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What I Would Like to be Remembered for! 我想被人记住的是什么!
Pub Date : 2018-10-14 DOI: 10.21699/AJCR.V9I3.55
C. A. Safdar
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引用次数: 0
Multiple Jejunoileal Atresia and Stenosis with Duplication Cyst in a Newborn 新生儿多发空肠回肠闭锁狭窄伴重复囊肿1例
Pub Date : 2018-09-26 DOI: 10.21699/ajcr.v9i3.13
A. Singh, Rajlaxmi Pardeshi, Ramesh Tanger, Maryem Ansari, Arun Gupta
Jejunoileal atresia is a congenital anomaly that is characterized clinically by bilious vomiting and abdominal dis-tension. It has been associated with various other anomalies but its association with mesenteric cyst is rare. We are presenting a patient with antenatally diagnosed duplication cyst with multiple jejunoileal atresia and stenosis with possible etiology behind such an association.
空肠闭锁是一种先天性畸形,临床表现为胆汁性呕吐和腹部不适。它与其他各种异常有关,但与肠系膜囊肿有关的情况很少。我们介绍了一名产前诊断为重复囊肿伴多发性空肠闭锁和狭窄的患者,这种关联背后可能有病因。
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引用次数: 0
Anorectal Laceration due to Crush Injury: A Case of Rarity 因挤压伤致肛门直肠撕裂:一例罕见病例
Pub Date : 2018-09-26 DOI: 10.21699/ajcr.v9i3.25
S. Sancar, E. Ozcakir, M. Kaya
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引用次数: 0
Congenital Umbilical Appendix Misdiagnosed as Umbilical Granuloma: Report of 2 Cases 先天性脐尾误诊为脐肉芽肿2例报告
Pub Date : 2018-09-25 DOI: 10.21699/AJCR.V9I3.45
J. Ghoroubi, L. Mohajerzadeh, Saran Lotfollahzadeh, Khashayar Atqiaee
Background: Umbilical cord hernia is an uncommon umbilical anomaly which develops during 10th to 12th weeks of gestational age owing to failure of complete bowel return into coelomic cavity. In extremely rare cases appendix is the only trapped organ in hernia sac which may erode the overlying membrane and simulate umbili-cal granuloma. Case Report: Two infants presented with delayed umbilical cord separation with a reddish mass at umbilicus which was initially diagnosed as umbilical granuloma. Surgical exploration on failure of conservative measures revealed it as vermiform appendix. Appendectomy was done in both cases. Conclusion: Vermiform appendix at umbilicus is a rare congenital anomaly and may simulate other pathologies at umbilicus.
背景:脐带疝是一种罕见的脐带异常,发生在胎龄10至12周,由于肠不能完全返回到体腔。在极少数情况下,阑尾是唯一被困在疝囊内的器官,它可能侵蚀上覆的膜,形成脐肉芽肿。病例报告:两名婴儿表现为脐带分离延迟,脐处有红色肿块,最初诊断为脐带肉芽肿。手术探查保守措施失败,显示为蚓状阑尾。两例均行阑尾切除术。结论:脐蚓状阑尾是一种罕见的先天性异常,可能与其他脐部病变相似。
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引用次数: 1
Intramural Duodenal Hematoma In 2-year Old Child 2岁儿童十二指肠壁内血肿
Pub Date : 2018-09-23 DOI: 10.21699/AJCR.V9I3.42
D. Hota, K. Rattan, A. Khursheed, M. Swami, H. Bhardwaj
Background: Intramural hematoma of the duodenum is a rare cause of acquired duodenal obstruction. It is often a diagnostic dilemma and a high degree of suspicion is required to make an early and accurate diagnosis in children. Case Report: A 2-year-old child presented with bilious vomiting and abdominal distension. X-ray abdomen showed high intestinal obstruction. Ultrasound and CT scan abdomen gave suspicion of pancreatic pseudo-cyst near head of pancreas. At surgery, an intramural hematoma of the duodenum was found and drained. Conclusion: Intramural duodenal hematoma is a rare entity especially in children and should be considered in differential diagnosis of acquired duodenal obstruction.
背景:十二指肠壁内血肿是引起后天性十二指肠梗阻的罕见原因。这通常是一个诊断难题,需要高度怀疑才能对儿童做出早期准确的诊断。病例报告:2岁儿童出现胆汁性呕吐和腹胀。腹部X光片显示高位肠梗阻。腹部超声和CT扫描显示胰头附近疑似胰腺假性囊肿。在手术中,发现十二指肠壁内血肿并引流。结论:壁内十二指肠血肿是一种罕见的疾病,尤其是在儿童中,应考虑对获得性十二指肠梗阻的鉴别诊断。
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引用次数: 0
Antenatally Diagnosed Suprarenal Mature Cystic Teratoma with Down Syndrome 产前诊断为唐氏综合征的鞍上成熟囊性畸胎瘤
Pub Date : 2018-09-23 DOI: 10.21699/AJCR.V9I3.44
A. Singh, Ramesh Tanger, Maryem Ansari, Arun Gupta, D. Barolia
Background: Teratoma is a germ cell tumor (GCT) arising from totipotent stem cells that differentiate into the tissues that are foreign to the anatomic site. Teratoma at the suprarenal location is extremely rare. The associa-tion with the Down syndrome also makes it unusual. Case Report: We are presenting here a case of one-year-old female infant with Down syndrome who had an antenatal diagnosis of right suprarenal mass. Laparotomy revealed a large cystic mass in the right suprarenal location which was completely excised. Right adrenal gland could not be seen separately from the mass. The histological diagnosis was a mature cystic teratoma. Conclusion: Adrenal teratoma is rare and may be considered in the differential diagnosis of antenatally diag-nosed suprarenal lesion. Its association with Down syndrome is rare finding.
背景:畸胎瘤是一种由全能干细胞分化为解剖部位外来组织引起的生殖细胞肿瘤。肾上位置的畸胎瘤极为罕见。与唐氏综合症的关联也使其不同寻常。病例报告:我们在这里介绍一个患有唐氏综合症的一岁女婴的病例,她在产前诊断为右肾上肿块。剖腹产术显示右肾上位置有一个巨大的囊性肿块,已完全切除。右侧肾上腺不能从肿块中分离出来。组织学诊断为成熟的囊性畸胎瘤。结论:肾上腺畸胎瘤是罕见的,可作为产前诊断的肾上病变的鉴别诊断。它与唐氏综合症的关联是罕见的。
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引用次数: 0
Acute Presentation of Eventration of Diaphragm with Gastrothorax in an Infant 婴儿膈肌膨出伴胃胸的急性表现
Pub Date : 2018-09-20 DOI: 10.21699/AJCR.V9I3.18
F. Basheer, Q. Khan, J. Jalil, C. A. Safdar
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引用次数: 0
Post Necrotizing Enterocolitis Colonic Strictures: Report of 5 Cases 坏死性小肠结肠炎结肠狭窄5例报告
Pub Date : 2018-09-20 DOI: 10.21699/AJCR.V9I3.17
Sandip K. Rahul, Vijayendra Kumar, V. Thakur, Ramdhani Yadav, Zaheer Hasan, Pankaj Kumar, Digamber Chaubey
Background: With increasing survival of patients suffering from necrotizing enterocolitis (NEC) colonic strictures, as its late sequelae, is increasingly being seen and most of these patients present with chronic constipation. Case Series: Five patients of acquired colonic stricture presenting with abdominal distension and constipation are being reported here. All five patients varied in clinical features, age at presentation and surgical manage-ment. Three of them had abdominal distension and constipation with poor nutritional status. Primary resection with anastomosis could be done in only one while stoma was made initially in other patients. One patient pre-sented with sealed perforation and fistula between jejunum and colon. All, except one patient, had stricture at splenic flexure. Histopathology of colon reported normal ganglion cells in all patients. Conclusion: All survivors of necrotizing enterocolitis, should be followed for the development of colonic stricture; It should be kept as important differential diagnoses of chronic constipation in children.
背景:随着坏死性小肠结肠炎(NEC)患者生存率的提高,结肠狭窄作为其晚期后遗症越来越多,其中大多数患者表现为慢性便秘。病例系列:本文报告5例获得性结肠狭窄患者,表现为腹胀和便秘。所有五名患者的临床特征、出现时的年龄和手术处理各不相同。其中三人出现腹胀和便秘,营养状况不佳。只有一例患者可以进行一期切除吻合,而其他患者则可以进行造口术。1例患者出现空肠和结肠之间的密封穿孔和瘘管。除1例患者外,其余均出现脾曲狭窄。结肠组织病理学报告所有患者的神经节细胞正常。结论:所有坏死性小肠结肠炎的存活者,应随访结肠狭窄的发展情况;应将其作为儿童慢性便秘的重要鉴别诊断。
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引用次数: 1
Single System Ectopic Congenital Giant Megaureter Associated with Ipsilateral Multicystic Dysplastic Kidney 单系统异位先天性巨肾伴同侧多囊性发育不良肾
Pub Date : 2018-06-19 DOI: 10.21699/AJCR.V9I2.699
S. Mahalik, B. Tripathy, A. Pati, M. Mohanty
Congenital anomalies of the kidney and urinary tract (CAKUT) is a disease spectrum of a wide range of structural and functional anomalies. In this report, we have presented a rare case of CAKUT displaying the wide spectrum of renal and urinary tract anomalies with an unusual association like single system ectopic giant megaureter with the ipsilateral multicystic dysplastic kidney.
先天性肾和尿路异常(先天性肾和尿路异常)是一种广泛的结构和功能异常的疾病谱系。在本报告中,我们报告了一例罕见的CAKUT病例,该病例表现为广泛的肾脏和尿路异常,并与同侧多囊发育不良肾脏的单系统异位巨量仪异常相关。
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引用次数: 0
Multiple Congenital Granular Cell Tumor in a Neonate - A Rare Case 新生儿多发先天性颗粒细胞瘤1例
Pub Date : 2018-06-18 DOI: 10.21699/ajcr.v9i2.719
A. Singh, Arun Gupta, Maryem Ansari, Ramesh Tanger, D. Barolia
Congenital granular cell tumor (CGCT) is an uncommon congenital benign epulis in neonates. A preliminary diagnosis is usually put forth clinically but may be confused with other anomalies. Herein, we report an unusual case of intra oral congenital granular cell tumor in a 4-day-old female newborn. The tumor was excised completely. At 3-month follow-up, the baby is doing fine without any recurrence.
先天性颗粒细胞瘤(CGCT)是一种罕见的新生儿先天性良性肿瘤。初步诊断通常在临床上提出,但可能与其他异常混淆。在此,我们报告了一例4天大的女性新生儿口腔内先天性颗粒细胞瘤的罕见病例。肿瘤被完全切除了。在3个月的随访中,婴儿情况良好,没有任何复发。
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引用次数: 0
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APSP journal of case reports
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