Biomedical subjects
Publications and source records attributed to M Santos Morales.
Presentation is made of a clinical case of paradojical urinary incontinence due to ectopic ureter in Gartner's duct. Diagnosis was made almost entirely from the patient's history, the child voids normally but she was always damp. Embryological, radiological and pathophysiological considerations are made; the patient showed sudden and positive continence after heminephrectomy.
The present article describes the main surgical pathology of the newborn, which often requires immediate management. The author(s) mention the essential points of diagnosis and treatment. The principal objective in the article is to emphasize the importance of this surgical pathology in pediatric and general practice.
A 4-year-old girl was studied at the Pediatrics Unit at the Hospital General de México, S.S.A., with a diagnosis of abdominal tumor, probably malignant. After several laboratory tests (blood count, blood chemistry, catecholamines and the following X-ray studies: chest, skull, long bones, Cava's phlebography and excretory urography), she was submitted to surgery without a diagnosis. After this, the final diagnosis was established: mesenteric panniculitis (mesenteric lipodystrophy. This case is published because of its rare occurrence at this age and because it is important to be kept in mind in the differential diagnosis of abdominal tumors in pediatric practice.
The present article describes the most important surgical pathology of the infant, who sometimes requires immediate management. The authors mention the essential points for diagnosis and treatment. The main purpose of this article is to emphasize the importance this knowledge has for the pediatrician and general practitioner, who have the first contact with these patients, and in whose hands rests an opportune diagnosis and surgical management.
An analysis is made of 18 cases with congenital pyloric stenosis, attended at the Hospital General de México S.S.A. The discussion is focused toward: age, sex, clinical, laboratory data and radiological features. Literature to this respect is reviewed finding historical data, surgical techniques employed and etiological hypothesis. We conclude, that every physician who attends children must keep in mind that infants under four months of age, with a history of vomiting immediately after feeding, without biliar contents, progressive in frequency and intensity, accompanied by pyloric stenosis must be suspected. The clinical examination must be directed to finding peristalic waves and pyloric tumor. Pyloromyotomy is the treatment in all cases. The prognosis should be favorable if the diagnosis and correction are properly and promptly made.