[Intestinal hemorrhage in a milk-fed infant: a case of laryngo-tracheo-gastric duplication]

An important gut hemorrhage in a breast fed child is not a usual event. If, in addition, the etiology represents a real rarity, even the most sophisticated diagnostic trials can't give any aid and this constitutes a hard diagnostic and therapeutic problem. In this report, the authors describe how, after a long sequence of analysis and exams, no certain diagnosis was possible, till serious anaemia gave indication to an explorative laparatomy. Laparatomy became both diagnostic and therapeutic and allowed to discover a rare malformation: a tracheal-gastric duplication.

[A case of pseudocyst of the spleen]

The authors report a case of pseudocyst of the spleen in a five years old girls whose only complaint was a slight pain in the left upper quadrant. A palpable globular mass was confirmed to be a splenic cyst by instrumental procedures regarded as the first ones to employ in such cases, ultrasonography and CT scan. The diagnosis of pseudocyst was possible only after the surgical spleen removal when the absence of an epithelial lining was histologically found. A short excurses on splenic cysts, from etiology to therapy, follows. Moreover the after splenectomy management of paediatric patients is discussed.