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  • ISSN: 2373-9312
    Volume 4, Issue 1
    Case Report
    Agata Bizzocchi* and Dominik Metz
    Infantile hypertrophic pyloric stenosis (IHPS) is one of the most common gastrointestinal disorders requiring abdominal surgery in infancy. Whilst the operation is relatively routine and complications are low in developed countries, in resource poor settings, the condition can be fatal due to lack of paediatric surgeons and neonatal aneasthetists in most hospitals. However, current WHO guidance advises only to refer urgently for paediatric surgery if available.
    In this case report we present a case of pyloric stenosis in a medium sized (district, 150 bed) hospital in Tanzania. The case was managed medically given the lack of paediatric surgery possibilities and unavalia-bility of transfer. The patient was successfully managed with Atropine. We propose medical management of pyloric stenosis could be an effective solution for the condition in resource poor countries.
    Vikrant VK, Gursev Sandlas, Hemanshi Shah*, Deepa Peswani
    Batteries are an integral part of modern lifestyle. There is little awareness about their disposal. Apart from being an environmental hazard, in the hands of children these can be potentially catastrophic. We describe a case of blast injury due to battery explosion with discussion regarding their safe disposal.
    Mini Review
    Ahmed M Eliwa*
    Abdominal pain is a common presentation to a various abdominal and extra-abdominal diseases in children. Most of urologic disorders may present in children with abdominal pain yet, their presentation may be atypical and confusing. Pediatrician and primary care giver must have high index of suspicion for these disorders. Good interpretation of the clinical manifestation and appropriate acquisition of suitable laboratory and radiologic investigations are the keys to accurate diagnosis of an abnormality in the child'surogenital tract. Urological disorders that may cause abdominal pain in children may include some common disorders such as: -urinary tract obstruction and hydronephrosis –urinary tract infections –tumors and trauma of the urinary tract -other conditions.
    Research Article
    Vega Mata N, Lopez Gutierrez JC, Vazquez Estevez J, Miguel Ferrero M, Diaz Gonzalez M
    Background: Despite the proven efficacy and safety of beta-blockers in the management of infantile hemangiomas (IH), there are still many patients requiring surgical treatment. The aim of our study is to analize the current indications for surgical treatment of IH in the era of propranolol.
    Methods: This is a retrospective study from 2009 until 2014, including 45 children (38 females and 7 males) referred from other centers to our institution for surgical treatment of an IH. Epidemiological, clinical and treatment data were collected and variables analyzed.
    Results: Of the 45 patients included in the study, 22 patients were not offered any treatment as it was not considered necessary, 16 were treated with a systemic b-blocker, 3 patients, despite being considered candidates for propranolol therapy, refused it for fear of potential adverse side effects and the remaining 4 received an alternative treatment. The average age of patients at their first visit to surgery consultation was 32.41 months (SD 36.71), the average age of initiation of treatment with propranolol was 10.58 months (SD 7.99) and the average age at time of surgery was 29.11 months (SD 16.10).
    Conclusion: No indication for propranolol treatment or the delays in its administration are the main current causes of surgical treatment of IH. Therefore it is important to improve protocols to establish more effective and preventative guidelines that would reduce the need for subsequent surgery.
    Clinical Image
    Vázquez-Herrera NE*, Sharma D, Tosti A
    Loose anagen hair syndrome (LAHS) is a hair disorder that is caused by defective anchorage of the hair shaft to the follicle and primarily affects children. Diagnosis is made clinically by painless plucking of hair that does not grow long and confirmed by a trichogram with distrophic anagen hairs. Short anagen hair syndrome (SAHS) is another hair condition in which anagen phase has a short duration and as a result, patients present with very short hair and often complain of increased shedding. In this second pathology, pull test shows extraction of telogen hairs with a pointed tip. Both of these diseases must be considered in pediatric patients that present with a complaint of hair that does not grow long.
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