- Email: [email protected]
Duodenal ulcer in childhood
ABSTRACTS
578 infant may result in traumatic perforation of the posterior pharyngeal wall with the formation of a peri-esophageal fluid and air collection suggesting an esophageal diverticulum. Details of diagnosis and management of such a traumatic pseudodiverticulum in a 3-day-old infant are presented. If recognized, conservative nonsurgical management probably is the best treatment. In the instance reported surgical excision led to cure. -William K. Sieber
from the completion of questionaires mailed to the patients, is presented.-Clifford L. Rubin CHILDHOODINTUSSUSCEPTION.AN ANALYSIS OF CLINICAL EXPRESSIONS AND OF RESULTS OF TREATMENT IN FIFTY CASES IN SOUTHERN IRAN. A Farpour and A.
Nourmand. 1970.
Clin.
Ped.
9:210
(April),
Sixty per cent of the 50 patients (six adults) were under 1 year of age. There was SPONTANEOUSPERFORATIONOF THE STOMACH a 4: 1 ratio of males to females. No seasonal IN A SIX WEEK-OLD INFANT, G. L. Mye variations were evident. Ninety-three per and K. S. Sharpe. Clin. Ped. 9:208 cent had vomiting, 83 per cent passed blood (April), 1970. per rectum, 58 per cent had a palpable abdominal mass and 64 per cent had colicky This is a case report of perforation of the abdominal pain. Only 10 patients presented greater curvature of stomach which was SUG themselves within the first 24 hours. Barium cessfully treated. The unusual feature of enema, for diagnosis and for treatment, was this case is that first symptoms occurred at done 27 times with only two successful in six weeks of age.-Michel Gilbert reduction of intussusception. Seven patients had leading point pathology. Surgery was performed on 54 patients, 42 patients had a FAMILIAL DUODENAL ATRESIA. M. Berant simple surgical reduction, and 12 other and D. Kahana. Arch. Dis. Child. 45:281, patients required intestinal resection. Six 1970. patients (10.7% ) expired.-Michel Gilbert Three consecutive children born in three consecutive years to young parents who were APPENDICITIS IN THE NEWBORN INFANT. young healthy first cousins are reported. John M. Parsons, Brian G. Miscall and Each child had atresia of the third part of Charles K. McSherry. Surgery 67: 841-843 the duodenum with marked dilatation of the (May), 1970. proximal loop, each was operated on and A 7-day-old infant with acute gangrenous each died of bronchial pneumonia 5 or 6 appendicitis associated with right lower days after operation, so that necropsies were quadrant cellulitis and abdominal mass redone. Chromosome studies from one case covered following appendectomy. showed normal karyotype. The familial The previous 30 case reports of appenincidence and the relationship of the dicitis in infants less than 1 month of age parents are assumed to point to an autosoare reviewed. The difficulty of diagnosis, ma1 recessive gene.-James Lister often lack of systemic signs of sepsis, and the 81 per cent mortality are emphasized.DUODENAL ULCER IN CHILDHOOD. M. L. William K. Sieber Rosenlund and C. E. Koop. Pediatrics 45:283-286 (February), 1970. APPENDICITIS: SEASONAL INCIDENCE AND POSTOPERATIVE WOUND INFECTION. M. This is a review of past admissions at Brumer. Brit. J. Surg. 57:93-99 (FebChildrens Hospital of Philadelphia from ruary), 1970. 1948 to 1967 where the diagnosis of duoA report of a series of 404 cases of apdenal ulcer was made by X ray, at operation pendicectomies performed in Melbourne in or autopsy. A total of 27 cases were rethe 3 years 1965-1968. Two-thirds of the ported of which 22 were diagnosed radiocases occurred in October to March. The logically and two at surgery. The most environmental factor which appears to be was perforation complication common linked with this increase was said to be due which resulted in the death of four patients. to decreased humidity. Twenty-five per cent (seven cases) had There was an increased incidence of postbulbar ulcers. Follow-up data, complied
578 infant may result in traumatic perforation of the posterior pharyngeal wall with the formation of a peri-esophageal fluid and air collection suggesting an esophageal diverticulum. Details of diagnosis and management of such a traumatic pseudodiverticulum in a 3-day-old infant are presented. If recognized, conservative nonsurgical management probably is the best treatment. In the instance reported surgical excision led to cure. -William K. Sieber
from the completion of questionaires mailed to the patients, is presented.-Clifford L. Rubin CHILDHOODINTUSSUSCEPTION.AN ANALYSIS OF CLINICAL EXPRESSIONS AND OF RESULTS OF TREATMENT IN FIFTY CASES IN SOUTHERN IRAN. A Farpour and A.
Nourmand. 1970.
Clin.
Ped.
9:210
(April),
Sixty per cent of the 50 patients (six adults) were under 1 year of age. There was SPONTANEOUSPERFORATIONOF THE STOMACH a 4: 1 ratio of males to females. No seasonal IN A SIX WEEK-OLD INFANT, G. L. Mye variations were evident. Ninety-three per and K. S. Sharpe. Clin. Ped. 9:208 cent had vomiting, 83 per cent passed blood (April), 1970. per rectum, 58 per cent had a palpable abdominal mass and 64 per cent had colicky This is a case report of perforation of the abdominal pain. Only 10 patients presented greater curvature of stomach which was SUG themselves within the first 24 hours. Barium cessfully treated. The unusual feature of enema, for diagnosis and for treatment, was this case is that first symptoms occurred at done 27 times with only two successful in six weeks of age.-Michel Gilbert reduction of intussusception. Seven patients had leading point pathology. Surgery was performed on 54 patients, 42 patients had a FAMILIAL DUODENAL ATRESIA. M. Berant simple surgical reduction, and 12 other and D. Kahana. Arch. Dis. Child. 45:281, patients required intestinal resection. Six 1970. patients (10.7% ) expired.-Michel Gilbert Three consecutive children born in three consecutive years to young parents who were APPENDICITIS IN THE NEWBORN INFANT. young healthy first cousins are reported. John M. Parsons, Brian G. Miscall and Each child had atresia of the third part of Charles K. McSherry. Surgery 67: 841-843 the duodenum with marked dilatation of the (May), 1970. proximal loop, each was operated on and A 7-day-old infant with acute gangrenous each died of bronchial pneumonia 5 or 6 appendicitis associated with right lower days after operation, so that necropsies were quadrant cellulitis and abdominal mass redone. Chromosome studies from one case covered following appendectomy. showed normal karyotype. The familial The previous 30 case reports of appenincidence and the relationship of the dicitis in infants less than 1 month of age parents are assumed to point to an autosoare reviewed. The difficulty of diagnosis, ma1 recessive gene.-James Lister often lack of systemic signs of sepsis, and the 81 per cent mortality are emphasized.DUODENAL ULCER IN CHILDHOOD. M. L. William K. Sieber Rosenlund and C. E. Koop. Pediatrics 45:283-286 (February), 1970. APPENDICITIS: SEASONAL INCIDENCE AND POSTOPERATIVE WOUND INFECTION. M. This is a review of past admissions at Brumer. Brit. J. Surg. 57:93-99 (FebChildrens Hospital of Philadelphia from ruary), 1970. 1948 to 1967 where the diagnosis of duoA report of a series of 404 cases of apdenal ulcer was made by X ray, at operation pendicectomies performed in Melbourne in or autopsy. A total of 27 cases were rethe 3 years 1965-1968. Two-thirds of the ported of which 22 were diagnosed radiocases occurred in October to March. The logically and two at surgery. The most environmental factor which appears to be was perforation complication common linked with this increase was said to be due which resulted in the death of four patients. to decreased humidity. Twenty-five per cent (seven cases) had There was an increased incidence of postbulbar ulcers. Follow-up data, complied