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Amin Gohary

Amin Gohary

Burjeel Hospital UAE

Title: Gohary’s disease

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.