric Age ◽  
History Of

Introduction: Pigmentary changes in children can be a concern to parents, enabling them to seek medical opinion. Hypopigmentary lesions in the paediatric age group can be a trivial finding or may be a part of a multisystem disease. Identifying and prompt management of these lesions addresses the systemic involvement if any, and parents’ concern as well. Aim: To observe the prevalence and clinical pattern of localised hypomelanotic disorders in the paediatric age group (0-18 years). Materials and Methods: This was a hospital-based observational study conducted for a period of two years (August 2017- August 2019), which included 204 paediatric patients with localised hypomelanotic lesion in children who attended the Dermatology Outpatient Department (OPD). Demographic data such as age, sex, history of onset and progression of skin lesions, general examination, specific cutaneous examination including the site, size, number, symmetry, distribution, etc., were recorded. Data were analysed using descriptive statistical methods. Results: Out of 204 cases, the most common hypopigmentary disorder was Pityriasis versicolor (38.7%), followed by Seborrhoeic dermatitis (18.1%), Pityriasis alba (8.8%) and Polymorphic light eruption (7.8%). Among them female children were 111 (54%) and male children were 93 (46%). The most commonly involved age group was 12-18 years (35%), followed by 6-12 years (32%). Face was the most commonly involved site accounting for, followed by back. The localised hypopigmented lesions are predominantly involved in the sun exposed area (78%). History of atopy and family history of atopy were seen in 5% and 8%, respectively. Conclusion: Pityriasis versicolor was the most common condition seen in this study. The sun exposed areas were frequently involved with face being the commonest. There was no underlying systemic disease involvement observed in this study. However certain conditions like hypomelanosis of Ito and Hansen’s need long term follow-up and prompt treatment to prevent complications respectively.

scholarly journals Prevalence of Congenital Ocular Anomalies in Paediatric Age Group (0 - 14 Years) in a Tertiary Care Hospital at Kancheepuram, South India

2021 ◽  
Vol 8 (14) ◽  
pp. 899-903
Author(s):  
Syed Ali Nasar Waris ◽  
Rubina Huda
Keyword(s):  
Risk Factors ◽  
Family History ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Care Hospital ◽  
Age Group ◽  
Paediatric Age ◽  
History Of ◽  
Associated Risk Factors ◽  
Global Blindness

BACKGROUND Congenital ocular anomalies are one of the important causes of childhood blindness. Blindness is a serious public health issue, and also a social and economic problem worldwide. Majority of global blindness is avoidable and curable. Most of global blindness is in developing countries. The objectives of this study were to determine the prevalence of congenital ocular anomalies in the paediatric age group and its associated risk factors in a tertiary care hospital in Kancheepuram. METHODS This cross-sectional study was conducted among children of 0 – 14 years age group attending the ophthalmology department of SRM Medical College and Hospital, Kancheepuram from December 2018 to November 2020. Congenital ocular anomalies were detected by detailed ocular examination and the type of congenital ocular anomaly was assessed. Associated risk factors like family history of congenital ocular anomalies, family history of consanguinity and significant antenatal history of the mother of the children were collected. RESULTS Out of 9865 cases, we found that 61 cases had congenital ocular anomalies. There was a male preponderance. Majority of the cases were in the age group 0 - 5 years. A positive history of consanguinity was present in 10 % of cases. The most commonly found cases were congenital cataract and congenital dacryocystitis. CONCLUSIONS Children with congenital ocular anomalies and functional vision should be given glasses and low vision aid. There is a great need for early screening, detection and treatment by paediatric or trained ophthalmologists in referral hospitals. KEYWORDS Congenital Ocular Anomalies, Paediatric Age Group, Prevalence

Hereditary Heparin Cofactor II Deficiency and the Risk of Development of Thrombosis

1987 ◽  
Vol 57 (02) ◽  
pp. 196-200 ◽  
Author(s):  
R M Bertina ◽  
I K van der Linden ◽  
L Engesser ◽  
H P Muller ◽  
E J P Brommer
Keyword(s):  
Liver Disease ◽  
Venous Thrombosis ◽  
Healthy Volunteers ◽  
Mean Value ◽  
Age Group ◽  
Normal Range ◽  
Heparin Cofactor Ii ◽  
History Of ◽  
Group 2 ◽  
Hereditary Nature

SummaryHeparin cofactor II (HC II) levels were measured by electroimmunoassay in healthy volunteers, and patients with liver disease, DIC, proteinuria or a history of venous thrombosis. Analysis of the data in 107 healthy volunteers revealed that plasma HC II increases with age (at least between 20 and 50 years). HC II was found to be decreased in most patients with liver disease (mean value: 43%) and only in some patients with DIC. Elevated levels were found in patients with proteinuria (mean value 145%). In 277 patients with a history of unexplained venous thrombosis three patients were identified with a HC II below the lower limit of the normal range (60%). Family studies demonstrated hereditary HC II deficiency in two cases. Among the 9 heterozygotes for HC II deficiency only one patient had a well documented history of unexplained thrombosis. Therefore the question was raised whether heterozygotes for HC II deficiency can also be found among healthy volunteers. When defining a group of individuals suspected of HC II deficiency as those who have a 90% probability that their plasma HC II is below the 95% tolerance limits of the normal distribution in the relevant age group, 2 suspected HC II deficiencies were identified among the healthy volunteers. In one case the hereditary nature of the defect could be established.It is concluded that hereditary HC II deficiency is as prevalent among healthy volunteers as in patients with thrombotic disease. Further it is unlikely that heterozygosity for HC II deficiency in itself is a risk factor for the development of venous thrombosis.

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