Torsion of an accessory spleen presenting as an acute abdomen with an inflammatory mass

Torsion of an accessory spleen is extremely rare. Only seven cases in children have been reported in the literature. This entity should be considered in the differential diagnosis of acute abdomen associated with an intraperitoneal inflammatory mass. This report describes a 10-year-old boy with severe abdominal pain and a mass that was found to be due to infarction of an accessory spleen that had twisted on its pedicle. Magnetic resonance imaging taken at two different times was helpful in detecting an inflammatory mass, while ultrasonography and computed tomography indicated only the presence of an intraperitoneal mass.     

Management of an infant with an apparent life-threatening event

Our clinical experience agrees with most of the recent literature that infants with an apparent life-threatening event (ALTE) form a heterogeneous entity. A specific medical or surgical cause for the event could be found in 61% of the cases. Only 14% of the infants with an apparently severe event entered a home monitoring program. The other infants were treated whenever appropriate. All infants survived the first year of life. Home monitoring was shown to require continuous assistance to the parents. The follow-up of the infants up to 10 years after the ALTE reveals no neurodevelopmental abnormality in most of the infants. A systematic exclusional study of the infants with an ALTE, together with appropriate treatment programs, could thus provide the possibility of a good survival for most infants.     

Gruntzig angioplasty dilatation of an esophageal stricture in an infant

The use of Gruntzig angioplasty balloon catheters in the dilatation of a tight esophageal stricture in an infant is presented.     

Atrioventricular Block in an Infant With an Atrioventricular Septal Aneurysm

A case of atrioventricular (AV) septal aneurysm presenting in late fetal life with AV block is reported. In the neonatal period, second-degree AV block occurred, which progressed during infancy to complete block. This report includes ante- and postnatal echocardiograms demonstrating the anatomy. Only three other reports of AV septal aneurysm are found in the literature, none of which describe heart rhythm disturbance.     

Zimmermann-Laband Syndrome in an Infant With an Atypical Histologic Finding

Zimmermann-Laband syndrome is an inherited disorder that is characterized by abnormalities of the head, face, hands, and feet. Most children with this disorder have generalized hypertrichosis, large gingivae, and hypoplasia of the fingernails and toenails. We report a male infant who exhibited typical features of Zimmermann-Laband syndrome with an unusual histopathologic finding. Excised tissue from the infant’s gingivae showed papillary projections that were composed of hyperplastic stratified squamous epithelium with different amounts of keratinization.     

Laparoscopic removal of an autoamputated ovarian cyst in an infant

Ovarian cysts autoamputation is an extremely rare complication. All reported cases were removed by laparotomy. A successful laparoscopic removal is presented. Accepted: 27 November 1996     

Assoziationsversuche an Kindern

Ohne Zusammenfassung     

Stoffwechseluntersuchungen an Rachitikern

Ohne ZusammenfassungMit 10 Textabbildungen.     

Gewalt an Kindern

Ohne Zusammenfassung