Infantile choriocarcinoma is an extremely rare disease. We present a case study of a 1-month-old male with choriocarcinoma diagnosed simultaneously with his mother. On admission to hospital, the disease was very advanced and massive progression and multi-organ failure caused the death of the patient despite the implemented treatment. It was too late to save the child’s life, but early enough to save his mother. The authors believe that the serum levels of hCG should be determined in every newborn with anemia and liver tumor, especially when the mother has a positive history of miscarriage.
Ventriculoperitoneal shunt implantation is one of the most common procedures in paediatric neurosurgery. Although the procedure is used often in general neurosurgical practice and regarded as a safe intervention, it has several usual and unusual complications. About a half of these complications involve the peritoneal catheter. Spontaneous transanal protrusion of ventriculoperitoneal shunt is very rare. A 4-month-old baby was admitted to hospital due to spontaneous, asymptomatic transanal protrusion of ventriculoperitoneal catheter. The boy was put on intravenous antibiotics and taken to surgery. Treatment consisted of extrusion of the peritoneal catheter through the anus and temporary externalisation of the proximal part of the shunt. The previously implanted valve was preserved. Laparotomy was not necessary. Postoperative parenteral nutrition was used. No gastrointestinal complications were found on postoperative observation. Finally, a new peritoneal catheter was implanted.
Introduction: Each year, nearly 1% of the world population suffers from burn injuries. However, thermal injuries most often occur in children. Aim of the study: Burn treatment should consider both local treatment and prevention of existing systemic disturbances. Frequency and importance of the problem requires a revision and optimisation of the existing therapeutic schemes applied for paediatric burns, which constitutes the purpose of this study. Material and methods: A retrospective analysis was performed on treatment of 310 paediatric patients hospitalised for burns in the years 2010-2017. Results: In the studied period, 310 patients were hospitalised for burns; the majority of them (66.8%, 207 patients) were boys. In most cases, hospitalisation was required by children between the first and third year of life (71.9%, 223 patients). The main cause of burn injuries was contact with hot liquid (98.1%, 304 patients), primarily in the upper body part. The majority of the patients required only conservative treatment, while split-thickness skin graft (STSG) was performed in 9% of patients. Early introduction of surgical treatment accelerated wound healing and normalisation of systemic disturbances and correlated with reduced length of stay (p = 0.0019). No prevalence of any of the applied professional dressings on the wound healing rate was observed. Substantially, all children required multidrug pain therapy. A low rate of analgesic administration at the pre-hospitalisation stage was recorded. Conclusions: The vast majority of the patients required only conservative treatment, although the need for introducing surgery should be considered as early as at the first treatment stage. The current condition of burn wound with particular focus on exudation rate and presence of eschar should be the key criterion for the selection of dressing.
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