Duodenal obstruction by Superior Mesenteric Artery (SMA) is a misdiagnosed vomiting syndrome in children. Several factors are involved, including rapid weight loss, rapid statural growth without weight augmentation. D...Duodenal obstruction by Superior Mesenteric Artery (SMA) is a misdiagnosed vomiting syndrome in children. Several factors are involved, including rapid weight loss, rapid statural growth without weight augmentation. Diagnosis is suspected when an improvement is achieved by ventral decubitus and it is confirmed by plain films of the abdomen, GI study with barium and echography, measuring the aortomesenteric angle (inferior to 25-30°). Patients must at first be treated conservatively. Surgery is indicated for occlusive episodes with unsuccessful conservative therapy. The authors report 3 cases with different clinical presentation. However, all the patients presented important weight loss and vomiting.展开更多
The authors report the case of a newborn male with an exceptional type of anor ectal atresia with a fistula that passes posterior to the muscle complex and exi ts at a site just to the tip of the coccyx.This anorectal...The authors report the case of a newborn male with an exceptional type of anor ectal atresia with a fistula that passes posterior to the muscle complex and exi ts at a site just to the tip of the coccyx.This anorectal malformation was asso ciated with other abnormalities including agenesis of the right kidney,pyelic d ilatation of the left kidney,duplicity,and left megaureter.There was no defec t in the spine.The anorectal malformation was managed successfully by a posteri or sagittal approach according to the Pena procedure.展开更多
Congenital paraspinal arteriovenous fistulae are rare and usually diagnosed after neurologic or cardiovascular manifestations. They may be discovered unexpectedly in children during clinical examination,which reveals ...Congenital paraspinal arteriovenous fistulae are rare and usually diagnosed after neurologic or cardiovascular manifestations. They may be discovered unexpectedly in children during clinical examination,which reveals the presence of a vascular murmur. The association with multicystic kidney is exceptional. We report 1 case with thoracic localization of a congenital paraspinal arteriovenous fistula associated with a multicystic kidney in a 3-year-old boy who was treated by endovascular embolization.展开更多
文摘Duodenal obstruction by Superior Mesenteric Artery (SMA) is a misdiagnosed vomiting syndrome in children. Several factors are involved, including rapid weight loss, rapid statural growth without weight augmentation. Diagnosis is suspected when an improvement is achieved by ventral decubitus and it is confirmed by plain films of the abdomen, GI study with barium and echography, measuring the aortomesenteric angle (inferior to 25-30°). Patients must at first be treated conservatively. Surgery is indicated for occlusive episodes with unsuccessful conservative therapy. The authors report 3 cases with different clinical presentation. However, all the patients presented important weight loss and vomiting.
文摘The authors report the case of a newborn male with an exceptional type of anor ectal atresia with a fistula that passes posterior to the muscle complex and exi ts at a site just to the tip of the coccyx.This anorectal malformation was asso ciated with other abnormalities including agenesis of the right kidney,pyelic d ilatation of the left kidney,duplicity,and left megaureter.There was no defec t in the spine.The anorectal malformation was managed successfully by a posteri or sagittal approach according to the Pena procedure.
文摘Congenital paraspinal arteriovenous fistulae are rare and usually diagnosed after neurologic or cardiovascular manifestations. They may be discovered unexpectedly in children during clinical examination,which reveals the presence of a vascular murmur. The association with multicystic kidney is exceptional. We report 1 case with thoracic localization of a congenital paraspinal arteriovenous fistula associated with a multicystic kidney in a 3-year-old boy who was treated by endovascular embolization.
