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Biomedical subjects

C Hugosson

Publications and source records attributed to C Hugosson.

36 records · Page 2Linked to original sources

Transverse myelitis in a child with Down's syndrome and schistosomal colitis.

This is a report of an 11-year-old Saudi child with Down's syndrome who presented with a 3-month history of diarrhoea, anal fissures and bleeding per rectum. The child was investigated in a local hospital and found to have evidence of colitis. He was referred to our hospital for further investigation and management. Six weeks prior to transfer, the child developed weakness of the lower limbs resulting in inability to walk. The child was found to have Schistosoma mansoni colitis complicated by spinal cord involvement presenting as transverse myelitis. Two 1-day courses of therapy with praziquantel resulted in a satisfactory recovery, enabling the child to walk by himself.

Child↗

Haemangiomatous polyp of the posterior urethra in a boy.

Urethral haemangiomas are rare and usually involve the entire urethra or are localized to the anterior urethra. Posterior urethral polyps are uncommon. A posterior urethral polyp was removed from a 3-year-old boy which proved to be haemangioma. In the histological classification of posterior urethral polyps, haemangioma should therefore be included.

Child, Preschool↗

Bicornuate nonfused rudimentary uterine horns with functioning endometria and complete cervical-vaginal agenesis: magnetic resonance diagnosis.

A case is reported of a 16-year-old adolescent with cryptomenorrhea. The patient had a congenital anomaly of a bicornuate, nonfused, separate rudimentary blind uterine horns with functioning endometria, and complete cervical-vaginal agenesis. Ultrasound, laparoscopy, and minilaparotomy for unilateral salpingectomy failed to accurately identify the exact classification of the anomaly. Magnetic resonance imaging, however, accurately correlated with operative findings of exploratory laparotomy and McIndoe procedure.

Adolescent↗

Osteodysplastic variant of primordial dwarfism.

A patient with intrauterine growth retardation and marked postnatal retardation of growth had microcephaly and the orofacial and dental characteristics of the Seckel phenotype. In addition she had short forearms, metaphyseal flare, especially of the distal femora, triangular distal femoral epiphyses, and pseudoepiphyses of the hands, all characteristics of an osteodysplastic variant. Parental consanguinity suggests autosomal recessive inheritance.

Abnormalities, Multiple↗

Disseminated BCG-osteomyelitis in congenital immunodeficiency.

A 9 month old female infant, who had BCG vaccination postnatally, was found to have severe combined immunodeficiency. She developed extensive disseminated skeletal osteomyelitis. Radiological studies showed numerous radiolucent lesions without reactive changes.

BCG Vaccine↗

MRI in distal vaginal atresia.

Magnetric resonance imaging in two young females with abdominal pain revealed vaginal atresia with massive hematocolpos but a normal cervix and uterine body. Information obtained with MRI was superior to ultrasound and CT and is suggested as the examination of choice prior to surgical correction.

Adolescent↗

Intestinal lymphangiectasia masquerading as coeliac disease.

Intestinal lymphangiectasia (IL) usually presents with either non-specific general or gastro-intestinal symptoms. As IL may mimic other gastro-intestinal disorders, the diagnosis is often delayed. Intestinal lymphangiectasia was diagnosed in three children who were originally treated as cases of coeliac disease. Two were sisters who had been placed on a gluten-free diet, for 3 years in one and 10 years in the other, with no favourable response. The third patient had been tried on various formulae and underwent many investigations for failure to thrive, oedema, abdominal distension and recurrent chest infections. The diagnosis of IL was based on clinical history, physical examination and radiological and histological findings. The three patients were commenced on a medium-chain triglyceride-based diet and vitamins, with satisfactory results.

Adolescent↗

Bile-plug syndrome.

A case of bile plug syndrome in a 6-week-old male infant is described. The clinical, radiological and pathological appearances suggested the preoperative diagnosis. Confirmation and correction of this condition was made surgically.

Bile↗

Striation of the renal pelvis and ureter in bilharziasis.

The intravenous urograms of 80 patients aged 16 to 29 (mean 23) with urinary bilharziasis were reviewed to determine the frequency of striation of the renal pelvis and ureter. Another 345 patients aged 16 to 29 (mean 22) with various abdominal and urological symptoms, had intravenous urography during the same period and were used as a reference group. Striation of the upper urinary tract was demonstrated in 21% of the patients with urinary schistosomiasis but in only 3% of the reference group. Striation constitutes an early radiological change in this disease.

Adolescent↗

Myelography with metrizamide in infants and children.

Technical aspects on myelography in pediatric patients with the water-soluble contrast medium metrizamide (Amipaque) are reviewed. Special interest is paid to site of puncture, positioning of the patients and concentration and dosage of the medium.

Adolescent↗

Magnetic resonance imaging study of acetabular morphology in developmental dysplasia of the hip.

Acetabular morphology in developmental dysplasia of the hip (DDH) can be delineated by magnetic resonance imaging (MRI) more accurately than by previously available imaging methods. We describe the acetabular morphology observed in 10 girls and one boy aged < 3 years with untreated DDH. The bony pathology was iliac bone widening with lateral drift of the superior and posterior portions of the acetabular floor (extrusio acetabulae), loss of sphericity, and diminished aperture of the acetabulum. The cartilage changes were a distortion and overgrowth of the acetabular cartilage, including labrum, and a convex appearance of the posterior portion of the acetabular cartilage.

Acetabulum↗