Congénito

Cong é nito
  • 文章类型: Case Reports
    肠重复囊肿的临床表现取决于囊肿的位置,其症状从恶心和呕吐到腹胀不等。疼痛和穿孔。确定了四名患者,他们在2019年至2023年期间被诊断患有肠重复囊肿。其中3例患者出现肠梗阻症状-腹胀和疼痛,其中一人在产前发现腹部肿块。有三个男孩和一个女孩,年龄从4个月到14岁不等。报告3例回肠和1例盲肠重复囊肿。大部分病例表现为回肠/盲肠粘膜,1例表现为异位胃粘膜。这些囊肿的治疗包括手术切除。尽管放射学检查有助于得出临时诊断,只有在组织病理学检查后才能确认最终诊断。早期治疗可预防并发症,并使患者预后良好。
    The clinical presentation of enteric duplication cysts is dependent on the location of the cyst with symptoms varying from nausea and vomiting to abdominal distension, pain and perforation. Four patients were identified who were diagnosed with enteric duplication cysts within the period from 2019 to 2023. Three of the patients presented with signs of intestinal obstruction-abdominal distension and pain, while one had an antenatally detected abdominal mass. There were three boys and one girl with ages ranging from 4 months to 14 years. Three cases of ileal and one case of caecal duplication cyst were reported. Most of the cases showed ileal/caecal mucosa while one case demonstrated ectopic gastric mucosa. The treatment of these cysts includes surgical excision. Although radiological investigations help in arriving at a provisional diagnosis, the final diagnosis can be confirmed only after histopathological examination. Early treatment prevents complications and results in a good prognosis for the patient.
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  • 文章类型: Journal Article
    BACKGROUND: Tufted angioma (TA) is a rare benign vascular tumor that mostly appears during infancy or early childhood, although there are cases reported in adults. Clinical presentation and evolution of TA can vary. Histologically, it takes on a classic appearance of vascular tufts (\"cannon ball\" like appearance).
    METHODS: A retrospective observational study was conducted that included all patients diagnosed with TA at our center in the last 20 years.
    RESULTS: A series of 9 cases of tufted angioma in childhood are presented, 77.7% of which were congenital. This represents a frequency higher than previously described. Spontaneous regression was observed in 55.5% of the cases, and was more frequent in the congenital TA group. Unlike other TA series reported in the literature, a higher proportion of patients with spontaneous regression was observed in this series, with a higher prevalence in females (6 out of 9 children) and predominantly located in the upper limbs. None of our patients had Kasabach-Merritt phenomenon.
    CONCLUSIONS: There are many ways of treating TA, but none are uniformly effective. Given the high rate of spontaneous regression in congenital or early TA, we suggest that, in the absence of other complications, monitoring would be a good option for management.
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