What I Would Like to be Remembered for!

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Anorectal Laceration due to Crush Injury: A Case of Rarity

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Multiple Jejunoileal Atresia and Stenosis with Duplication Cyst in a Newborn

Jejunoileal atresia is a congenital anomaly that is characterized clinically by bilious vomiting and abdominal dis-tension. It has been associated with various other anomalies but its association with mesenteric cyst is rare. We are presenting a patient with antenatally diagnosed duplication cyst with multiple jejunoileal atresia and stenosis with possible etiology behind such an association.

Congenital Umbilical Appendix Misdiagnosed as Umbilical Granuloma: Report of 2 Cases

Background: Umbilical cord hernia is an uncommon umbilical anomaly which develops during 10th to 12th weeks of gestational age owing to failure of complete bowel return into coelomic cavity. In extremely rare cases appendix is the only trapped organ in hernia sac which may erode the overlying membrane and simulate umbili-cal granuloma. Case Report: Two infants presented with delayed umbilical cord separation with a reddish mass at umbilicus which was initially diagnosed as umbilical granuloma. Surgical exploration on failure of conservative measures revealed it as vermiform appendix. Appendectomy was done in both cases. Conclusion: Vermiform appendix at umbilicus is a rare congenital anomaly and may simulate other pathologies at umbilicus.

Intramural Duodenal Hematoma In 2-year Old Child

Background: Intramural hematoma of the duodenum is a rare cause of acquired duodenal obstruction. It is often a diagnostic dilemma and a high degree of suspicion is required to make an early and accurate diagnosis in children. Case Report: A 2-year-old child presented with bilious vomiting and abdominal distension. X-ray abdomen showed high intestinal obstruction. Ultrasound and CT scan abdomen gave suspicion of pancreatic pseudo-cyst near head of pancreas. At surgery, an intramural hematoma of the duodenum was found and drained. Conclusion: Intramural duodenal hematoma is a rare entity especially in children and should be considered in differential diagnosis of acquired duodenal obstruction.

Antenatally Diagnosed Suprarenal Mature Cystic Teratoma with Down Syndrome

Background: Teratoma is a germ cell tumor (GCT) arising from totipotent stem cells that differentiate into the tissues that are foreign to the anatomic site. Teratoma at the suprarenal location is extremely rare. The associa-tion with the Down syndrome also makes it unusual. Case Report: We are presenting here a case of one-year-old female infant with Down syndrome who had an antenatal diagnosis of right suprarenal mass. Laparotomy revealed a large cystic mass in the right suprarenal location which was completely excised. Right adrenal gland could not be seen separately from the mass. The histological diagnosis was a mature cystic teratoma. Conclusion: Adrenal teratoma is rare and may be considered in the differential diagnosis of antenatally diag-nosed suprarenal lesion. Its association with Down syndrome is rare finding.

Post Necrotizing Enterocolitis Colonic Strictures: Report of 5 Cases

Background: With increasing survival of patients suffering from necrotizing enterocolitis (NEC) colonic strictures, as its late sequelae, is increasingly being seen and most of these patients present with chronic constipation. Case Series: Five patients of acquired colonic stricture presenting with abdominal distension and constipation are being reported here. All five patients varied in clinical features, age at presentation and surgical manage-ment. Three of them had abdominal distension and constipation with poor nutritional status. Primary resection with anastomosis could be done in only one while stoma was made initially in other patients. One patient pre-sented with sealed perforation and fistula between jejunum and colon. All, except one patient, had stricture at splenic flexure. Histopathology of colon reported normal ganglion cells in all patients. Conclusion: All survivors of necrotizing enterocolitis, should be followed for the development of colonic stricture; It should be kept as important differential diagnoses of chronic constipation in children.

Acute Presentation of Eventration of Diaphragm with Gastrothorax in an Infant

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Single System Ectopic Congenital Giant Megaureter Associated with Ipsilateral Multicystic Dysplastic Kidney

Congenital anomalies of the kidney and urinary tract (CAKUT) is a disease spectrum of a wide range of structural and functional anomalies. In this report, we have presented a rare case of CAKUT displaying the wide spectrum of renal and urinary tract anomalies with an unusual association like single system ectopic giant megaureter with the ipsilateral multicystic dysplastic kidney.

Congenital Anterior Urethrocutaneous Fistula: Report of Three Cases

The Congenital anterior urethrocutaneous fistula is a rare entity with varied anatomic configurations. In this report, we present three different varieties of congenital anterior urethrocutaneous fistula. The anterior urethrocutaneous fistula was associated with no urethra, hypoplastic urethra, and normal urethra, distal to fistula, 1 in each patient. Each required a different treatment strategy. Postoperative outcome was good in all cases.