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The trichobezoar is the most frequent etiology of bezoar, however, the importance of fitobezoar (seeds) in a tropical climate like Tabasco stands out. A study of ten cases that underwent surgery in the last 5 years at the “Dr. Rodolfo Nieto Padrón” Children’s Hospital is presented. The clinical and radiological characteristics and surgical findings are described. The female sex predominates in 70% and the school age. 70% were secondary to trichobezoar and 30% to fitobezoar. Found as a cause of papaya, cocoa and nance seeds. The rest predominated Tricobezoar. All underwent exploratory laparotomy and enterotomy or gastrostomy and psychological support was provided to, there were no recurrences. A comparison of the reports in the literature is made and the importance of the presence of fitobezoar as findings in a tropical area such as the geographical area of Tabasco is highlighted. Diagnosis is essential, so it should be suspected in pediatric patients who present data of gastric occlusion. The importance of thinking about the suspicion of ingestion of fruit seeds as a cause of bezoar in children is described. There are no preventive measures because they are fruits of habitual consumption in rural areas. [ABSTRACT FROM AUTHOR]

Copyright of Boletin Clinico Hospital Infantil del Estado de Sonora is the property of Asociacion Medica del Hospital Infantil del Estado de Sonora A.C. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Boletin Clinico Hospital Infantil del Estado de Sonora is the property of Asociacion Medica del Hospital Infantil del Estado de Sonora A.C. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Boletin Clinico Hospital Infantil del Estado de Sonora is the property of Asociacion Medica del Hospital Infantil del Estado de Sonora A.C. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Background. Ascaridiasis is one of the main parasitosis affecting children. The main objective is to demonstrate the case of a child with erratic migration of Ascaris lumbricoides found next to the testis in the vaginalis tunic secondary to a perforation of Meckel diverticulum. Case report. We present the case of a school-age male patient who was treated at our clinic due to acute abdomen. Laparotomy was carried out, revealing a perforation of Meckel diverticulum with Ascaris lumbricoides free in the abdominal cavity and with migration to scrotum of female adult Ascaris lumbricoides by way of an inguinal hernia. Conclusions. We discuss the epidemiology and clinical presentation of acute abdomen of Ascaridiasis and intraoperative study. [ABSTRACT FROM AUTHOR]

Introduction. Ascariasis is a public health problem in our country. One of its complications is intestinal obstruction with either intestinal suboclussion or occlusion. The latter necessitates surgical treatment. Goal. To identify the preoperative clinic differences in patients with intestinal suboclussion or occlusion caused by Ascaris in order to determine what factors justify a surgical treatment for intestinal occlusion. Methods. Retrospective study from 1999 to 2009 in the Hospital del Niño "Dr. Rodolfo Nieto Padron" in 50 patients with intestinal suboclussion and 50 with intestinal occlusion. Preoperative clinical data were analyzed, with SPSS 13.0 version, and the statistic significance with square Chi was determined. Results. Children under five years of age were the most frequently affected. The significant statistic preoperative clinical features (symptoms, signs and laboratory findings) between occlusion and suboclusion by Ascaris were fever, abdominal distension, vomit; hemoglobine less than 10 grams and a history of antiparasitic therapy (mebensole) with a p=0.006. Discussion. Based on this data, a clinical model could predict that children under five years of age, with anemia, abdominal distention, vomit, fever and previous antiparasitic therapy (mebensole), may have occlusion by Ascaris lumbricoides and the need of surgical treatment before clinical features of acute abdomen set in. [ABSTRACT FROM AUTHOR]

Objective: to present the clinical data that would anticipate the risk of malignancy in children subject to a lymph node biopsy for cervical lymphadenopathy. Methods: this is a descriptive, retrospective and cross-sectional study that included 43 patients who were seen for cervical adenopathy in a 10-year period at the Hospital del Niño "Dr. Rodolfo Nieto Padrón". Results: 23 cases turned out to be malignant disease (Hodgking disease being the most frequent) and 20 non-malignant diseases (infectious or reactive). The age at the moment of the diagnosis, duration of clinical progression and the number of nodes involved (2 or more) and the size of the lymph node biopsied were the risk factors for malignancy. Non associated risk factors were sex, age of the patient, fever and spleen enlargement. Conclusion: Hodgkin disease was the most common that affected boys in school age. The size of the lymph node bigger than 3 cm and bilateral cervical lymph nodes and the progression of the disease shorter than 6 months, were the most significant differences between malignant and benign adenopathy. [ABSTRACT FROM AUTHOR]