Background Currarino syndrome is a rare disease which needs multidisciplinary management. Misdiagnosis with mal-management is common in children. This study was to summarize the clinical features of children diagnosed with Currarino syndrome in a China institute, with an emphasis on diagnosis and surgical treatment, in order to aid in the diagnosis and determination of the optimal operative treatment. Results From 2016 to 2018, seven patients were diagnosed with Currarino syndrome in our department. One patient was male and six were female, with an admission age of 27.00(16.00, 44.00) months. In four patients, diagnosis of the presacral masses had been missed. Ultrasonography, plain sacral radiographs, contrast enemas and magnetic resonance imaging are necessary for the prompt diagnosis of this syndrome. The initial treatment involved a sagittal anorectoplasty and resection of the mass, followed by a defunctioning ostomy and closure of the stoma in a staged multidisciplinary approach. A limited sagittal route was chosen for the surgical treatment in this group. After closure of the ileostomy or colostomy, bowel function was satisfactory in all children. Conclusion Improved knowledge of the different clinical signs and symptoms of Currarino syndrome will result in appropriate imaging and prompt diagnosis. A protocol with rational timing of multidisciplinary surgical procedures may help to avoid undesirable outcomes. The limited sagittal route is available for effective operative treatment.
Jung Chang’sWild Swans: Three Daughters of Chinaachieved spectacular success and received worldwide critical acclaim. The way that academic and non-academic circles in the West readily embrace it betrays an unqualified equation of the book to a reliable source of knowledge regarding Chinese culture and history. However, such a perception leaves out narrative politics and simplifies the multilayered process of writing in the diaspora. This paper argues that the book is a bicultural product, involving constant negotiation between the site of experience and the place of writing. First of all, it showcases essentialized national culture and history and managing trauma as symptoms of cultural deficiency. Secondly, it is retrospective memory, mediated by the author’s anglicized perspective. In conclusion, Chang’s book is illuminating about the triangular relationship between the diasporan intellectual, the homeland, and transnational memory space at the time of writing and publishing the book.
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