scholarly journals Meckel’s Diverticulum in Paediatric Age Group: A Spectrum of Clinical Presentations and its Management

2020 ◽  
Vol 6 (11) ◽  
pp. 364-367
Author(s):  
  Dr. Rajshekhar Patil ◽  
Dr. Sharan Gubbi ◽  
Dr. Karthik Dhaded ◽  
Dr. Sanjay K
Keyword(s):  
Meckel’S Diverticulum ◽  
Meckel's Diverticulum ◽  
Age Group ◽  
Clinical Presentations ◽  
Paediatric Age ◽  
Group A

scholarly journals Acute abdomen in children due to different presentations of complicated Meckel’s diverticulum: a case series

2020 ◽  
Vol 16 (1) ◽  
Author(s):  
Hisham A. Almetaher ◽  
Mohammed Awad Mansour
Keyword(s):  
Congenital Abnormality ◽  
Wedge Resection ◽  
Meckel’S Diverticulum ◽  
Case Series ◽  
Postoperative Outcome ◽  
Meckel's Diverticulum ◽  
Gastrointestinal Disorders ◽  
Clinical Presentations ◽  
Life Threatening ◽  
Small Base

Abstract Background Meckel’s diverticulum (MD) is the commonest congenital abnormality of the gastrointestinal tract that occurs in 2% of general population. It remains asymptomatic, but it may lead to life-threatening complications. These complications may be misdiagnosed with other gastrointestinal disorders like acute appendicitis, making its diagnosis challenging among pediatricians and pediatric surgeons. In this study, we reported five cases with different presentations of complicated MD in children. Results Five patients with different presentations of MD were reported during the period from January 2016 to January 2020. Patients’ demographics, clinical presentations, investigations, operative data, and postoperative outcome were recorded and analyzed. Conclusions The present study highlights different presentations of MD. Surgical interference is the main key of treatment of symptomatic MD either by wedge resection of a small base diverticulum or by resection anastomosis of the small intestine in wide base and inflamed diverticulum.

scholarly journals A New Non-touch Technique (Partha’s Technique) of Administering Spinal Anaesthesia in Paediatric Age Group- A Pilot Study

2020 ◽  
Author(s):  
S Parthasarathy ◽  
Indubala Maurya
Keyword(s):  
Pilot Study ◽  
Failure Rate ◽  
Spinal Anaesthesia ◽  
Lateral Position ◽  
The Novel ◽  
Age Group ◽  
Medical College ◽  
Paediatric Age ◽  
Group A ◽  
Gandhi Medical College

Introduction: Paediatric spinal anaesthesia is often the technique of choice in many short duration surgeries. However, the failure rate is higher with spinal anaesthesia in children than in adults. Aim: To evaluate if a non-touch technique of paediatric spinal anaesthesia can reduce anaesthetic failure. Materials and Methods: A pilot study was done in 10 paediatric patients from January 2018 to July 2018 in Mahatma Gandhi Medical College and Research Institute, Puducherry, India. Ten children posted for infra-umbilical surgeries in the age group of 4-10 years were given a sedative premedication with a combination of Pethidine and Midazolam They were kept in lateral position with the back much inside the edge of the table so that there was a considerable space between the table edge and the baby. Identification of the L3-L4 space was done by touching the patient. The 25-gauge quincke needle was pricked and the hub was held with the hand in the table without touching the patient. Results: The anaesthesia was successful with adequate level in all the patients; T8 in five patients and T10 in the other five patients. There were no significant side effects. Conclusion: From this pilot study on 10 patients, it can be suggested that the novel non-touch Partha’s technique is feasible and more successful with absent failure rate when administering spinal anaesthesia in the paediatric age group.

scholarly journals A rare case of osteomyelitis of the clavicle in a child due to Group A streptococcal infection

2019 ◽  
Vol 12 (4) ◽  
pp. e227090
Author(s):  
Molla Imaduddin Ahmed ◽  
Muhammad Nadeem ◽  
Srini Bandi
Keyword(s):  
Rare Case ◽  
Streptococcal Infection ◽  
Case Reports ◽  
Left Shoulder ◽  
Age Group ◽  
Incision And Drainage ◽  
Left Clavicle ◽  
Paediatric Age ◽  
Group A ◽  
Medial Clavicle

Acute osteomyelitis of the clavicle is rare in the paediatric age group. We treated a 5-year-old boy who presented initially with fever and left shoulder pain, and subsequently developed swelling in the region of the left clavicle. Group AStreptococcus(GAS) was isolated in blood culture. MRI of the clavicle showed osteomyelitis of the medial clavicle. The child had incision and drainage of his clavicular collection. The child received intravenous benzylpenicillin and oral cephalexin in the initial presentation; he was treated with 2 weeks of intravenous ceftriaxone and 4 weeks of oral penicillin thereafter with the resolution of his symptoms. There are no previous case reports of osteomyelitis of the clavicle in children caused by GAS. This case highlights the importance of identifying the microbial aetiology in these children to ensure early initiation of treatment with appropriate antibiotics.

Domiodol Treatment for Bronchopulmonary Diseases in the Paediatric Age Group: A Double-Blind Controlled Clinical Trial versus Placebo

1988 ◽  
Vol 16 (1) ◽  
pp. 31-38 ◽  
Author(s):  
A. Fiocchi ◽  
U. Grasso ◽  
G. Zuccotti ◽  
R. Arancio ◽  
E. Riva ◽  
...  
Keyword(s):  
Vital Capacity ◽  
Forced Expiratory Volume ◽  
Thyroid Stimulating Hormone ◽  
Controlled Clinical Trial ◽  
Age Group ◽  
Double Blind ◽  
Bronchopulmonary Diseases ◽  
Paediatric Age ◽  
Group A ◽  
Expiratory Flow

Thirty children (25 males, five females), mean age 9.33 ± 2.57 years, with acute infectious pulmonary diseases or acute flare-ups of chronic bronchitis, were randomly treated with either domiodol or placebo. The study was conducted between November 1986 and February 1987. Domiodol was administered orally for 14 days in doses of 0.5 mg/kg three times daily. Subjective symptoms (cough, sputum viscosity, difficulty in raising sputum and sputum characteristics) were assessed semi-quantitatively. They were all reduced significantly in the group treated with domiodol compared to those given placebo. Spirometric measures of vital capacity and peak expiratory flow rate were also improved in patients given domiodol compared with placebo. Conversely, no differences were noted in forced expiratory volume in 1 s, Tiffenau index, or mid-expiratory flow. There were no clinical side-effects and no changes in any other parameters measured; in particular, levels of thyroid hormone and thyroid stimulating hormone were unchanged. Thus, domiodol proved effective in reducing the symptoms of infection of the lower respiratory tract and in improving the consistency of mucus in children.

Spontaneous closure of acquired tracheo-oesophageal fistula

1996 ◽  
Vol 110 (7) ◽  
pp. 685-687 ◽  
Author(s):  
G. Senthilkumaran ◽  
S. Crankson ◽  
M. Yousef
Keyword(s):  
Spontaneous Closure ◽  
Morbidity And Mortality ◽  
Age Group ◽  
Button Battery ◽  
Paediatric Age ◽  
Group A

AbstractAcquired tracheo-oesophageal fistulae are uncommon in the paediatric age group. A case of such a fistula secondary to impaction of a button battery is reported below. Prompt management is essential to reduce morbidity and mortality in these cases.

scholarly journals Intussusception Secondary to Isolated Heterotopic Pancreas of Meckel’s Diverticulum

2011 ◽  
Vol 24 (1) ◽  
pp. 16-20
Author(s):  
A Nowshad ◽  
SMA Shahid ◽  
SS Islam ◽  
A Mostaque
Keyword(s):  
Case Report ◽  
Meckel’S Diverticulum ◽  
Heterotopic Pancreas ◽  
Meckel's Diverticulum ◽  
Age Group ◽  
Pediatric Age ◽  
Pathological Lesion ◽  
Pediatric Age Group ◽  
Number Of Patients ◽  
The Subject

Intussusception in the pediatric age group is usually idiopathic in origin, and in a small number of patients ranging from 2% to 12%, a pathological lesion as a leading point is identifiable. Of the variety of pathologcial lesions identified as leading points for intussusception, Meckel’s diverticulum is the most common but very rarely, isolated heterotopic pancreas is found within it.This is a case report of intussusception in an infant caused by an isolated heterotopic pancreas of the Meckel’s diverticulum. The literature on the subject is also reviewed. TAJ 2011; 24(1): 16-20

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