scholarly journals Duodenal atresia with familial apple peel syndrome: case study with review of literature

2019 ◽  
Vol 12 (8) ◽  
pp. e230160
Author(s):  
Jyotsna M Kirtane ◽  
Snehal A Bhange ◽  
Fazal Nabi ◽  
Varshil Shah

This is a case report of a neonate who was antenatally diagnosed with jejunal atresia which turned out to be duodenal atresia with apple peel syndrome. A previous sibling, who also had apple peel but with jejunal atresia, succumbed to sepsis after surgery. The first sibling had jejunal stenosis and had died of sepsis following surgery. Combination of duodenal atresia with apple peel is extremely rare. This coupled with a familial condition is rarer still. This case was challenging due to the short length of the gut and prolonged need for total parenteral nutrition and sepsis in postoperative period.

2018 ◽  
Vol 32 (3) ◽  
pp. 458-461
Author(s):  
G. Venkateswara Prasanna ◽  
Sathish Kumar Vandanapu ◽  
Hima Bindu

Abstract Bilateral extradural haematomas [EDH] are rare and it is an uncommon consequense of cranio cerebral trauma. The mortality is higher than unilateral extradural haematoma and management of extradural haematomas requires careful planning, judicial surgical exposure and most important is timing of evacuation of extradural haematomas. Emergency evacuation of bilateral extradural haematomas were performed in this case with uneventful postoperative period. The pathophysiology and surgical nuances of this rare entity been discussed.


2021 ◽  
Vol 9 (1) ◽  
pp. 292-296
Author(s):  
Orgeness J Mbwambo ◽  
Alex Mremi ◽  
Mohamed Mbarouk ◽  
Jasper Mbwambo ◽  
Frank Bright ◽  
...  

Urethral duplication is a rare congenital anomaly affecting mainly males. Here, we report a case of urethral duplication in a 19 years old male presented as a scrotal sinus discharging pus for 1 year. Surgical removal of accessory urethra was done and postoperative period was uneventful.


1990 ◽  
Vol 14 (5) ◽  
pp. 501-507 ◽  
Author(s):  
Elie Hamaoui ◽  
Rose Lefkowitz ◽  
Lynda Olender ◽  
Elissa Krasnopolsky-Levine ◽  
Maria Favale ◽  
...  

2019 ◽  
Vol 12 (02) ◽  
pp. 061-065
Author(s):  
Rodrigo Fernandes Weyll Pimentel ◽  
Pedro Carlos Muniz Figueiredo

Abstract Introduction Achondroplasia is the most common form of dwarfism in humans. At the end of the twentieth century, achondroplasia had its natural history investigated and its morbimortality understood. In dwarves, obesity is one of the causes of morbidity, and it is difficult to evaluate it due to the great disproportion among anthropometric data. The characterization of the nutritional needs of these patients represents an interesting dilemma for physicians. In view of these difficulties, the present case report describes an alternative to obtain the ideal weight value of an elderly dwarf in the use of parenteral nutritional therapy. Case Report A 73-year-old male patient, carrier of achondroplastic dwarfism, was admitted for surgical treatment of colon adenocarcinoma. He was submitted to total colectomy with ileum-rectum anastomosis, evolving with abdominal septic shock by suture dehiscence, which was fixed, and a protective ileostomy was installed. Due to the maintenance of prolonged fasting, without the possibility of starting oral or enteral feeding, the patient used total parenteral nutrition. To estimate the total energy expenditure, we chose to ask the patient what his ideal weight was. The patient used total parenteral nutrition for eight days until he was able to meet his caloric needs orally. Conclusion In the absence of indirect calorimetry, the ideal weight mentioned by the patient seems to be a good option for the estimation of the caloric expenditure by simplified equations.


1982 ◽  
Vol 6 (6) ◽  
pp. 534-538 ◽  
Author(s):  
Jacques Di Costanzo ◽  
Jacques Martin ◽  
Noel Cano ◽  
Jean-Claude Mas ◽  
Michel Noirclerc

2015 ◽  
Vol 10 (2) ◽  
pp. 65-68
Author(s):  
Soydan İNCE ◽  
Sefer GÜNAYDIN ◽  
Belgin PETEK BALCI ◽  
Birgül BAŞTAN ◽  
Nihat ÇEVİK ◽  
...  

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