Traumatic upper cervical esophageal perforation in childhood with door handle

Cervical esophageal rupture due to trauma in childhood is an extremely rare entity associated with a high rate of morbidity and mortality if misdiagnosed. There is still no consensus on the assessment and elective management of children with trauma and esophageal rupture. Surgical primary repair is usually not feasible in patients with delayed diagnosis, especially if the period extends over 48 h. We report a case of an 8-year-old boy who suffered a posterior oropharyngeal and cervical esophageal perforation after accidental intraoral penetration of a door handle. Primary repair was avoided because of late presentation of the patient. In nearly 1½ months, the perforation resolved completely without surgical intervention to the primary site.Keywords: childhood, esophageal perforation, traum

Self-induced penetrating rectal perforation by foreign body: an unusual event in childhood

Traumatic rectal perforation is a very rare and dangerous emergency in childhood. We present a case of rectal perforation due to self-induced transanal impalement.Keywords: children, foreign body, rectal perforatio

Traumatic neuroma after torticollis surgery: a rare occurrence

We report a 15 years old girl who admitted to our hospital with signs of recurrent torticollis after two failed operations and consistent pain at the side of surgery. The past operations were performed at 1 and 6 years of age and she has been suffering pain from previous incisions with neck movements. At physical examination, the sternocleidomastoid (SCM) muscle behaved like a fibrous band, restricting the neck movements and resulting in pain. The operation was indicated for the fibrotic SCM. At operation two separate incisions were performed on each end of the SCM to remove all of the fibrotic muscle. The histopathological examination demonstrated a traumatic neuroma which respectively correlates with the pain symptoms. The patient discharged on the second postoperative day and physiotherapy was started. The patient is symptom free one year after the surgery. This case demonstrates a rare occurrence of traumatic neuroma after torticollis surgery, which can manifest with pain.Keywords: neuroma, torticollis, traum

Comparison of different bladder autoaugmentation techniques in a rabbit model

Objective To compare the urodynamic, radiological and histopathological findings of a bladder autoaugmentation method combined with different seromuscular enterocystoplasty (mucosectomized) techniques and the rectus abdominis muscle-flap (RAMF) technique, and thus devise a method that may eliminate the potential risks of bladder autoaugmentation

Rectus abdominis muscle flap (RAMF) technique for the management of bladder exstrophies: Late clinical outcome and urodynamic findings

Objective To investigate the efficacy of the rectus abdominis muscle nap (RAMF) technique for the closure and augmentation of small, non-compliant bladder extrophies

Congenital short bowel syndrome associated with appendiceal agenesis and functional intestinal obstruction

Congenital short bowel with functional intestinal obstruction and absence of appendix vermiformis is a very rare condition with poor prognosis. Seventeen cases of congenital short bowel have been reported previously in the literature, The etiology is unknown, In this report, a case of congenital short bowel, combined with functional intestinal obstruction, malrotation, and absence of the appendix vermiformis, is presented and the pathogenesis discussed. Copyright (C) 1998 by W.B. Saunders Company

Lumbar and iliac artery aneurysms in Menkes' disease: endovascular cover stent treatment of the lumbar artery aneurysm

We report lumbar and iliac artery aneurysms in a 3-month-old boy with Menkes' disease. The iliac artery aneurysm thrombosed spontaneously, documented by follow-up colour Doppler sonography. The lumbar artery aneurysm was successfully treated using a cover stent. There was no filling of the lumbar artery aneurysm and no stenosis of the cover stent during the 9-month follow-up

Jeune's asphyxiating thoracic dystrophy of the newborn

A 13-month-old patient with Jeune's thoracic asphyxiating dystrophy, was surgically treated using a methyl-methacrylate (acrylic) prosthesis. Although postoperative recovery was fast, the patient died of respiratory distress two months following surgery. Limitations of currently available surgical techniques and the need for long-term results will be discussed

The effects of intranasal midazolam on urodynamic studies in children

Objective To determine the influence of midazolam on the function of the lower urinary tract when used to sedate the patient