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paediatric lumps

Sathasivam Suresh Kumar, Sri Aurobindo Prasad Das, Vikram Kate
Cystic lymphangioma is a paediatric benign tumour, occurs commonly in head and neck region. Adult intraabdominal lymphangiomas are uncommon and only few cases of lesser sac cystic lymphangioma are reported in the literature. We present a case of lesser sac cystic lymphangioma in a 26-year-old lady who presented with features of gastric outlet obstruction. Clinical examination revealed a 10x10 cm firm, non tender, mobile intraabdominal lump in the epigastrium. An upper gastrointestinal endoscopy showed possible external compression at the body of the stomach...
November 2015: Journal of Clinical and Diagnostic Research: JCDR
Nora Haloob, Christopher Pepper, Benjamin Hartley
Otolaryngologists will most frequently encounter extra-cranial glial tissue within the nasal cavity, where it is known as a 'nasal glioma', and may communicate with the dura. However, glial tissue can also present extra-nasally in the form of a neck mass with no intracranial connection. In these rare cases, they can present soon after birth as an enlarging neck mass, causing compressive symptoms with airway obstruction and feeding difficulties. In this way, it is often initially misdiagnosed as a more common lesion such as a lymphatic malformation, teratoma, branchial anomaly or vascular malformation...
December 2015: International Journal of Pediatric Otorhinolaryngology
Ashok Kumar Puranik, Rohit Mehra, Sushila Chauhan, Rahul Pandey
Wandering spleen, also referred to as 'ptotic spleen', is a rare clinical condition characterized by splenic migration form its normal left hypochondrial position to any other abdominal or pelvic position. Among the multifactorial etiologies proposed, laxity of the spleen's primary supporting ligaments is the most agreed-upon hypothesis. We present one rare case of wandering spleen in an 11-year-old girl who presented with recurrent abdominal pain with no localizing features. Her abdominal examination revealed an intra-abdominal left iliac fossa lump with restricted mobility, which was confirmed as a wandering spleen by abdominal sonography and contrast-enhanced computed tomography...
August 3, 2015: Gastroenterology Report
A S Takhar, A Simmons, L Ffolkes, N Hyde
OBJECTIVE: This paper reports the case of a 13-year-old girl with a 2-year history of left cervical lymph node swelling that was diagnosed as metastatic cribriform adenocarcinoma of the tongue and minor salivary gland. CASE REPORT: A 13-year-old girl with a left, level II cervical lymph node underwent excisional biopsy after an ultrasound suggested suspicious features. The histology indicated polymorphous low-grade adenocarcinoma, and a primary lesion in the left palate was identified...
February 2015: Journal of Laryngology and Otology
Sajjad Khan, Joshua S Boateng, John Mitchell, Vivek Trivedi
This study aimed to develop films for potential delivery of omeprazole (OME) via the buccal mucosa of paediatric patients. Films were prepared using hydroxypropylmethylcellulose (HPMC), methylcellulose (MC), sodium alginate (SA), carrageenan (CA) and metolose (MET) with polyethylene glycol (PEG 400) as plasticiser, OME (model drug) and L-arg (stabiliser). Gels (1% w/w) were prepared at 40°C using water and ethanol with PEG 400 (0-1% w/w) and dried in an oven (40°C). Optimised formulations containing OME and L-arg (1:1, 1:2 and 1:3) were prepared to investigate the stabilisation of the drug...
August 2015: AAPS PharmSciTech
Helen Cooper
A 10-year-old girl presented with a lump on her left upper anterior thigh. She presented to accident and emergency twice and to her general practitioner once. It was provisionally diagnosed as a cyst but it continued to grow in size. The lump had been noticed for 6 months, in paediatric clinic it was 5×5 cm, firm, tense and felt cystic. Systemically she was otherwise well. The overlying skin was blueish with prominent veins. The MRI also suggested a cyst but on excision it was revealed to be a high-grade sarcoma...
2014: BMJ Case Reports
P Bela, S S Yeong, K Jeevesh
No abstract available.
April 2014: Medical Journal of Malaysia
Tony H T Sung, Eric M W Man, Augustine T S Chan, W K Lee
Congenital pseudarthrosis of the clavicle is a rare clinical entity, first described in 1910. We report on a newborn baby girl who presented with a painless lump over mid-portion of right clavicle at her routine newborn examination, which was subsequently diagnosed as a congenital pseudarthrosis. Here we explore its pathogenesis, elaborate on its differential diagnoses in paediatric patients, and comment on its distinct radiological features.
June 2013: Hong Kong Medical Journal, Xianggang Yi Xue za Zhi
F Migliavacca, G Dubini, M de Leval
Computational fluid dynamics techniques have been applied to study both the local and the global haemodynamics created by different surgical reconstructions, currently used to treat complex congenital heart defects. These operations are characterised by competition of flows which can lead to postoperative failure of the surgical treatment. Different techniques have been used in order to improve knowledge of the global haemodynamics in patients submitted to such operations, and to devise possible optimal hydraulic designs of the connections...
January 2000: Images in Paediatric Cardiology
M F A Wright, J M Scollay, A J McCabe, F D Munro
INTRODUCTION: Femoral herniae are uncommon in childhood and pre-operative misdiagnosis is common. This can result in increased complications or inappropriate inguinal exploration. The aim of this retrospective study was to assess a tertiary centre's experience with paediatric femoral hernia over a 12 year period. METHODS: Children who underwent femoral hernia repair at a single centre were identified from a prospectively maintained database. Casenotes were reviewed for demographic data and details of presentation, operation and recurrence...
2011: International Journal of Surgery
Merrill McHoney, Fraser Munro, Gordon Mackinlay
BACKGROUND: Mammary duct ectasia is uncommon in children, and is usually considered to be an acquired disease in adults. However the occurrence in infants and children suggest it may be developmental. AIMS: To report a case series of mammary duct ectasia, and review the published literature to ascertain the common findings and histological findings in children. STUDY DESIGN: Case series report and review of the literature. RESULTS: We report three cases of mammary duct ectasia, an unusual disease in children...
August 2011: Early Human Development
Advait Prakash, Amit Agrawal, Rahul K Gupta, Beejal Sanghvi, Sandesh Parelkar
BACKGROUND: Mesenteric cysts are rare intra-abdominal masses in the paediatric age group with varied presentation, ranging from an asymptomatic mass to acute abdomen. This study reviews our experience in the diagnosis and treatment of 17 mesenteric cysts in our centre, with especial reference to acute abdominal symptoms. PATIENTS AND METHODS: Seventeen patients (age less than 10 years) with mesenteric cysts were managed in our hospital. The age ranged from 15 days to 10 years...
September 2010: African Journal of Paediatric Surgery: AJPS
Farhan Ahsan, R Allison, J White
OBJECTIVE: Ectopic cervical thymus is a rare anomaly, and 50 per cent of cases occur in children. The aim of this report was to remind clinicians of this rare condition, which is part of the differential diagnosis of a paediatric neck lump. METHOD: Case report together with literature review of the pathogenesis and management of ectopic cervical thymus. RESULTS: The ectopic cervical thymus is a rare cause of a benign neck mass, and is thus usually misdiagnosed as lymphadenopathy or neoplasia...
June 2010: Journal of Laryngology and Otology
Philemon E Okoro, Patrick O Igwe, Alvan K Ukachukwu
BACKGROUND: Burns injuries are recognized as a major health problem worldwide. In children and, particularly, in our environment where poverty, ignorance and disease are still high, they constitute significant morbidity and mortality. Previous studies on this topic in parts of Nigeria either lumped adults and children together or were retrospective. We, therefore, prospectively studied the current trends in burns in children. PATIENTS AND METHODS: This prospective study of burns spanned over a period of 18 months (June 2006-December 2007) at the Paediatric Surgery Units of the Imo State University Teaching Hospital, Orlu, and the Federal Medical Centre, Owerri, Imo State...
January 2009: African Journal of Paediatric Surgery: AJPS
Francesco Migliavacca, Rossella Balossino, Giancarlo Pennati, Gabriele Dubini, Tain-Yen Hsia, Marc R de Leval, Edward L Bove
Multiscale computing is a challenging area even in biomechanics. Application of such a methodology to quantitatively compare postoperative hemodynamics in congenital heart diseases is very promising. In the treatment of hypoplastic left heart syndrome, which is a congenital heart disease where the left ventricle is missing or very small, the necessity to feed the pulmonary and systemic circulations is obtained with an interposition shunt. Two main options are available and differ from the sites of anastomoses: (i) the systemic-to-pulmonary conduit (Blalock-Taussig shunt known as the Norwood Operation (NO)) connecting the innominate artery (NO-BT) or the aorta (NO-CS) to the right pulmonary artery and (ii) the right ventricle to pulmonary artery shunt (known as Sano operation (SO))...
2006: Journal of Biomechanics
Inga Schader, Stephen Robertson, Kiki Maoate, Spencer Beasley
Thyroglossal duct cysts are one of the most commonly encountered benign neck lumps found in the paediatric population. Despite their relative frequency, reports of familial inheritance are rare. A total of 21 patients with hereditary thyroglossal duct cysts from seven families worldwide have been reported. The most common inheritance pattern is dominant, with a minority possibly representing a recessive aetiology. We describe a further instance of dominantly inherited thyroglossal duct cysts in two generations...
July 2005: Pediatric Surgery International
Andrew Tarnaris, Wijayasingam Giridharan, David W Aird
Mass lesions of the head and neck in infants and children can be either developmental, inflammatory or neoplastic. Lymphomas (Hodgkin's or Non-Hodgkin's) commonly present as neck lumps in children. Although malignancy is not the commonest aetiology of paediatric cervical lumps, a high index of suspicion is critical to facilitate early diagnosis and treatment of cervical lesions. We present the case of a 15-year-old boy who presented with a solitary midline cervical lesion, which simulated a thyroglossal cyst on clinical examination...
March 2005: Journal of Laryngology and Otology
A M O Shonubi, A A Musa, B A Salami, S A Sotimehin, G A Sule
OBJECTIVE: To ascertain the diagnostic accuracy and outcome of surgical treatment in Nigerian children referred for paediatric surgical opinion at the Olabisi Onabanjo University Teaching Hospital, Sagamu, South-west Nigeria. DESIGN: A retrospective review of our practice experience over a 15-year period; between January, 1989 and December, 2003. SETTING: The Olabisi Onabanjo University Teaching Hospital (OOUTH), serves as a referral centre for other government and private hospitals in and around the Ogun State, South-west Nigeria...
September 2004: East African Medical Journal
Giulio D'Angio
No abstract text is available yet for this article.
June 2004: European Journal of Cancer
K Laganà, G Dubini, F Migliavacca, R Pietrabissa, G Pennati, A Veneziani, A Quarteroni
This work was motivated by the problems of analysing detailed 3D models of vascular districts with complex anatomy. It suggests an approach to prescribing realistic boundary conditions to use in order to obtain information on local as well as global haemodynamics. A method was developed which simultaneously solves Navier-Stokes equations for local information and a non-linear system of ordinary differential equations for global information. This is based on the principle that an anatomically detailed 3D model of a cardiovascular district can be achieved by using the finite element method...
2002: Biorheology
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