Niger J Clin Pract
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Review Case Reports
An adolescent with ileum herniation through foramen of winslow: A case report and literature review.
Herniation through foramen of Winslow is a relatively rare group of hernias characterized by protrusion of the abdominal contents into the lesser sac. To our knowledge, this is the youngest and the only reported case related to adolescents in the last five years. ⋯ Through the review of the literature, it is clear that herniation through foramen of Winslow (HFW) is a more challenging condition to diagnose preoperatively, which can be achieved with the help of complementary diagnostics especially CT. As a category of diseases with a very low postoperative recurrence rate, clinical experience tells us that only three-trocar laparoscopic surgery can successfully return HFW.
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Ureteropelvic junction obstructions (UPJOs) occur more frequently on the left than on the right side. Among patients diagnosed during the neonatal period, those with left-side UPJO have a more severe course than those with right-side UPJO. ⋯ Those with left-side UPJO had a more severe course than those with right-side UPJO.
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Alloimmune hemolytic disease of the newborn (AIHDN) results in hemolysis, anemia, hyperbilirubinemia with the potential for brain damage. Intravenous immunoglobulin (IVIG) has been investigated as an alternative low-risk procedure for the treatment of AIHDN in addition to traditional treatment methods such as phototherapy and exchange transfusion (ET). ⋯ IVIG treatment should be considered due to its relative benefits when compared to exchange transfusion. In addition to its safety, it is a less complicated treatment modality with low side effect rates. It may be justified for elective use in neonates suffering from AIHDN, who will require ET with a risk of mortality by decreasing the peak of total serum bilirubin levels.
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Glaucoma is a global public eye health concern, being the number one cause of irreversible blindness. ⋯ Targeted eye screening can help with the early detection of glaucoma. Patient satisfaction should be at the fore of eye health services to improve uptake.
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Visual impairment is a global problem. The World Health Organization (WHO) in 2017 estimated that 36 million people were blind and 217 million people had moderate or severe visual impairment. An untreated or undetected eye problem becomes a threat to the general health of the individual, particularly the health of those that lack the basic needs of life. Most blind people live in low-income countries where increasing poverty perpetuates destitution. ⋯ Ocular findings in all eyes of the destitute are similar to that in the eyes of normal individuals. Destitution is an offshoot of health, social, and economic frustration, and therefore requires a comprehensive approach.