Part of the book: Neural Tube Defects
The term acute abdomen refers to sudden severe abdominal pain with unclear etiology that is less than 24 h in duration. In children, acute abdominal pain presents a diagnostic dilemma. Although many cases of acute abdominal pain are benign, some of them need rapid diagnosis and treatment to minimize morbidity. The present chapter provides an overview of abdominal surgical emergencies in children and discusses the most common disorders that cause surgical acute abdomen.
Part of the book: Actual Problems of Emergency Abdominal Surgery
Esophageal atresia (EA) presents some of the greatest technical hurdles that pediatric has to face. Postnatally, the classical clinical presentation of an infant with EA is an abnormally mucousy infant who is drooling excessive amount of saliva. Diagnosis confirmed when an orogastric tube cannot be passed through the mouth into the stomach. Examination should assess the as cardiac, anal limb. The purpose of the surgery is to divide the trachea esophageal fistula (TEF) and to restore esophageal continuity blind-ending upper esophageal. Achalasia is an uncommon disorder of esophagus dysmotility. Patients typically present with a history of progressively worsening dysphagia that begins with solid foods. The initial diagnosis test in child with dysphasia is usually a contrast esophagogram. Classic findings include a dilated, dysmotile esophagus and a bird’s beak deformity at the gastroesophageal junction. The main treatments of achalasia are esophageal myotomy, balloon dilation or botulism toxin. Esophageal diverticula are often first suspected on Chest X ray(CXR) due to presenting symptoms. These lesions can cause wheezing, dyspnea, hemoptysis and recurrent pneumonia due to airway compression and dysphasia due to esophagus compression. These duplications should be further investigated by CT scan or Magnetic resonance imaging (MRI). The preferred method of treatment is thoracoscopy or thoracotomy.
Part of the book: Esophageal Abnormalities