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PubMedDate not supplied

[Intestinal hemorrhage in a milk-fed infant: a case of laryngo-tracheo-gastric duplication].

An important gut hemorrhage in a breast fed child is not a usual event. If, in addition, the etiology represents a real rarity, even the most sophisticated diagnostic trials can't give any aid and this constitutes a hard diagnostic and therapeutic problem. In this report, the authors describe how, after a long sequence of analysis and exams, no certain diagnosis was possible, till serious anaemia gave indication to an explorative laparatomy. Laparatomy became both diagnostic and therapeutic and allowed to discover a rare malformation: a tracheal-gastric duplication.

Abnormalities, Multiple↗
PubMed1980

Familial asplenia, other malformations, and sudden death.

Two families have been presented. In one, asplenia occurred with and without gastrointestinal malformations. In the other, cardiovascular malformations occurred in one member and Ivemark syndrome in the other. All three children with asplenia died in infancy, two with evidence of sepsis. Sudden death in infancy may be due to sepsis in a child with isolated asplenia syndrome and impaired resistance to infection. Both isolated asplenia and some cases of congenital heart disease without asplenia may be related to Ivemark syndrome. New infants born in families with a history of congenital cardiovascular malformations, visceral heterotaxy, or other malformations associated with Ivemark syndrome should be tested for asplenia, primarily by searching for Howell-Jolly bodies. Infans with asplenia should be protected with prophylactic antibiotics. Pneumococcal polysaccharide vaccine is indicated at the age of 2 years. It would appear worthwhile for pediatric surgical or pediatric cardiologic services to perform a screening program for Howell-Jolly bodies.

Abnormalities, Multiple↗
PubMed1982

[Malformations associated with esophageal atresia].

Associated malformations present in 277 newborn patients operated during the last sixteen years for esophageal atresia and tracheoesophageal fistula are described. Incidence on concomitant anomalies of each organ system is compared to that published by various authors during this period of time. Mortality, as related to each organ system and to the patient classification according to Waterston risk-groups, is studied during two different periods (1965-1975 and 1976-1981) considering in the second one a significant improvement of pre and postoperative care.

Abnormalities, Multiple↗