Mesenteric fibromatosis: a rare cause of peritonitis

Ng, Eugene Pak-Lin; Sy, Kwok; Kf, Lok; Mp, Chow; Py, Lau

doi:10.12809/hkmj166276

Cited by 3 publications

(2 citation statements)

References 5 publications

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“…Fever, defined as an elevation of the regulated set-point temperature by pyrogens, is frequently encountered in pediatrics [1]- [6]. Optimum fever control requires accurate temperature measurement, especially for critically ill patients [7].…”

Section: Introductionmentioning

confidence: 99%

“…Misdiagnosis of fever can result in improper treatment and poor patient out-comes [8]. The objective diagnosis of fever in children is based on the measurement of body temperature at a peripheral site with an accurate thermometer [6] [9]. However, there is a debate on the best approach for temperature measurement and the most appropriate thermometer [10] [11].…”

Section: Introductionmentioning

confidence: 99%

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Optimization of the Recommended Time for Rectal Temperature Measurement in Children: An Observational Study

Zhao¹,

Li²,

Zhou³

2019

OJPed

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Background: This study aimed to determine the optimum time required to measure rectal temperature in children with mercury-in-glass thermometers. Methods: This cross-sectional observational study involved a random sample of pediatric patients ≤5 years of age. Body temperature was measured for 3-5 minutes using standard mercury-in-glass rectal thermometers. Outcomes were rectal body temperatures at 1, 2, and 3 minutes until reaching a stable rectal temperature, and the final rectal temperature. Results: This study recruited 120 children. Mean time to reach a stable rectal temperature was 1.8 minutes (range: 30 seconds to five minutes). 90% of pediatric patients' temperature came out within ±0.1˚C of the final temperature at two minutes. There was no correlation between the time taken to reach a stable rectal temperature and age, body weight, gender, or the final temperature. Conclusion: Mercury-in-glass thermometers can be used to obtain accurate rectal temperature measurements at two minutes in routine pediatric practice.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Optimization of the Recommended Time for Rectal Temperature Measurement in Children: An Observational Study

Zhao¹,

Li²,

Zhou³

2019

OJPed

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Optimal management of desmoid fibromatosis

Loong

2018

Hong Kong Med J

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To the Editor-I read with great interest the recent report by Ng et al 1 of mesenteric fibromatosis. I would like to take this opportunity to clarify the internationally accepted treatment approach for desmoid fibromatosis. In the concluding remarks, the authors have rightfully stated that "…surgical resection is usually indicated in large symptomatic cases of MF or in MF with complications" and "… decision for radiotherapy or systemic treatment… should be made after discussion with oncologists". I cannot help but notice that they give the readers the impression that surgery remains the treatment modality of choice before the consideration of systemic or hormonal treatments. The authors have also referenced an outdated version of the European consensus that, incidentally, was further updated in 2017. 2 Evidence suggests that surgery should only be considered as an option if the morbidity from the procedure is limited, and medical therapy, be it with hormonal agents, non-steroidal anti-inflammatory drugs, cytotoxics, or targeted therapies, should also be considered as first-line treatments. More importantly, I would like to emphasise that surgical margins have been shown to inconsistently correlate with recurrence. 3 The common consensus is that an R0 resection is not necessary if it is at the expense of significant morbidities or risk of mortality. Ultimately, a multidisciplinary team approach is necessary to ensure the best possible outcome for patients with this rare disease. Declaration As an editor of this journal, the author was not involved in the peer review process of this article. The author had full access to the data, contributed to the study, approved the final version for publication, and take responsibility for its accuracy and integrity.

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