scholarly journals Management of Peritoneal Dialysis Catheters that Erode into Bowel: Two Pediatric Case Reports and a Review of the Literature

2016 ◽  
Vol 36 (6) ◽  
pp. 680-684 ◽  
Author(s):  
Troy A. Markel ◽  
Karen W. West
Keyword(s):  
Peritoneal Dialysis ◽  
Pediatric Patients ◽  
Case Reports ◽  
Rare Complication ◽  
Intestinal Injury ◽  
Catheter Removal ◽  
Review Of The Literature ◽  
Pediatric Case ◽  
Definitive Repair

Erosion of peritoneal dialysis (PD) catheters into the intestine is a rare complication of PD. Herein, we convey the first reports of 2 pediatric patients undergoing PD who were found to have the catheter eroding into their intestines. They were treated minimally with catheter removal and antibiotics. Definitive repair of the intestinal injury was not performed. These are the first pediatric patients reported with PD catheter erosion. Perforating injuries may be self-limiting, and therefore a more minimal approach may be considered in certain patient populations who do not express overt signs of peritonitis or illness.

scholarly journals Sonographic Demonstration of Intracranial Hemorrhage in a Fetus with Hydrops Fetalis due to Rh Alloimmunization after Intrauterine Intravascular Transfusion: A Case Report and Review of the Literature

2018 ◽  
Vol 2018 ◽  
pp. 1-5
Author(s):  
Rauf Melekoglu ◽  
Ebru Celik ◽  
Hasim Kural
Keyword(s):  
Case Report ◽  
Intracranial Hemorrhage ◽  
Intraventricular Hemorrhage ◽  
Case Reports ◽  
Rare Complication ◽  
Fetal Anemia ◽  
Red Cell ◽  
Review Of The Literature ◽  
Intrauterine Transfusion ◽  
Sonographic Demonstration

Intrauterine transfusion is the most common and successful intrauterine procedure for the treatment of fetal anemia due to red cell alloimmunization. Fetal intracranial hemorrhage is a very rare complication of intrauterine transfusion in patients with Rh(D) alloimmunization and it has been demonstrated only in a few case reports in the literature. Herein, we described a case of grade IV intraventricular hemorrhage that was diagnosed following the first intrauterine transfusion and reviewed the literature about the fetal intracranial hemorrhage that occurred after intrauterine intravascular transfusion procedure.

scholarly journals Solitary fibrous tumors of the spine: a pediatric case report with a comprehensive review of the literature

2017 ◽  
Vol 19 (3) ◽  
pp. 339-348 ◽  
Author(s):  
Gregory W. Albert ◽  
Murat Gokden
Keyword(s):  
Case Report ◽  
Case Reports ◽  
Case Series ◽  
Review Of The Literature ◽  
Benign Lesions ◽  
Pediatric Case ◽  
Comprehensive Review ◽  
Solitary Fibrous Tumors ◽  
Small Case Series

Solitary fibrous tumors of the spine are rare lesions. Their description in the literature is limited to case reports and small case series. While generally benign lesions, they can recur and occasionally occur as malignancies. Here the authors present the case of a 10-year-old boy, the youngest patient and first preadolescent reported thus far, with this condition. In addition, they perform a comprehensive review of all previously published cases of spinal solitary fibrous tumors.

scholarly journals A Rare Adrenal Mass in a 3-Month-Old: A Case Report and Literature Review

2017 ◽  
Vol 2017 ◽  
pp. 1-5 ◽  
Author(s):  
Ashish Garg ◽  
Elza Pollak-Christian ◽  
Navneetha Unnikrishnan
Keyword(s):  
Adrenal Mass ◽  
Rare Case ◽  
Adrenal Tumor ◽  
Case Reports ◽  
English Literature ◽  
Abdominal Ultrasound ◽  
Cell Tumor ◽  
Review Of The Literature ◽  
Pediatric Case ◽  
Palpable Mass

A three-month-old female infant presented with abdominal distention for 2 months. A large palpable mass in right upper quadrant was noted on physical exam. Abdominal ultrasound revealed a large heterogeneous mass with multiple cystic components. Mass was surgically excised and pathology was consistent with mature adrenal teratoma. Teratoma is a germ cell tumor mainly found in gonadal tissues. Occurrence of adrenal gland teratoma in children is very rare with less than 10 pediatric case reports in English literature. We present a rare case of primary adrenal tumor in an infant and a review of the literature.

scholarly journals A case of Sphingomonas paucimobilis causing peritoneal dialysis-associated peritonitis and review of the literature

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Chiharu Kinoshita ◽  
Koichi Matsuda ◽  
Yumiko Kawai ◽  
Takayuki Hagiwara ◽  
Akane Okada
Keyword(s):  
Peritoneal Dialysis ◽  
Japanese Woman ◽  
Catheter Removal ◽  
Sphingomonas Paucimobilis ◽  
Test Results ◽  
Review Of The Literature ◽  
Case Presentation ◽  
Old Japanese ◽  
Empirical Antibiotics ◽  
Number Of Cells

Abstract Background Peritoneal dialysis (PD)-associated peritonitis caused by Sphingomonas paucimobilis (S. paucimobilis) is very rare, and most of the characteristics of such cases are still unknown. Case presentation An 80-year-old Japanese woman on PD was diagnosed with PD-associated peritonitis and received ceftazidime and cefazolin. The number of cells in the peritoneal dialysate decreased quickly. However, because S. paucimobilis was detected, the antibiotic was changed to meropenem according to the susceptibility test results. She was treated with meropenem for two weeks and discharged. After 21 days, she was hospitalized for relapsing peritonitis. S. paucimobilis was detected again, and improvement after the administration of meropenem was poor, eventually resulting in catheter removal. Conclusions S. paucimobilis may be resistant to empirical antibiotics; furthermore, catheter removal may still be required, even with sensitive-antibiotic treatment.

scholarly journals Umbilical Cord Hematoma: A Case Report and Review of the Literature

2018 ◽  
Vol 2018 ◽  
pp. 1-6 ◽  
Author(s):  
Gennaro Scutiero ◽  
Bernardi Giulia ◽  
Piergiorgio Iannone ◽  
Luigi Nappi ◽  
Danila Morano ◽  
...  
Keyword(s):  
Prenatal Diagnosis ◽  
Umbilical Cord ◽  
Clinical Management ◽  
Case Reports ◽  
Rare Complication ◽  
Pregnancy Complication ◽  
Predisposing Factors ◽  
Potential Outcomes ◽  
Review Of The Literature ◽  
Exact Etiology

Objectives. To deepen the knowledge in obstetrics on a very rare pregnancy complication: umbilical cord hematoma. Methods. A review of the case reports described in the last ten years in the literature was conducted in order to evaluate epidemiology, predisposing factors, potential outcomes, prenatal diagnosis, and clinical management. Results. Spontaneous umbilical cord hematoma is a rare complication of pregnancy which represents a serious cause of fetal morbidity and mortality. There are many risk factors such as morphologic anomalies, infections, vessel wall abnormalities, iatrogenic causes, and traction or torsion of the cord, but the exact etiology is still unknown. Conclusions. Due to the rarity of this condition, every new case of umbilical cord hematoma should be reported in order to improve the knowledge of predisposing factors, prenatal diagnosis, and clinical management.

scholarly journals Renal artery pseudoaneurysm after blunt renal trauma: report on three cases and review of the literature

2013 ◽  
Vol 131 (5) ◽  
pp. 356-362 ◽  
Author(s):  
Kleiton Gabriel Ribeiro Yamacake ◽  
Marcos Lucon ◽  
Antonio Marmo Lucon ◽  
Jose Luiz Borges Mesquita ◽  
Miguel Srougi
Keyword(s):  
Renal Artery ◽  
Wide Spectrum ◽  
Case Reports ◽  
Rare Complication ◽  
Renal Trauma ◽  
Angiographic Embolization ◽  
Review Of The Literature ◽  
Selective Embolization ◽  
Artery Pseudoaneurysm ◽  
Renal Artery Pseudoaneurysm

CONTEXT: Renal artery pseudoaneurysm is a rare complication after renal injury but should be suspected whenever there is recurrent hematuria after renal trauma. CASE REPORTS: We present three cases of pseudoaneurysm after blunt renal trauma and a review of the literature. All patients underwent renal angiography. Two cases were diagnosed during the initial hospital stay due to hematuria, or in the follow-up period during recovery. One patient was hemodynamically unstable. Two patients successfully underwent coil embolization in a single session. In the other case, selective embolization was attempted, but was unsuccessful because artery catheterization was impossible. Procedural and medical success and complications were retrospectively assessed from the patients' records. The clinical presentation, treatment options and clinical decisions are discussed. CONCLUSIONS: Renal artery pseudoaneurysm may develop acutely or even years after the initial injury. Signs and symptoms may have a wide spectrum of presentation. Selective angiographic embolization is an effective treatment that reduces the extent of parenchymal infarction.

Peritoneal Dialysis Catheter Removal Post-Transplant — A Rare Case of Delayed Bowel Perforation

2017 ◽  
Vol 37 (6) ◽  
pp. 650-651 ◽  
Author(s):  
Andrew P. Maxted ◽  
Brian Davies ◽  
Daniel Colliver ◽  
Alun Williams ◽  
Andrew Lunn
Keyword(s):  
Peritoneal Dialysis ◽  
Rare Complication ◽  
Bowel Perforation ◽  
Graft Function ◽  
Renal Dysplasia ◽  
Catheter Removal ◽  
Peritoneal Dialysis Catheter ◽  
Post Transplantation ◽  
Post Transplant ◽  
Anal Protrusion

Peritoneal dialysis (PD) is a well-established form of renal replacement therapy and the practice of leaving catheters in situ post-transplantation widely accepted. We present a rare complication: a child presenting with anal protrusion of the PD catheter.The patient is an 11-year-old boy with a background of renal dysplasia and congenital cutis laxa. Twenty-three weeks after dialysis was commenced, the patient underwent a renal transplant. Thirteen weeks post-transplant, the patient felt an unusual sensation after defecation. The curled end of the catheter was seen protruding from the anus. He was admitted, and investigations showed stable graft function, with abdominal X ray showing no free air.Intraoperative findings showed a small perforation of the sigmoid colon sealed off by adherence of several small intestinal loops. This was repaired laparoscopically after removal of the distal part of the catheter per rectum. No peritoneal contamination was seen. He was treated with 5 days of intravenous antibiotics and gradual introduction of enteral feeds. His graft function remained stable throughout.Timing of catheter removal varies, from the time of transplantation to over 3 months post-transplantation. Bowel perforation due to PD catheter insertion is rare and tends to occur at the time of insertion. Anal protrusion of a PD catheter in childhood is extremely rare and unrecorded in a pediatric patient with a connective tissue disorder. Our case highlights that serious complications can occur in the period between transplantation and elective PD catheter removal and that, in the immunocompromised patient, signs can be subtle.

Influenza A (H1N1): a rare cause of deafness in two children

2012 ◽  
Vol 126 (12) ◽  
pp. 1274-1275 ◽  
Author(s):  
A A Alsanosi
Keyword(s):  
Influenza A ◽  
H1n1 Virus ◽  
Case Reports ◽  
Rare Complication ◽  
Swine Flu ◽  
Review Of The Literature ◽  
Chain Reaction ◽  
Influenza A H1n1 ◽  
Polymerase Chain ◽  
Bilateral Deafness

AbstractObjective:We report deafness occurring as an extremely rare complication of influenza A caused by the H1N1 virus (‘swine flu’), in two children.Methods:Case reports and review of the literature concerning influenza A (H1N1) and acquired viral infection causing deafness.Results:Two children with normal hearing developed bilateral deafness following influenza A (H1N1). The diagnosis was confirmed using polymerase chain reaction. Both patients were treated with oseltamivir.Conclusion:Following a review of the literature, these two patients appear to be the first reported cases of bilateral deafness following influenza A (H1N1).

scholarly journals Surgical debridement of corneal shield ulcers in pediatric patients: two case reports and a review of the literature

2020 ◽  
Vol 14 (1) ◽  
Author(s):  
Ricardo Alexandre Stock ◽  
Silvia Letícia Teixeira Lazzari ◽  
Isadora Proner Martins ◽  
Elcio Luiz Bonamigo
Keyword(s):  
Pediatric Patients ◽  
Case Reports ◽  
Surgical Debridement ◽  
Review Of The Literature
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