NepMed is a Nepal MEDLINE(Medical Literature Analysis and Retrieval System Online) by Nepal Health Research Council(NHRC). It includes bibliographic information for articles from academic biomedical journals covering medicine, dentistry, nursing, pharmacy, dentistry veterinary medicine, and allied health sciences.
Recent Submissions
Infantile Hypertrophic Pyloric Stenosis in an Infant with Tetralogy of Fallot: Association or Coincidence? Authors
(Nepal Paediatric Society (JNPS), 2023) Masood, Shadab; Shaukat, Ifrah; Ahmad, Saed Aftab; Ahmed, Tahir Masood
Abstract:
Infantile hypertrophic pyloric stenosis is an important cause of vomiting in apparently healthy infants, typically between 2-8 weeks of life. It mostly occurs as an isolated abnormality but there are cases reported to be associated with congenital anomalies. We report a case in a 2-months-old infant who presented with non-bilious vomiting associated with feeding for 15 days. He was already diagnosed to have pink Tetralogy of Fallot. He was diagnosed as a case of hypertrophic pyloric stenosis on the basis of ultrasonography and barium studies, and underwent pyloromyotomy. Post-operative recovery was uneventful and he has no associated complications on follow-up.
Laparoscopic Excision of Gastric Duplication in a Child: A Case Report and Literature Review
(Nepal Paediatric Society (JNPS), 2023) Destinval, Christelle; Lemelle, Jean-Louis
Abstract:
We present the case of a 5-year-old child with a gastric duplication of antenatal discovery. The only clinical sign was an epigastric heaviness caused by the seat belt during car trips. The radiological assessment favored a cystic lesion on the stomach’s posterior surface. Excision of the lesion is performed laparoscopically without incident. Histology results confirmed the diagnosis of digestive duplication. The patient was discharged on Day 1 and released from the hospital on Day 2. A two year-follow-up has been uneventful.
Bilateral Neonatal Testicular Torsion: A Case Report and Literature Review
(Nepal Paediatric Society (JNPS), 2023) Wilsius, Emma; Destinval, Christelle; Lemelle, Jean-Louis; Rouabah, Mahmoud
Abstract:
Bilateral neonatal testicular torsions (NTT) are exceptional. We report a case of NTT in a five days old male neonate. We had noticed a right blue, and hard testicle, on the clinical examination of a five-day-old male, one day before discharge. He was diagnosed with a right neonatal testicular torsion which was managed by a right orchidectomy and contralateral surgical exploration. Although the left testicle was vascularized on the preoperative Testicular Doppler Ultrasound (TDU), torsion of the left testicle was found peroperatively and treated by detorsion and orchidopexy. Though the left spermatic cord partially regained a red tinge, the testis remained purple, raising doubts about its viability. At two and six-month follow-ups, the left testicle was smooth but small, and a TDU demonstrated that it was poorly vascularized. Hence, in case of torsion, both the testis should be considered.