Browsing by Autor "Liliana Heydi Suarez Laime"

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Choledochal cyst in a pediatric patient with Down syndrome, a diagnostic challenge
(2024) Henrry Temis Quisbert Vasquez; Jhossmar Cristians Auza-Santiváñez; Gabriela Moscoso Zurita; Liliana Heydi Suarez Laime; Blas Apaza-Huanca; Giovanni Callizaya Macedo
Introduction. Down syndrome (DS) is the most common chromosomal alteration. Mortality during the first year of life in this group is high. Newborns with this condition have a higher risk of developing cholestasis. Infants with DS can develop cysts. of common bile duct secondary to cholestasis, in pediatric patients common bile duct cysts are a rare pathology. Clinical Case. 9-month-old infant with a history of DS. On general physical examination, the skin and mucous membranes were generally moist and jaundiced, isochoric and photoreactive pupils, icteric sclerae, with hepatomegaly 3 cm below the costal margin and splenomegaly 2 cm from the rib cage, abdominal perimeter 49 cm. Laboratory and imaging studies, including cholangioresonance, are performed to confirm the diagnosis of Todani IVa choledochal cyst.Conclusions. In patients with Down syndrome who present a clinical picture of vomiting, abdominal pain and jaundice, the diagnosis of choledochal cyst should be considered. Cholangioresonance is the study that confirms the presence of a choledochal cyst. Our clinical case was evaluated by the surgery service and a surgical procedure was scheduled for resection of the cyst
Evidence-based pediatric podiatry: literature review and update
(2025) Freddy Ednildon Bautista-Vanegas; Magaly Zurita Villazón; Marlon Carbonell González; Jhossmar Cristians Auza-Santiváñez; Abigail Jazmin Arce-Santivañez; Camila Tassoula Egüez-Pereira; Daniel Ramiro Elías Vallejos-Rejas; C. Roman; Ingrid Neysa Cabezas-Soliz; Liliana Heydi Suarez Laime
Introduction: Pediatric podiatry has become established as an essential discipline in the comprehensive approach to the developing child. Alterations in the morphology and functionality of the children's foot, such as flexible flatfoot, are frequent reasons for consultation and require careful evaluation based on scientific evidence. Objective: This narrative review aims to analyze the evolution of knowledge on the anatomy and physiology of the children's foot, identify the prevalent podiatric conditions in childhood, review the main therapeutic interventions available and update the role of the podiatrist in the current clinical context. Methods. A search for information was carried out in the period May - July 2025, in the databases SciELO, Scopus, PubMed / MedLine, the Google Scholar search engine, Cochrane Library, as well as in the Clinical Keys services. Only those studies of the type systematic reviews, meta-analyses, randomized controlled trials (RCTs), controlled clinical trials (CCTs), observational studies and cross-sectional designs were selected. Results: Evidence shows that most cases of flexible flatfoot in childhood are physiological and do not require treatment, except in the presence of symptoms. Foot orthoses, functional re-education exercises, and appropriate footwear have proven effective in selected cases. In particular, intrinsic muscle strengthening programs have shown improvements in the plantar arch and gait. Current clinical practice remains variable, making ongoing training and the adoption of standardized protocols crucial. Conclusions: Timely, individualized, and evidence-guided intervention can prevent long-term musculoskeletal complications, improve locomotor function, and contribute to a better quality of life in childhood. The role of the pediatric podiatrist should be integrated into the multidisciplinary team for a comprehensive approach to child development.
Giant multiloculated omental cyst in a pediatric patient. Case report and literature review
(2024) Giovanni Callizaya Macedo; Jhossmar Cristians Auza-Santiváñez; Daniel Ramiro Elías Vallejos-Rejas; R. Sarmiento; Jhaleny Jael Flores Canaviri; Liliana Heydi Suarez Laime
Introduction: Omental cysts are rare intra-abdominal lesions, with a frequency of 1:250,000, which often present asymptomatically. However, they can cause abdominal distension, or even surgical abdominal symptoms. Case report: A 3-year-old female patient presents with a clinical picture of 2 years of evolution, reporting progressive abdominal distention since she was one year old and abdominal pain for 2 weeks. Physical findings show an abdomen with great abdominal distention, tense and painful on superficial and deep palpation. A contrast-enhanced CT scan of the abdomen and pelvis revealed abdominopelvic cystic lesions. Exploratory laparotomy revealed a giant multilocular cystic mass dependent on the greater omentum. The pathological report revealed a giant omentum cyst. A successful surgical resection of the cystic lesions was performed and a favorable post-surgical evolution was performed. Conclusions: Omentum cysts are rare in paediatrics. Diagnosis is based on imaging studies and is confirmed during surgery. Surgical treatment is effective and with few complications