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Forum Name: Surgery Topics

Question: urgent baby surgery case

kimo2076 - Wed Jun 13, 2007 5:59 pm

this case is about a poor family I know in egypt. mother is 21 years old. baby was born normally on october 2006. he is a boy. he suffers from gigantic swelling of the left hand that was similar to the size of the head at birth. The swelling has increased in size reaching the present size The father gave history of repeated attacks of Fever and unusual tenderness of the hand followed by an increase in the size and the appearance of several discharging bullae in the distal forearm and the hand possibly suggesting attacks of lymphangitis When the baby was 3 months old the father discovered another swelling in the left scapular region that was partially compressible and non tender and the increase in size was concomitant with the increase in size of the hand swelling. The mother gave no history of Fever during her pregnancy but she stated that she took Augmentin 625 mg twice daily for a common cold infection. She was complaining of a certain degree of hypotension but not to the extent of fainting. No other drugs and no exposure to radiation. doctors in egypt said the only teatment is cutting off the hand. I have all the c-scan images of his hand and we need to know is there any other solutions for this case. thank u [/b]

Dr. Chan Lowe - Wed Jun 13, 2007 7:51 pm

Being able to give other treatment options for this case is very difficult over the internet. It does sound like a surgical treatment is needed. The one question would be can the surgeons simply remove the mass and spare the hand. This may or may not be the case. You may want to request a second opinion from another surgeon before proceeding with the surgery. Best wishes.

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