Duodenojejunal flexure obstruction in neonates.
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Biomedical subjects
Publications and source records attributed to I C Pathak.
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The records of one hundred and five children with lymphangiomas seen over a period of 12 years are presented. There were 6 boys and 38 girls. In 50% of the cases the lesions were noticed at birth. The neck was the commonest site of the lesion. Abdominal lymphatic cysts were next common in frequency, followed by the axilla. Rare sites such as the retroperitoneum, orbits, scrotum and larynx were occasionally found to be involved. Complete surgical excision could be achieved in 70 cases, while in 19 cases only partial excision could be done because of the extension of the lesions to inaccessible areas. The pathogenesis, clinical presentations and management of this condition are discussed, and three rare cases with interesting presentations are reported.
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Data on 67 female infants who received perineal and transplants for for treatment of low anorectal anomalies over a period of 12 years are presented. The procedure is considered to be safe in neonates and infants. When performed in the first year of life, it does not require a preliminary colostomy and gives good functional and cosmetic results. In older children it should be preceded by a diversion colostomy. The immediate complications are few and are not life threatening; the late results are satisfactory.
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Two children were admitted with partial obstruction of the duodenum due to its incomplete rotation and fixation. The colon in both cases was rotated normally. Our experience with these children, along with embryological evidence to understand the above entity, is presented.
Bile peritonitis, following blunt abdomen injury to the biliary tract, is not a very common condition. The clinical features, however, are typical, the treatment is delayed due to the quiescent interval between the symptoms. The operative treatment is simple draining of the area of perforation and the site of the collection of bile. A catheter in the gallbladder is helpful in assessing the stoppage of the leak and the restoration of biliary drainage. The prompt surgical treatment on diagnosis has good prognosis.