Internal hernias are rarely diagnosed. Most of the times they are found at laparotomy when complications and their symptoms (for instance palpable tumour, abdominal pain, vomiting and ileus) require surgical treatment. We present a case of an eleven-year-old boy who was admitted to our hospital because of acute abdominal pain. Appendectomy brought only temporary relief of pain. Subsequent laparotomy yielded the diagnosis of left-sided paraduodenal hernia.
nemes. These defects were more numerous i n the p a t i e n t s w i t h o u t bronchiectases. Our observations suggest t h a t anomalies o f the bronchial c i l i a r y microtubular system may n o t o n l y be congenital b u t a l s o ac u i r d and could be an im r a n t a c t r explaining some cases o f rgpeated alrway i n f e c t~o n aR9 kroncLlec?ases.
During the last two years 108 children have been hospitalized for diagnosis and treatment of constipation and fecal incontinence. Standard examinations are followed by a strict regimen of nutritional and behaviour modification therapy and, if necessary, psychological treatment is added. In severe cases we had to extend this concept by a biofeedback conditioning as a specific organic training to improve anorectal sensibility and to strengthen sphincter force. By transformation of the sphincter contraction pressure into an analogous optical signal the patient is able to recognize the muscle activities and to increase their efficiency. The organic and psychic requirements to perform a biofeedback treatment are discussed based on the experience with eight patients suffering from fecal incontinence due to different etiologies.
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