No abstract

We describe here a rare case of association of imperforate anus with transverse colon atresia in a male neonate. Preoperative X-ray studies demonstrated: a) a distended loop in the epigastrium with fluid levels on plain A/P upright radiography, b) absence of pelvic intestinal gas on the invertogram 16 hours later. A three-stage operative approach was undertaken comprising resection of the atretic loop and colostomy, posterior sagittal anorectoplasty a few months later, and finally closure of the colostomy. The postoperative outcome was good. The association of these anomalies should be kept in mind in neonates with anal atresia and abdominal distention.

A case of transverse colon volvulus in a 10-year-old female child with trisomy 13 is reported, bringing the total number of cases of children reported in the English language medical literature to 14. Although this type of volvulus is rare, a definite pattern is noticeable, so we should suspect its diagnosis in a patient with chronic constipation, mental retardation and motor disturbances. Resection of the involved segment and primary anastomosis is the definite treatment.

Aims and Objectives:The purpose of this study was to determine the percentage, etiology, associated injuries and outcome of the children with liver trauma.Materials and Methods:In a retrospective review all children below 15 years of age who had sustained abdominal trauma were included. the study duration was January 1994 to December 2004.Results:Out of a total number of 436 trauma patients 34 were identified to have liver trauma (including one death). The median age was 5.89 and range: 1 to 14 years). Boys accounted for 76.4% (n = 26), and the most common cause was motor vehicle injuries, accounting for 41.17% (n = 14). Nine children underwent surgery (26.4%). Head injuries were the most common associated injuries, and the mortality rate was 2.94% (n = 1).Conclusions:The liver remained the second most commonly injured intraabdominal organ and nonoperative management is the preferred treatment for hemodynamically stable patients.