Acute Appendicitis in Pre-School Children

2021 ◽  
Vol 15 (11) ◽  
pp. 3078-3079
Author(s):  
Mohammad Dawood Khan ◽  
Moyud din ◽  
Khusal Khan ◽  
Abdul Bari
Keyword(s):  
Abdominal Pain ◽  
School Children ◽  
Clinical Information ◽  
Paediatric Surgery ◽  
Radiological Imaging ◽  
College Hospital ◽  
Serious Illness ◽  
Medical College ◽  
Operational Technique ◽  
Perforated Appendix

Background: Appendicitis is an emergent condition in young children which can cause serious illness. Aim: To identify features related with appendicitis in pre-school children. Study design: Retrospective study Place and duration of study: Department of Paediatric Surgery, Bolan Medical College Hospital Quetta from 1st April 2020 to 31st March 2021. Methodology: Fifty two children between 5-15 years were admitted for appendectomy. All demographic and clinical information including earlier diagnosis, symptoms, biochemical, histopathological as well as radiological imaging were properly documented. The operational technique was open appendecectomy. Results: There were 61.53% boys and 38.46% girls with mean age 8±0.8 years. Abdominal pain was presented in 90.3% while nausea in 82.7% with nausea/vomiting children. There were 51.9% children having perforated appendix with majority between 8-10 years of age. Misdiagnosis was common in 44.2% patients. Conclusion: Appendicitis in pre-school children is difficult and challenging to diagnose which requires careful diagnosis. Key words: Appendectomy, Pre-schoolers, Perforated, Misdiagnosis

scholarly journals Primary Retroperitoneal Ganglioneuroma: A Retrospective Cohort Study of 32 Patients

2021 ◽  
Vol 8 ◽  
Author(s):  
Jianchun Xiao ◽  
Zixuan Zhao ◽  
Binglu Li ◽  
Taiping Zhang
Keyword(s):  
Growth Pattern ◽  
Clinical Manifestations ◽  
Incomplete Resection ◽  
Radiological Imaging ◽  
College Hospital ◽  
Laboratory Findings ◽  
Female Ratio ◽  
Medical College ◽  
The Mean ◽  
The Masses

Purpose: To investigate the clinical characteristics, diagnosis, differential diagnosis, therapy options, and outcomes of retroperitoneal ganglioneuroma.Methods: In this retrospective study, we collected and analyzed the clinical data of 32 patients diagnosed with retroperitoneal ganglioneuroma and admitted to Peking Union Medical College Hospital from October 2012 to August 2019.Results: Among our 32 cases with retroperitoneal ganglioneuroma, the male-to-female ratio was 1:3 and the mean age was 35. Only 25% of the cases presented with abdominal pain while more than 65% had no specific symptoms. The masses could be found through physical examination in only five patients. Most of the tumors are located near the renal area. They were usually single and displayed an embedded growth pattern with diameters <10 cm, clear borders, and soft texture. For radiological imaging, the majority of tumors demonstrated soft tissue density with mild-to-moderate enhancement on CT imaging and showed hypoecho with moderate blood flow signals in ultrasound. No significantly abnormal laboratory examinations were found in most patients. Of all the 32 patients, 2 chose surveillance after biopsy due to difficulties in operation, while others chose surgical resection. The mean follow-up time was 15.8 months among 26 patients. The tumor remained stable in the surveillance cases. Residual tumors were found in four cases receiving operations with no progress and discomfort. No recurrence was seen in all patients.Conclusions: The retroperitoneal ganglioneuroma is a benign tumor without specific clinical manifestations or significant laboratory findings. Typically, it is shown as low density with a clear border and an embedded growth pattern in radiological imaging. The overall prognosis is good. Surgery is an effective approach with possible severe complications. Incomplete resection or surveillance can be considered for some cases where complete resection is difficult to achieve.

Incidence of Appendicitis in Adults

2021 ◽  
Vol 15 (11) ◽  
pp. 3172-3173
Author(s):  
Maaz-ul-, Hassan ◽  
Syed Muhammad Shah ◽  
Ali Akbar Shah
Keyword(s):  
Abdominal Pain ◽  
Retrospective Study ◽  
Iliac Fossa ◽  
Perforated Appendicitis ◽  
Clinical Information ◽  
Age Group ◽  
Serious Illness ◽  
Imaging Result ◽  
Diagnostic Symptoms ◽  
Common Infection

Background: Appendicitis is a common infection which can lead to serious illness in children as well as adults. Objective: To assess the incidence of appendicitis in adults. Study Design: Retrospective study. Place and Duration of Study: Department of General Surgery, Shalamar Medical & Dental College, Lahore from 1st January 2020 to 30th June 2021. Methodology: One hundred and eighty cases registered for abdominal pain in right iliac fossa. The appendectomy cases of adults (>45 years) were scrutinized from these cases. Demographic and clinical information was gathered from each appendicitis patient with diagnostic symptoms as well as histopathology and radiology imaging. Result: Eighty seven were confirmed acute appendicitis with 48 males and 39 females within the age group of 45-75 years. Gangrenous appendicitis was presented in 11.5% and perforated appendicitis was noticed in 31.03% of the total patients. Conclusion: The incidence of appendicitis was 48.33% in adults. Keywords: Appendectomy, Perforated, Misdiagnosis

scholarly journals Clinical study of anemia in rural school children of Mangalore, Karnataka, India

2019 ◽  
Vol 6 (2) ◽  
pp. 416
Author(s):  
Mahroof M. K. ◽  
Shamshad Ahmed Khan ◽  
Prakash Saldanha
Keyword(s):  
Clinical Examination ◽  
School Children ◽  
Economic Status ◽  
Rural School ◽  
College Hospital ◽  
Medical College ◽  
Significant Difference ◽  
Wrong Diagnosis ◽  
Major Factors ◽  
Prevalence Of Anemia

Background: The study was conducted to know the prevalence of anemia in rural school children located within 15km radius of Yenepoya Medical college hospital, Mangalore and to study the risk factors associated with anemia also to correlate the detection of anemia by clinical examination and by lab estimation of hemoglobin.Methods: A total of 550 children in the age group of 6-15 years were included in this study. Parental informed consent was obtained. A preplanner questionnaire was used to collect the health and socio demographic details. Blood was collected by venepuncture method and haemoglobin was determined by automated sysmex machine. Diagnosis of anemia was made according to WHO cut off value of Hb.Results: Out of 550 children 114(20.6%) were anemic. There was no significant difference between age and sex. Anemia was found to be more prevalent in children with h/o passing worms, undernourished, pica and low socio-economic status. Out of 550 children 174 children had conjunctival pallor on clinical examination. Among that 58 (33.3%) children had anemia on hemoglobin estimation. Majority of the children 116 (66.7%) who had pallor on clinical examination was found as non-anemic on hemoglobin estimation. On kappa co efficient, statistics showed that two examinations to detect anemia was 18.47 %, which indicates poor agreement.Conclusions: The overall prevalence of anemia among rural population is variable depending upon the region. Major factors which influence the prevalence of anemia were nutrition, socioeconomic status, pica and worm infestation. Clinical diagnosis by examination of pallor is poorly correlated by estimation of haemoglobin, hence anemia cannot be diagnosed by detection of pallor alone and it requires lab haemoglobin estimation to prevent wrong diagnosis of anemia.

scholarly journals Jejunogastric Intussusception: A Case Report

2012 ◽  
Vol 30 (1) ◽  
pp. 44-47 ◽  
Author(s):  
MM Hussain ◽  
A Rahman ◽  
MR Abedin ◽  
MA Habib
Keyword(s):  
Emergency Department ◽  
Abdominal Pain ◽  
Case Report ◽  
Early Diagnosis ◽  
Medical College Hospital ◽  
College Hospital ◽  
Medical College ◽  
Prompt Treatment ◽  
Jejunogastric Intussusception ◽  
Acute Form

Jejunogastric intussusception is an established complication following any type of gastroenterostomy. In its acute form it presents with abdominal pain and lump suggestive of obstruction. It is also a rare cause of haematemesis. Chronic and intermittent presentation has also been described. It is a surgical emergency in its acute form. Early diagnosis and prompt treatment is required to avoid mortality. We report here a case that had a history suggestive of recurrent symptoms and ultimately presented as an acute emergency in the emergency department of Dhaka Medical College Hospital, Dhaka, Bangladesh   DOI: http://dx.doi.org/10.3329/jbcps.v30i1.11366   J Bangladesh Coll Phys Surg 2012; 30: 44-47  

scholarly journals DEEP SURGICAL SITE INFECTIONS (DSSIS);

2019 ◽  
Vol 26 (03) ◽  
Author(s):  
Shahid Hussain Mirani ◽  
Abdul Waheed Khan ◽  
Ahmad Raza Nsar
Keyword(s):  
Abdominal Cavity ◽  
Surgical Site Infections ◽  
Wound Irrigation ◽  
College Hospital ◽  
Common Procedure ◽  
Surgical Incision ◽  
Medical College ◽  
Surgical Infections ◽  
Perforated Appendix ◽  
Operative Wound

Background: A surgical incision in the abdominal cavity (laparotomy surgery) is the most common procedure in surgical departments. Post-operative wound irrigation is very helpful method for surgeons to diagnose the surgical infections and to decrease the length of stay at hospital. Objectives: To determine the prevalence of deep surgical site infections in patients treated laparotomy procedure with or without post-operative wound irrigation. Study Design: Comparative control trial, observational study. Setting: Ghulam Muhammad Mahar Medical College Hospital, Sukkur. Period: 1st January 2016 to 31st December 2017. Material and Methods: Three hundred and thirty patients of both genders who had treated laparotomy because of intra-abdominal cavity and due to perforated appendix, examined TB, typhoid history, clinical treatments were included. All patients were divided into two groups with or without post-operative wound irrigation to examine the frequency of DSSIs in patients at third and seventh day of laprotomy treatment. Results: There were 180 (54.55%) were men and 150 (45.45%) patients were women. 50 (15.15%) patients having ages of <20 years, 110 (33.33%) patients were aged between 20 to 29 years, 130 (39.39%) patients were aged between 30 to 39 years, 25 (7.58%) patients having ages of 40 to 49 years and 15 (4.54%) patients were ages >49 years. Hospital stay of patients was recorded from 2 to 10 days, 237 (71.82%) patients having stay at hospital were 2 to 4 days, 63 (19.09%) patients stay were 5 to 7 days while 30 (9.10%) patients stay were >7 days. Out of all the 330 patients, 47 (14.24%) patients found surgical site infections on 3rd days, 43 (13.03%) found DSSIs on 5th day and 45 (13.64%) patients had deep surgical site infections on 7th day after laparotomy treatment. DSSIs on 3rd days was noted in 23 (6.97%) patients with Postoperative wound irrigation and 24 (7.24%) without PO wound irrigations, 22 (6.67%) found DSSIs with wound irrigations and 21 (6.37%) without wound irrigations, while on 7th day 21 and 24 patients had observed deep surgical site infections after operation. Conclusion: There is no major difference observed in prevalence of DSSIs whether performing post operative wound irrigation or do not performing PO wound irrigations after laparotomy procedure. Thus we concluded that the PO wound irrigations is not useful method to decrease the rate of DSSIs on 3rd, 5th and seventh day of after operation.

scholarly journals Is Routine Contralateral Exploration Necessary while Doing Herniotomy for Unilateral Inguinal Hernia in Children?

1970 ◽  
Vol 14 (2) ◽  
pp. 53-55
Author(s):  
Kamal M Choudhury ◽  
Md Abu Jafor ◽  
Shafiqul Haque
Keyword(s):  
Inguinal Hernia ◽  
Paediatric Surgery ◽  
Older Children ◽  
College Hospital ◽  
Contralateral Exploration ◽  
Medical College ◽  
Unilateral Inguinal Hernia ◽  
Low Incidence ◽  
Medical University ◽  
Contralateral Hernia

Routine contralateral exploration in infants and children with unilateral inguinal hernia has been practiced by a number of paediatric surgeons based on a presumed high incidence of patent processus vaginalis. Our aim is to report the incidence of contralateral manifestations after repair of unilateral inguinal hernia. A total of 217 patients were regularly followed-up at the department of paediatric surgery in Dhaka Medical College Hospital (DMCH) and Bangabandhu Sheikh Mujib Medical University (BSMMU) from February 1995 to June 2001 in order to determine if contralateral hernia developed after unilateral herniotomy. The overall incidence of contralateral manifestations was 6.45%. The average incidence for contralateral hernia in infants upto 1 year was 11.68%. However, the incidence fell significantly in older children. With such low incidence of contralateral hernia after unilateral herniotomy, the authors do not feel to recommend contralateral exploration for unilateral inguinal hernia.   DOI: http://dx.doi.org/10.3329/taj.v14i2.8385 TAJ 2001; 14(2): 53-55

scholarly journals Measurement of Postoperative Pain in Children by Visual Analogue Scale

2009 ◽  
Vol 12 (Number 1) ◽  
pp. 19-22
Author(s):  
S Alam ◽  
A K M Shamsuddin ◽  
Md. W Abusaleh ◽  
A H Khan
Keyword(s):  
Postoperative Pain ◽  
Visual Analogue Scale ◽  
Pain Control ◽  
Analogue Scale ◽  
Paediatric Surgery ◽  
Postoperative Pain Control ◽  
College Hospital ◽  
Medical College ◽  
Number Of Patients ◽  
Surgery Department

Inadequate postoperative pain control causes significant morbidity and mortality. ht the presets mum in the paediatric surgery department the effective pain control is am mandardkert For this reason this study was undertaken to find out the degree of effective postoperative pain control in children by using Visual Analogue Scale iVA.St It was a crospsemional study for two years. Sample sine was 90 with a mean age of 8.7 years. Patients were selected from the Department of Paediatric Surgery of Bangabandhu Sheikh Mujib Medical University (BSMMU). Dhaka; Bangladesh Institute of Child Health & Dhaka Shishu Hospital HliCH &DSH). Dhaka; and Dhaka Medical College hospital (DMC111. Dhaka. Children aged five to 12 years receiving postoperative analgesics were included in this study. All of them were mentally healthy. well responsive and cmoperative. Patients were selected in such a way that neither thee hod any malignant disease nor were they stoffernsg front any chronic pain or postoperative pain due to magical wound sepsis. Postoperative pain was measured by VAS from the first postoperative day to the seventh postoperative day and was graded by she Sriwatanakars method. It vans Plod that difference in pain scams were statistically nowsigo0ficant among the three institutes front the first postoperative day to the seventh postoperative day. Patients experienced moderate pain up to the third postoperative day, mild pain up to the fifth postoperative day and. ome pain up to the sowsh postoperative day. Postoperative pain was mu effectively controlled by currently used analgesics in paediatric surgery departments in these hospitals. So so find at the degree of effrctice postoperative pain control in children fierther study should be carried 0111 with large number of patients in different mares of Bangladesh.

scholarly journals Clinical Presentation of Ovarian Tumour

2018 ◽  
Vol 28 (1) ◽  
pp. 21-25
Author(s):  
MS Nawrozy ◽  
F Sultana ◽  
AHM Kamal ◽  
A Begum ◽  
SF Tasmin ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Early Diagnosis ◽  
Public Awareness ◽  
Mucinous Cystadenoma ◽  
Ovarian Tumour ◽  
Serous Cystadenoma ◽  
Malignant Tumours ◽  
College Hospital ◽  
Medical College ◽  
Benign Tumours

Background: Clinical course of ovarian tumours are amazingly quite and the malignant ones are often inoperable by the time they are diagnosed. Aim of this study was to look into any probable way of early diagnosis of ovarian tumour.Methods: This study was carried out at the Department of Obstetrics & Gynaecology of Rangpur Medical College Hospital, Rangpur from July 2012 to June 2014. In this study, total 31 cases were included. The findings were described as percentage of total. In addition, χ2 test & Pearson’s correlation coefficient ‘r’ test were also used.Results: Age range of all the cases was between 16 and 65 years. Among the 31 cases, benign cases were 77.41% and malignant were 22.59%. The highest incidence of benign case was observed around 35 years of age and for the malignant cases was above 60 years. Patients commonly presented with abdominal lump (83.87%), abdominal pain (83.87%) and dyspepsia (74.19%). Other presentations were weight loss (22.58%), rapid enlargement of growth (16.13%), sense of heaviness of abdomen (9.67%) and abdominal enlargement (3.23%). Histologically serous cystadenoma was 38.71%, dermoid cyst 22.58%, mucinous cystadenoma 16.13%, poorly differentiated adenocarcinoma 12.90%, serous cyst adenocarcinoma 6.45% and immature teratoma was 3.23%.Conclusion: This sample is too small to draw any conclusion. Yet, as it was found, the incidence of benign tumours rises with increasing age up to 40 years and thereafter it declines. Whereas, the incidence of malignant tumours are very low before 40 years and thereafter it increases gradually. Also, public awareness may be developed regarding a female, specifically above 40 years of age, if complaints of abdominal lump, abdominal pain or dyspepsia should be evaluated properly; this may help in early diagnosis of many malignant ovarian tumours.TAJ 2015; 28(1): 21-25

scholarly journals Evaluation of Congenital Upper Urinary Tract Anomalies in Hypospadias

2014 ◽  
Vol 2 (2) ◽  
pp. 68-72
Author(s):  
Md. Abdullah Al Farooq ◽  
Shafiqul Hoque
Keyword(s):  
Urinary Tract ◽  
Vesicoureteric Reflux ◽  
Upper Urinary Tract ◽  
Medical College Hospital ◽  
Paediatric Surgery ◽  
College Hospital ◽  
Pelviureteric Junction Obstruction ◽  
Medical College ◽  
Genital Ambiguity ◽  
Urinary Tract Anomalies

Background: Hypospadias may be associated with other congenital upper urinary tract anomalies. Literature showed various opinions to evaluate or not to evaluate upper urinary tract in hypospadias patient. Frequency of upper urinary tract anomalies also varies. This study was carried out on this background to avoid confusion.Objectives: Morphological evaluation of upper urinary tract to find out the frequency of upper urinary tract anomalies associated with uncomplicated hypospadias patients and give a guideline for investigation of such patients. Methods: This prospective study was designed and accomplished in the Departments of Paediatric Surgery, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka; Dhaka Medical College Hospital (DMCH), Dhaka and Chittagong Medical College Hospital (CMCH), Chittagong; Bangladesh from October 2004 to June 2006. Eighty five (85) patient with hypospadias having neither any congenital anomalies, nor other genital ambiguity, nor any secondary vesicoureteric reflux (VUR) or meatal stenosis were selected for the study. Detailed history and examination were carried out. Upper urinary tract of all patients were evaluated by Ultrasonography (USG), Intravenous Urography (IVU), and Micturating Cystourethrography (MCU).To exclude genital ambiguity in perineal hypospadias, karyotype were done to ascertain male sex. Results were analyzed by SPSS with the help of Chi-square and Z approximation test . Result : Eighty five (85) patients were taken. All patients were evaluated by USG, IVU and MCU to detect congenital upper urinary tract anomalies.Results: Four (4) patients had had upper urinary tract anomalies. One (1) patient found to have left sided pelviureteric junction obstruction (PUJO) while one (1) patient had right sided pelviureteric junction obstruction (PUJO). One (1) patient was found to have left sided pelviureteric duplication and the last patient with left renal agenesis. USG detected three (3) anomalies in 85 patients (3.53%) and IVU detected all four (4) anomalies in 85 patients (4.7%), but no primary reflux was detected by MCU. Overall frequency of upper urinary tract anomalies was 4.7%. Eighty one (81) patients (95.3%) had no anomalies. USG detected 3 (three) anomalies out of 4 (four) patients (75%) & IVU detected all four anomalies (100%). Absence of upper urinary tract anomaly was statistically significant.Conclusion: Frequency of upper urinary tract anomalies are significantly low  (4.7%) in uncomplicated hypospadias. USG can detect 75% congenital upper urinary tract anomalies in hypospadias patients. So USG is good enough and recommended to evaluate upper urinary tract anomalies in uncomplicated hypospadias patients. There is no need to evaluate upper urinary tract by IVU or MCU in such patients, if asymptomatic otherwise.DOI: http://dx.doi.org/10.3329/jpsb.v2i2.19547

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