Gross E-type congenital esophageal atresia associated with congenital esophageal stenosis is extremely rare. In a male infant born at 36 weeks of gestation, bubbly vomiting was noted after birth. X-ray films of the ch...Gross E-type congenital esophageal atresia associated with congenital esophageal stenosis is extremely rare. In a male infant born at 36 weeks of gestation, bubbly vomiting was noted after birth. X-ray films of the chest and abdomen showed coil-up sign of the nasogastric tube and gas in the stomach and small intestines were recognized, so gross C-type esophageal atresia was suspected and surgery was performed on the first day of life. Surgery revealed the presence of a tracheoesophageal fistula in the upper esophagus and membranous stenosis on the distal side.展开更多
We describe a 13-year-old boy with mitochondrial encephalopathy with lactic acidosis and stroke-like episodes (MELAS) who experienced a stroke-like episode resulting in severe mental regression and quadriplegia. We te...We describe a 13-year-old boy with mitochondrial encephalopathy with lactic acidosis and stroke-like episodes (MELAS) who experienced a stroke-like episode resulting in severe mental regression and quadriplegia. We tested 14-3-3 protein in the cerebrospinal fluid (CSF) of the patient four times around a stroke-like episode in a magnetic resonance imaging (MRI)-study. Detection of the protein in the CSF was well correlated with the clinical course and range of damage of the brain lesion on MRI. Interestingly, 14-3-3 CSF protein was detected at the beginning of mitochondrial encephalopathy without new MRI abnormalities, s uggesting that it is a sensitive brain marker. We conclude that 14-3-3 CSF pro tein is a useful biological marker of brain disruption in MELAS as well as other neurological disorders.展开更多
Traumatic rupture of choledochal cyst is an extremely rare disorder.The current patient is a 4-year-old boy who fell in a bathroom and suffered a blow to the abdomen.Percutaneous transhepatic cholangiography revealed ...Traumatic rupture of choledochal cyst is an extremely rare disorder.The current patient is a 4-year-old boy who fell in a bathroom and suffered a blow to the abdomen.Percutaneous transhepatic cholangiography revealed pancreaticobiliary maljunction.Inflammation of the peritoneal cavity was moderate.At first look, the choledochal cyst was excised and hepaticojejunostomy was performed.At this time, a rupture approximately 2 mm in diameter was recognized at the rear surface of the inferior part of the common bile duct.展开更多
文摘Gross E-type congenital esophageal atresia associated with congenital esophageal stenosis is extremely rare. In a male infant born at 36 weeks of gestation, bubbly vomiting was noted after birth. X-ray films of the chest and abdomen showed coil-up sign of the nasogastric tube and gas in the stomach and small intestines were recognized, so gross C-type esophageal atresia was suspected and surgery was performed on the first day of life. Surgery revealed the presence of a tracheoesophageal fistula in the upper esophagus and membranous stenosis on the distal side.
文摘We describe a 13-year-old boy with mitochondrial encephalopathy with lactic acidosis and stroke-like episodes (MELAS) who experienced a stroke-like episode resulting in severe mental regression and quadriplegia. We tested 14-3-3 protein in the cerebrospinal fluid (CSF) of the patient four times around a stroke-like episode in a magnetic resonance imaging (MRI)-study. Detection of the protein in the CSF was well correlated with the clinical course and range of damage of the brain lesion on MRI. Interestingly, 14-3-3 CSF protein was detected at the beginning of mitochondrial encephalopathy without new MRI abnormalities, s uggesting that it is a sensitive brain marker. We conclude that 14-3-3 CSF pro tein is a useful biological marker of brain disruption in MELAS as well as other neurological disorders.
文摘Traumatic rupture of choledochal cyst is an extremely rare disorder.The current patient is a 4-year-old boy who fell in a bathroom and suffered a blow to the abdomen.Percutaneous transhepatic cholangiography revealed pancreaticobiliary maljunction.Inflammation of the peritoneal cavity was moderate.At first look, the choledochal cyst was excised and hepaticojejunostomy was performed.At this time, a rupture approximately 2 mm in diameter was recognized at the rear surface of the inferior part of the common bile duct.
