Uncommon and Rare Pediatric Syndromes Associated with Surgical Conditions in Iraqi Children
2 ; 1 ; in Month : September (2020) Article No : gjsst-v2-1007
Al-Mosawi AJ
Abstract
Abstract
Background: Many uncommon and rare pediatric
clinical syndromes including genetic and dysmorphic
disorders are known to be associated with surgical
conditions and require various types of surgical
interventions.
Little is known about the pattern of surgical
conditions associated with the uncommon and rare
childhood syndromes in Iraq.
The aim of this paper to describe our experience with
uncommon and rare childhood syndromes associated
with surgical conditions observed in two tertiary
referral centers in Baghdad.
Patients and methods: Twenty one unrelated
patients (10 males and 11 females) with uncommon
and rare syndromes associated with surgical
conditions were observed. The patient’s age ranged
from 3 days to 18 years. The patients were observed
during the period from 1994 to December 2019 in two
tertiary referral teaching hospitals (University
Hospital in Al-Kadhimiyia which was called later
“Al-Kadhimiyia Teaching Hospital” and the Children
Teaching Hospital of Baghdad Medical City).
Results: The twenty one patients had seventeen
uncommon and rare syndromes associated with
surgical conditions including ocular conditions
(Cataracts and glaucoma), congenital heart disease,
gastrointestinal surgical conditions (Imperforated
anus, congenital primary cricopharyngeal achalasia,
omphalocele and neonatal Hirschsprung disease),
urologic surgical condition (Undescended testes) and
orthopedic surgical conditions.
(Hip dislocation and multiple fractures), gynecologic
ocular conditions (Hematocolpos which is caused by
hemivaginal obstruction) and surgical conditions
needing plastic surgeries.
Conclusion: This unique series of pediatric
syndromes associated with surgical conditions
included a new Iraqi variant of oculocerebrorenal
syndrome, the cases number 35 and 36 of cutis laxa
type II (Debre type) in the literature, the case number
52 of Ruprecht Majewski-Bosma syndrome in
literature, the 58th case of Toriello-Carey syndrome
in the literature, the case number 130 of Townes
Brocks syndrome, the twenty eighth case of
congenital Chevalier Jackson in the literature, the
thirty fourth case of Goldberg Shprintzen syndrome
and the fourth patient in the literature with the
syndrome of microtia/anotia syndrome and congenital
facial palsy without other abnormalities
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