Settembre 2006 - Volume XXV - numero 7
Pagine elettroniche ; Caso Contributivo
Key words: Congenital vallecular cyst, Case report
Congenital vallecular cysts are rare in neonates and infants. Even though benign in nature, they own a high potential morbidity and mortality. Stridor, dyspnoea, feeding difficulties, coughing, voice changes, failure to thrive are the most common symptoms. The Authors report a case of a 4 months old infant with failure to thrive and respiratory distress due to a congenital vallecular cyst. Marsupialization was performed with complete symptoms resolution.
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Pagine elettroniche ; Caso Contributivo
Key words: Patent ductus arteriosus, Preterm infant, Ibuprofen, Indomethacin, Surgical treatment
Patent ductus arteriosus (PDA) with significant left-to-right shunt is a major cause of increased morbidity and mortality in preterm infants. Early closure of ductus arteriosus may be pharmacologically achieved using cyclooxygenase inhibitors, or via surgery. Herein we describe an unusually complicated case of a preterm infant with PDA. The newborn was unsuccessfully treated with ibuprofen. After medical treatment failure, surgery was scheduled and the ductus was closed with no complications. In the discussion we compare the three main management options for preterm neonates with PDA: ibuprofen, indomethacin and surgical treatment.
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