Pediatric surgery international
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Pediatr. Surg. Int. · Oct 2010
Comparative StudyIncreased incidence of negative appendectomy in childhood obesity.
In recent years, there has been worldwide increase in childhood obesity. The diagnosis of acute appendicitis in very obese children can sometimes be difficult and challenging. The purpose of this study was to determine the incidence of histologically normal appendix in very obese and non-obese children undergoing emergency appendectomy for the clinical diagnosis of acute appendicitis. ⋯ Suspected appendicitis in childhood obesity is associated with increased incidence of normal appendectomy. Active observation in hospital in very obese children may reduce the rate of normal appendectomy without increasing the incidence of complicated appendicitis.
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Pediatr. Surg. Int. · Oct 2010
Case ReportsTetra-amelia with lung hypoplasia and facial clefts, Roberts-SC syndrome: report of two cases.
Although limb anomalies are a common clinical problem, they are rarely studied. The spectrum of limb anomalies ranges from very mild disorders such as syndactyly to very severe forms such as absent limb (amelia). ⋯ Roberts-SC phocomelia syndrome comprises four limb deficiencies, lung hypoplasia, facial clefts and other anomalies. We describe two cases that presented to us.