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Biomedical subjects

V Sripathi

Publications and source records attributed to V Sripathi.

4 recordsLinked to original sources

Familial occurrence of complete agenesis of the diaphragm.

The tenth occurrence of complete unilateral agenesis of the diaphragm (McKusick 22240) in siblings is reported in this study. It is likely that parents of children with this type of congenital diaphragmatic hernia have a significantly increased recurrence risk for future offspring. Genetic counselling and antenatal ultrasound should be considered for subsequent pregnancies in families with a previous child with complete agenesis of the diaphragm.

Abnormalities, Multiple

Primary obstructive megaureter.

Twenty-three children with primary obstructive megaureters presented between 1978 and 1988 to the Princess Margaret Hospital for Children in Perth. Twenty-eight ureters were treated. Urinary infections were the presenting feature in 14 children. The obstructive segment was transvesically excised. Histopathologic examination of the distal, intramural ureter showed fibromuscular disarray with a relative increase in fibrous tissue and reduction of musculature in all specimens. Twenty-two ureters were tapered by excision and all 28 were reimplanted using an antireflux technique. Seventeen children were followed for an average of 3 years. Seven children showed renal growth, reduction in ureteric size by greater than 2 cm, improvement in glomerular filtration rate by more than 10%, no obstruction on reflux, and no infections in postoperative period. Four children showed all the above but suffered one or more infections after the operation. Of the remaining 6 children, 3 had postoperative obstruction and 3 had vesicoureteric reflux.

Child

Mid-ileal stricture and spinal injury sustained by a 7 year old child restrained by a lap seat belt involved in a motor vehicle accident.

Lap belts are a feature of the middle seat occupant in the rear seat of most Australian family cars. Without the provision of a child harness, they are inadequate to restrain children under eight years of age. We report a motor vehicle accident involving a seven year old child wearing an adult lap belt which resulted in an ileal stricture and a potentially unstable distraction injury of the lumbar spine.

Accidents, Traffic