#spen

Ben (special needs 6 year old) has been unbuckling this part of carseat and I have no idea how to stop it.

He doesn't understand safety implications and knowing time out or privileges gone isn't motivation

Any ideas?

I have elementary sewing ability but can't visualize anything to help.

There is a product I can find but I've heard bad things about it. (Reveshop car seat buckle)

This is what his belt looks like

I CANT BELIEVE HOW LONG WE HAD TO WAIT

He's so grumpy and sweet, and the size difference

I Don't try

To illustrate

What you see.

You're just as confused as me-

PACE Hospitals’ Surgical Gastroenterology team successfully performed the Whipple's Procedure (Pancreaticoduodenectomy) for a young child suffering from Solid Pseudopapillary Epithelial Neoplasm (SPEN) associated with jaundice and severe biliary obstruction.

Chief Complaints

A 9-Year-Old Male patient presented to the Surgical Gastroenterology Department, at PACE Hospitals, Hyderabad, with complaints of jaundice persisting for three weeks, along with intermittent epigastric pain. The jaundice was associated with generalized itching. There was no history of fever, nausea, vomiting, or significant weight loss.

Medical History

The patient had no history of significant medical conditions, abdominal surgeries, or chronic illnesses. There was no known history of similar complaints in the past. The family history was non-contributory.

Diagnosis

The patient was initially evaluated at an external hospital, where an ultrasound (USG) showed a 47x45x39 mm well-defined, heterogeneous, predominantly solid echogenic lesion in the pancreatic head, externally indenting the common bile duct (CBD), leading to upstream biliary dilatation.

PET-CT confirmed the presence of a mildly hypermetabolic, well-defined, heterogeneously enhancing soft tissue density lesion in the pancreatic head, indenting the ampulla of Vater and CBD, causing dilatation of the cystic duct, common hepatic duct (CHD), and bilateral intrahepatic biliary radical dilatation (IHBRD). 

Based on these findings, the diagnosis of Solid Pseudopapillary Epithelial Neoplasm (SPEN) of the pancreas was established.

Whipple procedure for Solid Pseudopapillary Epithelial Neoplasm (SPEN)

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