Cystosarcoma phylloides.
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Biomedical subjects
Publications and source records attributed to I C Pathak.
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A child with a "tumor"--like lesion of the appendix, diagnosed as an inflammatory pseudotumor is being reported. Awareness of this entity to avoid overtreatment is emphasized.
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Two babies with total colonic aganglionosis treated by a modified Martin-Duhamel procedure are described. Ileostomy, long side-to-side ileocolic anastomosis and Duhamel's pull-through were the sequence of steps in this staged management. Neonatal ileostomy followed by ileocoloplasty proximal to the ileostomy facilitates home management of the new born patient who then produces well formed stools. This approach avoids neonatal pull-through and obviates the need for parenteral alimentation.
Thirty-six babies born with an anorectal anomaly were evaluated for vesicoureteric reflux in the neonatal period and the progress of the reflux with age was followed. The overall incidence of reflux was 47%, with higher rates in the more severe types of anomaly. Generally, the reflux was of mild grade and tended to resolve with time, except in the short colon syndrome. Urinary sepsis due to a rectourinary communication may have an important role in the development of reflux.
The prone cross-table lateral radiograph provides equal or sometimes better information, compared to the invertogram, for demonstration of the level of rectal atresia in neonates. Easy positioning, better cooperation of the patient, elimination of the effect of gravity, and better delineation of the rectal gas shadow are the advantages of the prone lateral view. Among the 45 cases compared, equal findings were noted in 37, but in eight babies the level of rectal atresia was more caudal in the prone radiograph than in the invertogram.
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