A copy of the written consent is available for review by the Editor-in-Chief of this journal. References 1. Iswariah DJ: Mechanism of injury in blunt abdominal trauma. J Occ Env Med 1966,8(8):453. 2. Ng HS, et al.: Blunt abdominal trauma associated with testicular dislocation and contralateral inguinal hernia. Clin Rad Extra 2003,59(1):1–2.CrossRef Competing interests The authors declare that they have no competing interests. Authors’ contributions SB carried
out the operation detailed in this report and drafted Selisistat molecular weight the case presentation section of the report. MV and GH drafted and compiled the document. AL gave approval of the manuscript before publishing. All of the above authors were involved in the care of the patient whilst in hospital.”
“Background Though ascaris infestation is usually asymptomatic, ascariasis-related intestinal complications can be seen children with a high intestinal roundworm load. Presence of massive roundworm infestation in
children may lead to symptomatic Meckel’s diverticulum. High burden of intestinal roundworms, propensity to wander, size of the worm and AUY-922 chemical structure the characteristics of Meckel’s diverticulum constitute prerequisite for complications of Meckel’s diverticulum. Surgical complications associated with Ascaris lumbricoides infection can be diverticulitis, gangrene or the perforation in the Meckel’s diverticulum. Preoperative diagnosis of Meckel’s diverticulum Diflunisal is often difficult. Incidental diverticulectomies in asymptomatic Meckel’s diverticulum are considered safer [1, 2]. The work was designed to study findings of concomitant Meckel’s diverticulum who had surgical intervention for ascaridial intestinal
obstruction in children. Methods A retrospective case review study of 14 children who had surgical intervention for symptomatic ascaridial intestinal obstruction with the presence of the concomitant Meckel’s diverticulum, was done at SMHS Hospital, Srinagar from March 1997-March 2009. All children were local ethnic population of Kashmir. Detailed clinical history and examination, abdominal X-ray and the ultrasonography abdomen were used for diagnosis. Results A total of 14 patients having the presence of concomitant Meckel’s diverticulum who had surgical intervention for ascaridial intestinal obstruction were encountered. No preoperative diagnosis of Meckel’s diverticulum was made. Out of 14 children, 9 were male children and 5 were female children, youngest child was a 4 years old boy and oldest child was 12 years old girl child. Intestinal obstruction was present in 11 patients who did not respond to conservative management. Clinical features of the peritonitis were present in 3 patients. Size of Meckel’s diverticulum ranged from 2 to 7.5 centimeter and diameter from 0.5 cm to 4.5 cm. All had location of Meckel’s diverticulum at distance of 60 -80 centimeters from illeocaecal junction.