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author:("Mirza, bilag")
3.  Appendicular Band Syndrome simulating Appendicular Mass in a Child 
Appendicular band syndrome is an exceedingly rare surgical emergency that may lead to intestinal obstruction and strangulation. We report a case of 2-year-old boy who presented with acute intestinal obstruction with a mass in right iliac fossa (RIF). At exploration, an inflamed appendix had entrapped a loop of terminal ileum leading to its strangulation and gangrene. The appendectomy and resection of gangrenous gut were done with formation of an ileostomy.
PMCID: PMC4207234  PMID: 25374796
Appendicular Band; Knot; Appendicular Mass; Strangulation
5.  Colovaginoplasty in a Case of Mayer-Rokitansky-Kuster-Hauser Syndrome 
Mayer-Rokitansky-Kuster-Hauser Syndrome (MRKHS) is characterized by various abnormalities of paramesonephric duct structures; vaginal aplasia being the commonest anomaly in the spectrum. We report a 17-year-old girl; a case of MRKHS with vaginal agenesis. The cervix was present but atretic; uterus, fallopian tubes and ovaries were normal. There were no associated renal or skeletal defects. Colovaginoplasty was done to bridge the gap between uterus and introitus. Postoperatively, small part of colovaginoplasty flap became necrotic posteriorly, which was ultimately managed by insetting of labial flap.
PMCID: PMC4005094  PMID: 24834388
Mayer-Rokitansky-Kuster-Hauser Syndrome; Vaginal agenesis; Colovaginoplasty
7.  Congenital Midline Cervical Cleft 
PMCID: PMC3525291  PMID: 23277891
8.  Pyloroduodenal Duplication Cyst: The Rarest Alimentary Tract Duplication 
Pyloroduodenal duplication is the rarest alimentary tract duplication known so far. A 1-year-old female patient presented with abdominal pain, lump in the epigastrium and occasional vomiting. On ultrasound and CT scan of abdomen suspicion of duplication cyst was made. Operation revealed a duplication cyst along pylorus and first part of the duodenum. Excision of free part and mucosal stripping of the attached part of the duplication was done.
PMCID: PMC3468338  PMID: 23061035
Pyloroduodenal duplication;  Vomiting;  Abdominal mass
11.  A Case of Fetus in Fetu 
Fetus in fetu is a rare developmental aberration, characterized by encasement of partially developed monozygotic, diamniotic, and monochorionic fetus into the normally developing host. A 4-month-old boy presented with abdominal mass. Radiological investigations gave the suspicion of fetus in fetu. At surgery a fetus enclosed in an amnion like membrane at upper retroperitoneal location was found and excised. The patient is doing well after the operation.
PMCID: PMC3418045  PMID: 22953303
Fetus in fetu;  Teratoma;  Abdominal mass
13.  Congenital right hemidiaphragmatic agenesis 
Congenital diaphragmatic hernia is a congenital defect of the diaphragm through which intestine and other viscera herniate into the chest. In extreme form of diaphragmatic maldevelopment, there might be a complete agenesis of diaphragm. A 45-day old male infant was presented with fever, cough and respiratory distress for a week. Chest radiograph showed right-sided congenital diaphragmatic hernia. The patient underwent surgical exploration and found to have an unusual and large defect of right hemidiaphragm. The diaphragm was absent on anterior and lateral aspects of the chest wall and only a small rim of diaphragm was present on posterior aspect. The defect was identified as agenesis of right hemidiaphragm and successfully managed by suturing the posterior rim of diaphragm to the intercostal muscles and ribs. This report describes successful management of hemidiaphragmatic agenesis without incorporating a prosthetic material.
doi:10.4103/0970-2113.92364
PMCID: PMC3276035  PMID: 22345915
Congenital diaphragmatic hernia; diaphragmatic agenesis; Prolene mesh; repair
14.  Mortality in a Case of Crystal Gel Ball Ingestion: An Alert for Parents 
Decorative crystal gel balls are used for decoration purpose. Due to their attractive appearance they may be ingested by children. This may result in grave complications. A case of decorative crystal ball ingestion is being reported in a 6 months old infant who presented with sub acute intestinal obstruction and was operated. Crystal gel balls were causing obstruction of jejunum. Enterotomy and removal of the mass of jelly balls was done with primary closure. The patient was re-operated for anastomotic disruption on 6th postoperative day. Baby developed septicemia, and succumbed after 2 days of second operation.
PMCID: PMC3418032  PMID: 22953300
Crystal balls;  Jelly balls;  Mortality
16.  Congenital pouch colon with ileovesical and colovesical fistulae: A new variant 
We report a case of persistent cloaca and type I congenital pouch colon associated with ileovesical and colovesical fistulae. Such a malformation has not been reported so far.
doi:10.4103/0971-9261.86885
PMCID: PMC3221165  PMID: 22121321
Congenital pouch colon; Ileovesical fistula; persistent cloaca
17.  Congenital pouch colon 
Annals of Saudi Medicine  2011;31(5):546-547.
doi:10.4103/0256-4947.84643
PMCID: PMC3183695  PMID: 21911998
19.  Open Safety Pin Ingestion Presenting as Incarcerated Umbilical Hernia 
Foreign body ingestion is common in children. Sharp foreign bodies are potentially harmful and can result various complications. An 8-month-old infant presented with incarcerated umbilical hernia. With a suspicion of strangulation, operation was performed that revealed a loop of ileum being stuck in the umbilical defect. The loop of ileum was freed from the umbilicus which demonstrated open ends of safety pin piercing out of bowel lumen. The enterotomy followed by removal of safety pin was performed.
PMCID: PMC3418029  PMID: 22953292
Safety pin ingestion; Strangulated umbilical hernia; Intestinal perforation
20.  Reconstructive Surgery in a Patient with Persistent Cloaca 
Cloacal malformations are challenging as to the surgical correction. A case of cloacal malformation who underwent reconstructive surgery is being reported. The patient had colostomy in the neonatal period and reconstruction was performed at the age of 6 year. The surgical management included abdomino-perineal anorecto-urethro-colo-vaginoplasty. The patient is fully continent of urine and achieved fair continence of feces at 9 months of follow up.
PMCID: PMC3418031  PMID: 22953290
Persistent cloaca; Urogenital sinus; Anorectal malformation; Fecal continence
21.  Pulmonary sequestration cyst in a patient of cerebral palsy 
Pulmonary sequestration cyst is a rare entity in pediatric patients. Most of the time, it is diagnosed as an incidental finding. It is associated with other congenital anomalies, especially congenital diaphragmatic hernia. We report a patient of cerebral palsy presented with vomiting and recurrent chest infections. He was diagnosed to have hiatal hernia on computed tomography scan of chest. At operation, a pulmonary sequestration cyst along with hiatal hernia, malrotation, and meckel's diverticulum was encountered. The sequestration cyst was managed through transhiatal approach.
doi:10.4103/0970-2113.83980
PMCID: PMC3162762  PMID: 21886959
Bronchopulmonary sequestration; foregut malrotation; hiatal hernia; meckel's diverticulum
22.  Decorative crystal balls causing intestinal perforation 
Crystal jelly balls are used for decorative purpose in homes and offices. They swell on contact with water. We managed a patient with a clinical diagnosis of acute abdomen. At surgery, there was fecal peritonitis and three ileal perforations caused by previously ingested decorative crystal balls.
doi:10.4103/0971-9261.83493
PMCID: PMC3160050  PMID: 21897572
Acute abdomen; crystal balls; generalized peritonitis; intestinal perforation; missing foreign body
23.  Lymph Nodal Infarction Simulating Acute Appendicitis 
A number of diseases can present as acute right iliac region pain. Lymph node infarction, located adjacent to the cecum, mimicking acute appendicitis in a 13-year-old boy is presented here.
PMCID: PMC3418018  PMID: 22953280
Lymph node infarction;  Acute appendicitis;  Pain right iliac region

Results 1-25 (47)