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  • 1
    ISSN: 1437-9813
    Keywords: Biliary rhabdomyosarcoma ; Sarcoma botryoides
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract We report a case of rhabdomyosarcoma of the common bile duct in an 8-year-old child. The diagnosis was suspected from sonography, computed tomography of the abdomen, and upper gastrointestinal endoscopy during attempted endoscopic retrograde cholangiopancreatography. Excision was not possible due to extensive intrahepatic and local infiltration, and therefore chemotherapy was given after taking a biopsy. Rhabdomyosarcoma of the biliary tree is one of the rarest causes of obstructive jaundice in pediatrics, but should be considered in the differential diagnosis of a jaundiced patient to ensure immediate investigation and treatment whether or not the cause is rare.
    Type of Medium: Electronic Resource
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  • 2
    ISSN: 1437-9813
    Keywords: Key words Esophageal atresia ; Tracheoesophageal fistula
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract During a 25-year period (1972–1996), 585 patients with esophageal atresia with or without tracheoesophageal fistula were treated at the Department of Pediatric Surgery, SMS Medical College, Jaipur, India. Increasing awareness of the anomaly has led to early detection and referral with fewer pulmonary complications. For purposes of analysis the period has been divided into five phases, with a steady decline in overall mortality observed from 95.4% in phase 1 to 41% in phase V. Although postoperative complications have also shown a declining trend, delay in diagnosis, prematurity, low birth weight, delayed arrival at the surgical centers, sepsis, pulmonary complications including pnuemonitis, and inadequate nursing care all continue to contribute substantially to lower the survival in developing countries such as ours.
    Type of Medium: Electronic Resource
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