RESUMEN
We report the case of a newborn baby with a large congenital skull defect owing to Adams-Oliver syndrome. An initial attempt at conservative treatment failed and led to disruption of the leptomeningeal membrane and prolapse of the brain. After local debridement, delayed and stepwise surgical closure was complicated by cerebrospinal fluid leakage, which required the insertion of a cerebrospinal fluid shunt. This case report highlights the potential serious risks of nonsurgical management of largely extended congenital skull defects.
Asunto(s)
Displasia Ectodérmica/patología , Displasia Ectodérmica/terapia , Encefalocele/patología , Encefalocele/terapia , Cráneo/anomalías , Pérdida de Líquido Cefalorraquídeo , Rinorrea de Líquido Cefalorraquídeo/cirugía , Derivaciones del Líquido Cefalorraquídeo/métodos , Displasia Ectodérmica/diagnóstico por imagen , Encefalocele/diagnóstico por imagen , Humanos , Recién Nacido , Deformidades Congénitas de las Extremidades/diagnóstico por imagen , Deformidades Congénitas de las Extremidades/patología , Deformidades Congénitas de las Extremidades/terapia , Imagen por Resonancia Magnética , Necrosis/patología , Radiografía , Cuero Cabelludo/anomalías , Cuero Cabelludo/patología , Dermatosis del Cuero Cabelludo/congénito , Dermatosis del Cuero Cabelludo/diagnóstico por imagen , Dermatosis del Cuero Cabelludo/patología , Dermatosis del Cuero Cabelludo/terapia , Cráneo/patologíaRESUMEN
This case report describes a unique variant of a duodenal duplication cyst in an 8-year-old boy who had recurrent episodes of upper abdominal pain. Imaging revealed a stone-containing cyst near the biliaropancreatic ducts and concomitant hydrops of the gallbladder. Open transduodenal marsupialization of the cyst and resection of the inflamed gallbladder were performed. Further episodes of pancreatitis did not occur for a follow-up of 2 years.