Idiopathic sclerosing mesenteritis in paediatrics: Report of a successfully treated case and a review of literature

A 6 year old female with symptoms of small bowel obstruction underwent an exploratory laparotomy which revealed widespread evidence of inflammatory fibrotic adhesions involving the jejunal mesentery. In view of persistent growth failure, chronic anaemia, elevated acute phase reactants and imaging evidence of a diffuse progressive inflammatory process, the child was treated with corticosteroids and methotrexate with complete response. The literature on juvenile idiopathic sclerosing mesenteritis has been reviewed

Esophageal and pulmonary scintiscanning in gastroesophageal reflux in children

The analysis of 19 esophageal and pulmonary scintiscans performed with a non-reabsorbable radioactive tracer shows that this is a simple and efficient way of detecting the presence of a GER or a bronchial aspiration of gastric contents in children. This examination proves to be more sensitive, with a lower amount of radiation necessary, than the radiological gastroesophagography. It is less invasive and takes place under more physiological conditions. It is especially useful when symptoms lead one to suspect a syndrome of GER with aspiration