Iatrogenic bladder rupture in children during a retrograde cystourethrography is very uncommon. We present a case of iatrogenic intraperitoneal bladder rupture in a 9-month child during the retrograde cystourethrography performed by a radiologist. The child presented in a paediatric emergency after 6 h with an acute abdomen indicating urinary peritonitis. An urgent laparotomy was performed and the perforation was repaired in two layers. The follow-up was unremarkable. This report emphasises the importance of respecting the criteria of the proper retrograde cystourethrography imaging procedure.
The association between omphalomesenteric duct remnants and other digestive tract malformations is not rare. Most associated anomalies are reported with Meckel's diverticulum. We report two associated anomalies which were never reported: an ileal stenosis and an ileal duplication. Surgeons must be aware of associated anomalies to prevent post-operative complications.
Acute intussusception is one of the most common causes of intestinal obstruction in infants and small children and involves the invagination of one bowel segment into another. The clinical signs can be deceptively misleading when there is only one symptom or when an unusual symptom is in the foreground, especially in infants less than 1-year-old. We report a case of an infant with an acute intussusception where the neurological symptoms are predominant. The neurological form is the expression of major vascular narrowing of the collar of the intestinal intussusception; this form is rare and misleading and can be responsible for a delayed diagnosis.
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