Pediatric Images & Vedios

INTESTINAL OBSTRUCTION:




* Large bowel (colon) obstruction may occur as a result of the following conditions:

1. Intrinsic cancer of the colon (70% of all cases)
2. Inflammatory strictures
3. Extrinsic lesions such as a hernia or a neoplasm (rapped outside the intestine)
4. Intussusception
5. Hirschsprung's disease
6. Post abdominal surgery adhesions
7. Fecal Impaction
8. Secondary to volvulus and Diverticulitis

* Obstruction of the left side of the colon is more common.
* Treatment is geared to the underlying cause.






Figure 1 shows a normal abdomen. Figure 2 shows air trapped in the bowels because gas, fluids, or solids cannot move through the bowels normally.

LUMPS AND SWELLINGS OF THE HEAD AND NECK IN CHILDREN

Commonest causes of neck lumps in children by age.


Preauricular cartilaginous remnant



Bilateral branchial sinuses, related to anterior border of sternomastoid.


Thyroglossal cyst--exaggerated by neck extension.


Cystic hygroma arising from posterior triangle of neck.