Pyloric stenosis in in vitro fertilized triplets - is it a coincidence?

Infantile hypertrophic pyloric stenosis was previously reported in multiple births, but there were only 3 triplets in the literature and all were naturally conceived. Assisted reproductive technologies, such as in vitro fertilization, are accused for increasing the risk for some anomalies in children. Triplets of in vitro fertilization, all of whom were operated on because of pyloric stenosis, are presented. (c) 2005 Elsevier Inc. All rights reserved

Incidence of Salmonella spp. and Listeria monocytogenes on equipment surfaces and personnel hands in meat plants

The present study was to investigate the incidence of Salmonella spp. and Listeria monocytogenes in 580 swab samples (430 contact surfaces (130 cutting equipments, 100 tables, 50 refrigerators, 150 clothes) and 150 personnel hands) that obtained from eight different meat plants in different villages of Istanbul. Salmonella spp. and L. monocylogenes were detected in 3.27% and 5.17% of samples, respectively. The highest rates of Salmonella spp. (6.0%) were found in personnel hands and L. monocytogenes (9.23%) were in cutting equipments. Moreover, among the meat plants, significant differences were found only about the incidence of L. monocytogenes on contact surfaces (P<0.05). The results indicate that meat and meat products present a potential hazard for public health and the personnel at the plant must be educated on good sanitary practices to prevent contamination and ensure applying good hygiene practices during production that emphasize sanitary effectiveness

Do patch procedures prevent complications of the mathieu technique?

Purpose: The effects of V-incision sutured (MAVIS) and dartos patch reinforcement techniques in reducing side effects and complications of the Mathieu procedure and improving the appearance of the meatus are evaluated

Primitive neuroectodermal tumor of the pancreas - A case report of an extremely rare tumor

Primitive neuroectodermal tumor (PNET) of the pancreas is extremely rare. Although the diagnosis of PNET is suggested by the light microscopic appearance of the tumor, it should be confirmed by the immunohistochemical evaluation of the c-myc expression and if possible, further determination of the particular chromosome translocation, t(11;22)(q24,q12). In this report, we present a male patient with pancreatic PPNET who had been followed up for 50 months. The related literature is also reviewed. In our case, the pathologic diagnosis was based on the positive immunoreactivity for CD99 in many of the tumor cells. The complementary cytogenetic studies were not possible in the private setting of the patient's treatment. The patient was 31 years old when first operated. Within 4 months of the first operation he had local recurrence. In the third year of his follow-up he had been discovered to have pulmonary metastases and another metastatic tumor in his lung was diagnosed the year after. The metastatic foci were primarily treated by surgical resections. He had chemotherapy after each resection of pulmonary metastatic foci. After 50 months of the initial surgical intervention, he succumbed to widespread thoracic and bone metastases. Because of the extreme rarity of PPNET in the pancreas, and its rather protracted course, we think our case may further contribute to the ever expanding database for this particular entity. Copyright (C) 2003 S. Karger AG, Basel and IAP

Nonsurgical diagnosis and management of an inflammatory pseudotumor of the spleen in a child

Primary splenic tumors in children are rare and usually benign. We report the case of a 7-year-old boy with a splenic mass that initially resembled an infectious process. Histopathologic examination of a specimen obtained using sonographically guided Tru-cut needle biopsy, performed after angiography, revealed an inflammatory pseudotumor of the spleen, an extremely rare benign lesion. The lesion has been managed conservatively with clinical and sonographic follow-up. This case shows that benign lesions of the spleen can easily be diagnosed using current radiologic and histopathologic techniques without the need for surgery, thus allowing total or even partial splenectomy to be reserved for patients in whom a mass cannot be diagnosed or in whom clinical progression is evident. (C) 2003 Wiley Periodicals, Inc