Biography
Biography: Amin Gohary
Abstract
Gohary’s disease is a new phenomenon that has not been described before. It depicts a group of children who present to emergency department with severe agonizing abdominal pain. The pain tends to start and ends abruptly , no predisposing factor and recurs after minutes or hours. Ultrasonography revealed a mesas at right iliac fossa ,which is usually diagnosed as intussusception. The underlying cause of such phenomenon is the fecal impaction of stool at terminal ileum which act as intermittent intestinal obstruction. We have encountered 19 cases over the last 5 years, their age varied from 9 months to 8 years with the majority under the age of 2 years. The cardinal symptoms and signs are
1: severe abdominal pain that warrants urgent attention
2: Empty rectum on examination
3: Ultrasound diagnosis of intussusception
All of these cases were managed by fleet enemas with immediate response.
Awareness of this condition will help to avoid unnecessary investigation and unjustified exploration.