Background/aims: Achalasia cardia (AC) is rare in children, and the standard treatment is open or Laparoscopic Heller's myotomy with or without fundoplication if pneumatic dilatation has failed. Per oral endoscopic myotomy (POEM) is a novel technique for management of achalasia with good results in adults. We report POEM in four children and the outcome with special emphasis on the technique and management of intra-operative complications.
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September 2010
A case report on a very simple and very effective technique of achieving finger fracture fixation. This cost effective and yet simple tool and technique of immobilization is cheap and can be readily used in the South Pacific. This procedure provides us with an alternative to amputation of the digit.
View Article and Find Full Text PDFRight iliac fossa pain in young adults who have previously had an appendicectomy represents a diagnostic challenge. In such cases it is important to review the histology of the appendix and the previous operation notes. The appendix stump, if left long following an appendectomy, can result in chronic appendicitis of the stump, or it can rarely develop into a mucocele.
View Article and Find Full Text PDFAcute pancreatitis is an uncommon finding in children and therefore one must have a high index of suspicion when evaluating children with blunt abdominal trauma. It can cause severe morbidity and mortality and requires one to be vigilant to make the diagnosis and to ensure appropriate management. We report on a case of acute pancreatitis that had diagnostic and management dilemmas at Colonial War Memorial Hospital (CWMH) in Fiji.
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September 2010
Patent Vitello-intestinal Duct (VID) results as of failed obliteration of the fetal omphalocele coelom (herniated loops of intestine in the umbilical cord) during the development of the midgut. We report a case of an infant who presented at 11 months of the age with history of persistent umbilical discharge since birth. The VID was confirmed with a fistulogram using gastrograffin contrast studies and a wedge resection with primary anastomosis.
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