Introduction: Enterocolitis is a potentially fatal consequence of Hirschsprung’s disease, it is characterized by fever, abdominal pain, foul-smelling diarrhea, and sepsis. Most neonatal morbidity and mortality are caused by Hirschsprung-associated enterocolitis (HAEC). Harald Hirschsprung initially discovered Hirschsprung's related enterocolitis in the 19th century and included it in his iconic description of megacolon. Trisomy 21, illness, familial history, and prior bouts of HAEC are risk factors for the condition. (3, 4) According to Engun et al. patients who presented with a history of Hirschsprung's disease had a 35% incidence of HAEC, but those without such a history only had a 16% incidence. Similarly, HSD and trisomy 21 have a known association with 2. 9-8. 2% of HSD patients also having trisomy 21. This study aimed to evaluate HAEC as a postoperative complication in children who were admitted after pull-through surgery as regards the type of surgery, incidence, clinical presentation, sepsis workup, and management in Alexandria University Children’s Hospital. Materials and Methods: This retrospective study included 30 patients with Hirschsprung disease who developed post-operative Hirschsprung-associated enterocolitis and were scheduled for surgical intervention from January 2021 to 2022. Results: In the studied group, the most commonly used pull-through procedure was the Soave (53. 33%), followed by the Duhamel procedure (20%). Fewer subjects were operated using the Swenson and Rehbein methods, at 16. 67% and 10% respectively. Most of our studied patients (26 patients) presented with signs and symptoms of Grade I HAEC, while 3 patients with Grade II and 1 patient with Grade III. Conclusion: Post-operative HAEC is a serious complication and needs to proper management to save the child either conservative treatment, repeated anal dilatation or surgical intervention in severe cases.

Background: Despite contradictory reports regarding complication rates associated with various laparoscopictechniques, data specific to the Iranian population remain limited. In this study, we prospectively investigatedport-related complications in laparoscopic abdominal surgeries performed on individuals from the Iranianpopulation.Methods: This study was conducted as a prospective cohort at Imam Hossein Medical Center, Tehran, Iran,from 2021 to 2024. A total of 346 patients who were candidates for abdominal surgery using the laparoscopictechnique and referred to the tertiary hospital were included in the study based on the inclusion criteria.Demographic information about the patients, including age, gender, and underlying conditions, as well as datarelated to the surgery and complications associated with the port, were examined and recorded by the surgeonsfor six months following the surgery.Results: In this study, 346 patients were examined. The mean age of the patients was 44.34±11.80 years, withages ranging from 16 to 77 years. Among the patients, 206 (59.5%) were women, and 140 (40.5%) were men. Ofthe 346 patients who underwent surgery, 129 (37.3%) had a cholecystectomy, 117 (33.8%) underwent bariatricsurgery, and 71 (20.5%) had herniorrhaphy. Port-related complications were observed in 11 patients (3.2%),with port site infections diagnosed in 10 patients (2.9%). An incisional hernia was diagnosed in one patient(0.3%). There were no port site bleeding, omental injury, or other possible port-related complications.Conclusion: In this study, port-related complications among the Iranian population have been reportedfor comparison with other populations. The low complication rate of 3.2% aligns with global standards,underscoring the safety of laparoscopic procedures in well-equipped settings.

Background: Septoplasty is one of the most commonly performed operations with several complications.Purpose: To categorize and demonstrate the probability of the occurrence of septoplasty complications.Methods: Three hundred and twelve patients who underwent septoplasty in Loghman Hakim general hospital, Tehran, Iran, were followed up for 6 months and evaluated for probable post-operative complications.Results: The most common complication was remained deviation, which was observed in 26.2% of patients followed by synechiae and perforations. There was no case of serious and life threatening complications.Conclusion: Septoplasty has both aesthetic and functional complication. However, meticulous and careful surgery can prevent most of them.

Objective: Cochlear implantations have become a routinely performed and successful surgical intervention in both adults and children. The current article reports the complications encountered in various age groups of consecutive children who underwent implantation in our center.Methods: We performed a prospective analysis of all profoundly deaf children who underwent cochlear implantation from March 2006 to July 2009 at Baqhiyatallah Cochlear Implantation Center. All patients were younger than 5 years old at the time of implantation.Findings: The minor complications occurred in 49 (18.7%) cases, The most common postoperative complications were temporary facial weakness detected in 15 cases (5.7%) all of which were reversible. Magnet wound was observed in 14 (5.3%) patients, keloid formation in 10 (3.8%), wound infection in 2 (0.8%), otitis media in 5 (2%), and electrode movement, meningitis, vertigo, Laryngospasm each in 1 (0.4%) case was detected among our patients.Conclusion: Cochlear implantation in children continues to be reliable and safe in experienced hands, with a low percentage of severe complications as long as the patient is monitored closely.

Mycotic aneurysms are localized and irreversible dilatations of the arteries caused by weakening and damaging the arterial wall by an invasive organism establishing infective arteritis. Mycotic aneurysm of the thoracic aorta is a rare event; however, it can be fatal if not diagnosed early or not treated appropriately. Clinical findings are usually nonspecific; however, contrast-enhanced computed tomography (CT) is a common imaging modality of choice for the detection of mycotic aneurysms. Current management consists of antibiotic therapy and surgical treatment or endovascular interventions as early as possible. Herein, we present a case report of mycotic aneurysm of the thoracic aorta as a postoperative complication in a 60-year-old female with a clinical history of the cardia and esophageal carcinoma who underwent thoracic surgery. The presence of mycotic aneurysm was detected after performing a contrast-enhanced thoracic CT scan.