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51.  Two Cases of Omental Torsion Mimicking Acute Appendicitis 
Acute appendicitis is often simulated by other entities like mesenteric adenitis, worm infestation, Meckel’s diverticulitis, urinary tract infection and rarely omental torsion. We report two cases, a 6 year old boy and an 11 year old girl, who presented with symptoms and signs of acute appendicitis but upon exploration turned out to be omental torsion.
PMCID: PMC4005095  PMID: 24834389
Omental torsion; Omentectomy; Appendectomy
52.  Stage 4S Bilateral Adrenal Neuroblastoma in a Newborn 
Stage 4S bilateral adrenal neuroblastoma presenting in the neonatal period is extremely rare. A 1-day-old male with 4Sbilateral adrenal neuroblastoma complicated by marked hepatomegaly managed by chemotherapy is being reported. The provisional diagnosis of neuroblastoma was made in the fetal life during the last trimester of pregnancy. Cardiomyopathy due to doxorubicin cytotoxicity developed over ensuing years, which is being treated.
PMCID: PMC4005096  PMID: 24834390
Stage 4S; Bilateral adrenal neuroblastoma; Neonate
54.  Extrahepatic Biliary Papillomatosis in a Child 
In children, benign neoplasms of extrahepatic biliary ducts are extremely rare. We report a case of 3 year old girl who presented with abdominal pain and jaundice for 6 months. The final diagnosis on histopathology was papillomatosis in lower common bile duct.
PMCID: PMC3863823  PMID: 24381830
Extrahepatic biliary papillomatosis;  Common bile duct;  Polyp
55.  Isolated Soft Tissue Cysticercosis Involving the Trunk in Children: Report of 4 Cases 
Isolated soft tissue cysticercosis of the trunk in the absence of concurrent central nervous system involvement is uncommon and may be difficult to diagnose. We report 4 such cases in the pediatric age group. Preoperative diagnosis of soft tissue cysticercosis was considered only in 1 patient, the rest were diagnosed only after biopsy. Complete excision (without rupture) was done. All of them underwent a CT scan head along with ophthalmic examination to rule out the more common sites of occurrence of cysticercosis. No further treatment was undertaken as the evaluation was negative. In endemic areas like ours we must suspect this entity not only in the limb muscles, but also in the subcutaneous tissues of the trunk. If diagnosed accurately, it can be treated medically, eliminating the need for surgery.
PMCID: PMC3863824  PMID: 24381831
Cysticercosis; Taenia solium; Parasitic cyst
56.  Perforated Appendicitis with Peri-Appendicular Abscess in an Amyand’s Hernia 
Amyand’s hernia is a rare clinical condition in which a normal or an inflamed appendix lies in the inguinal hernial sac. Perforated appendicitis in an Amyand’s hernia is even more uncommon. Herein we report such a rare case in a 4 month old baby who presented with an irreducible right inguino-scrotal swelling. Exploration revealed perforated appendix in the hernial sac with local abscess. A transherniotomy appendectomy was done. Postoperatively, the patient developed wound infection, which resolved with wound care. Pediatric / hernia surgeons must remember this rare clinical situation while managing children with acute right inguino-scrotal swellings.
PMCID: PMC3863826  PMID: 24381833
Amyand’s hernia; Perforated appendix; Peri-appendicular abscess
57.  Pedicled Omental Onlay Flap for Post-Traumatic Intrahepatic Major Ductal Injury 
We report a 5-year-old girl who presented with post traumatic biliary leakage that failed to respond to conservative management for two weeks. Surgical exploration in the third week revealed a partially healed 5 cm long hepatic laceration in the right lobe of the liver. Bile was found leaking through a rent in the major right intra-hepatic duct at the apex of liver laceration. A pedicled onlay omental flap was used to buttress this rent as direct closure was not possible due to friable tissue. The child recovered uneventfully.
PMCID: PMC3863827  PMID: 24381834
Post traumatic intra-hepatic bile duct; Omental flap; Bile leak
58.  Pediatric Priapism: A Rare First Manifestation of Leukemia 
Priapism is a rare disease. It is an emergency condition with a poor prognosis, and the risk of impotence is 50% despite appropriate management. Though about 20% cases of all priapism are related to hematological disorders, the incidence of priapism in adult leukemic patients is only about 1-5 percent. The incidence in pediatric leukemia patient is even rarer. Here we present a case of priapism in a 14-year-old apparently healthy boy who found to have chronic myeloid leukemia on subsequent investigations.
PMCID: PMC3863828  PMID: 24381835
Priapism; Leukemia; Child
59.  Two Cases of Late-Diagnosed Ovotesticular Disorder of Sex Development 
Ovotesticular disorder of sex development (ovotesticular DSD) is defined as the presence of testicular and ovarian tissue in the same individual. Both external and internal genitalia of patients with ovotesticular DSD display a spectrum of phenotypes. Most children present with ambiguous genitalia in combination with unilateral or bilateral undescended gonads. We experienced two late-diagnosed children who presented with proximal hypospadias and bilateral scrotal gonads. One should consider the possibility of ovotesticular DSD when managing patients with proximal hypospadias even if both gonads are palpable in the scrotum.
PMCID: PMC3863829  PMID: 24381836
Disorder of sex development; Ovotestis; Hypospadias
60.  Congenital Spigelian Hernia and Cryptorchidism: Another Case of New Syndrome 
Spigelian hernia (SH) is rarely seen in pediatric age group and is usually associated with cryptorchidism on the same side; termed as a syndromic association of the defect in the Spigelian fascia and absence of gubernaculum and inguinal canal. The absence of the inguinal canal has surgical implication as to placement of the undescended testis into the scrotum. A 3-month-old baby presented with spigelian hernia and ipsilateral impalpable testis. The spigelian hernia was repaired and undescended testis which was present in abdominal wall layers was brought to scrotum with cord structures anterior to external oblique muscle.
PMCID: PMC3863830  PMID: 24381837
Spigelian hernia; Cryptorchidism; Inguinal canal; Agenesis
61.  Child with a Tail 
Spina Bifida occulta usually presents with some cutaneous stigmata e.g. hair patch, sinus, lipoma, hyperpigmented skin and very rarely a congenital tail. A congenital tail may and may not be associated with spina bifida occulta and tethered cord. A four month old male child presented with congenital tail which was associated with spinal dysraphism and caused tethering of the cord itself. The tail and tethering lesion were excised successfully.
PMCID: PMC3863831  PMID: 24381838
Spina bifida; Spinal dysraphism; Congenital tail; Tethered spinal cord
62.  Congenital Melanocytic Nevi with Primary Cerebral Melanoma: A Rarity 
A16-year-old male was admitted in hospital because of frontal and temporal melanoma. There were congenital giant nevi on his back and head. Positron emission computed tomography revealed no extra-cranial primary lesion. He underwent surgery, whole-brain radiotherapy (WBRT), and chemotherapy; but he could not be saved and died 6 months after establishing diagnosis.
PMCID: PMC3863832  PMID: 24381839
Congenital melanocytic nevi; Intracranial melanoma; Primary melanoma

Results 51-75 (174)