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Showing posts from April, 2021

Hydrostatic Reduction Of Ileo- Colic Intussusception

  Intussusception is one of the most common causes of acute abdomen in infancy. This condition is usually idiopathic in children between 6 months and 2 years of age with an incidence of 1-2 cases per thousand children. The vast majority of childhood cases of intussusception are ileocolic; that is, the ileum becomes telescoped into the colon. The diagnosis should be suspected in a child presenting with intermittent colicky abdominal pain with drawing up of legs, poor feeding, vomiting and per rectal passage of blood mixed with mucus (red currant jelly). The importance of early diagnosis lies in the fact that the condition can be managed by non operative treatment (Ultrasound Guided Hydrostatic Reduction) with success rate of more than 90%. Ultrasound is a highly sensitive modality for the diagnosis of intussusception with an almost 100% accuracy with a classical sign of target or doughnut. Ultrasound-guided hydrostatic reduction (HSR) is currently the standard management of intussus...

Pediatric Tumors (wilms tumors, neuroblastoma, hepatoblastoma etc)

A   Wilms’ tumour   is a type of kidney cancer that usually affects young children. It is also known as a ‘ Nephroblastoma’ .   Wilm’s tumour   is the most common type of   kidney cancer in children  but is very rare. The  treatment for Wilms’ tumour  usually includes surgery and may also include chemotherapy and radiotherapy. The outcome is usually very good and most children diagnosed with Wilms’ tumour will survive long-term. A Wilm’s tumour is thought to come from very specialised cells that are involved in the development of kidneys. The specialised cells usually develop into normal kidney cells. If something goes wrong and some of the cells stayimmature then they grow out of control and develop into a Wilms’ tumour. Wilms’ tumours  are often divided into two main groups. The cells in each group look very different when looked at under a microscope. The appearance of cells under the microscope is called histology. The two types are: Wilm...