Abstract:Solitary fibrous tumor is an uncommon mesenchymal neoplasm that very rarely appears in extra serosal soft tissue. Though pleural solitary fibrous tumor is more common, up to one third of the reported cases were at extra pleural sites. Although pleural and extrapleural solitary fibrous tumors are regarded as indolent tumors, there is some evidence that extrapleural subgroup could be a subset of more aggressive malignant tumors. Accurate preoperative diagnosis of extrapleural solitary fibrous tumor is very difficult and usually is a diagnosis of exclusion. Surgical excision is mandatory and is the best therapeutic option. In this article we report a case of solitary fibrous tumor of the chest wall in a 2 months old boy.
Background: Bacterial infection is a frequent complication following operations in the gastrointestinal tract. Despite prophylactic administration of antibiotics the incidence of postoperative infections ranges from 10%-30% in resection surgery.1 Most infections are caused by bacteria of enteric origin.2 In spite of restricted use of prophylactic antibiotics, the emergence of antibiotic resistance has increased significantly.
Introduction: Myelomeningocele is a single most common congenital malformation that affects the entire central nervous system and because of extensive internal CNS involvement, its management remains controversial. Proper management of affected children can lead to a meaningful and productive life, and poorly managed cases of myelomeningocele can be a devastating obstacle not only for patient but also for the patient's family. Results: The age of most of the patients at the time of myelomeningocele repair was between 45 days to 60 days; however, children with ruptured myelomeningocele were consistently repaired early after controlling infection. Complications including CSF leak, wound infection, wound dehiscence, paraplegia, autonomic incontinence, shunt infection and malfunction after repair of myelomeningocele occurred in 27 patients (64.29%). Six patients (14.29%) died during treatment protocol. All the patients were followed up postoperatively for 6 months to 1 year.Conclusion: Surgical intervention with or without VP shunt of patients with myelomeningocele produced good results.
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