IntroductionPyloric duplication is an extremely rare gastrointestinal tract malformation in neonates. This is the first case report of pyloric duplication in our country (Lithuania).Case presentationWe report the case of a 2-day-old Lithuanian girl who suffered from pyloric duplication mimicking an alternative common bile duct cyst or other intra-abdominal organs cysts. A laparotomy was performed and the cystic formation of the pyloric area was successfully resected. The postoperative course was uneventful.ConclusionsThere are only a few reports describing abdominal masses caused by pyloric duplication mimicking common bile duct cyst or other intra-abdominal organs cysts. Therefore thorough clinical and instrumental examination is needed to determine the most accurate diagnosis that allows one to choose the right treatment.
Introduction: Endoscopic dilatation is good choice of conservative treatment for caustic digestive tract injuries in children. Aim: To set up a strategy of management of caustic digestive tract injury based on our experience and literature review. Material and methods: We retrospectively analysed medical records of 34 paediatric patients who were admitted to the Centre of Paediatric Surgery of the Children's Hospital between 2000 and 2017. Age at presentation, gender, anatomic location, circumstances and distribution of injury, early and late complications, clinical signs, and the first aid were analysed. Upper gastrointestinal (GI) endoscopy was performed within 12-24 h after ingestion in all cases. The Zargar classification system was used to grade the severity of the injury. Fisher's exact test was used for statistical analysis, with p < 0.05 considered as the limit of statistical significance. Results: The upper GI endoscopy revealed caustic injuries in 5 (15%) and 8 (23%) patients were classified as grade IIa and IIb, respectively. Oesophageal and ventricle caustic injuries in 3 (9%) and 2 (6%) patients were classified as grade IIIa and IIIb, respectively. Thirteen patients with grade IIa and IIIb injuries suffered permanent damage and required repeated dilatation. All patients underwent stricture treatment using late or early endoscopic dilatation of the oesophagus. An average of 15 dilatation procedures were required to achieve a satisfactory lumen. Conclusions: Our experience of 34 children revealed that endoscopic dilatation may be required as a primary treatment for oesophageal strictures.
Isolated fallopian tube torsion associated with hydrosalpinx: case report and review of the literature Įvadas Izoliuotas kiaušintakio užsisukimas dėl vandenės nustatomas 1:1 500 000 reprodukcinio amžiaus moterų. Itin retai ši liga yra vaikų pilvo skausmų priežastis. Literatūroje aprašyta tik keletas vaikų izoliuoto kiaušintakio užsisukimo dėl kiaušintakio vandenės atvejų. Liga neturi speci nių simptomų. Galutinė diagnozė patvirtinama atlikus laparoskopiją. Klinikinis atvejis 11 metų mergaitė atvyko į priėmimo skyrių dėl staiga atsiradusių skausmų pilvo apačioje. Tiriant skausmas nustatytas dešinėje klubo srityje. Ultragarsinio tyrimo metu dubenyje pastebėtas 80 mm ilgio ir 15 mm skersmens cistinis darinys, prisipildęs skysčio. Buvo įtarta dešiniojo kiaušintakio vandenė. Atlikta laparoskopija, rastas išsiplėtęs, prisipildęs skysčio ir apsisukęs dešinysis kiaušintakis. Kiaušintakis atsuktas ir išpunktuotas. Išvada Kiaušintakio vandenės sukeltas izoliuotas kiaušintakio užsisukimas yra reta, todėl gana sunkiai nustatoma vaikų pilvo skausmų priežastis.Reikšminiai žodžiai: hydrosalpinx'as, izoliuotas kiaušintakio užsisukimas, vaikai, laparoskopija.
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