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author:("Mirza, bilan")
2.  Hernia of Umbilical Cord: Report of Three Unusual Cases 
Congenital hernia of umbilical cord is a less frequent entity in newborns and occasionally associated with other maladies. Herein, we report three unusual cases of hernia of umbilical cord. First case was associated with in-utero evisceration of entire small bowel through the presumably ruptured hernia of umbilical cord and other two cases had associated patent vitellointestinal duct (PVID). All of the cases were managed successfully.
PMCID: PMC4447469  PMID: 26034710
Hernia of umbilical cord;  Evisceration of bowel; Patent vitellointestinal duct; Neonatal intestinal obstruction; Intestinal atresia; Colonic stenosis
4.  Displacement of Small bowel into the Lesser Sac in a Case of Complete Congenital Pouch Colon 
Postoperative neonatal intestinal obstruction has a myriad of etiology. An operated case of imperforate anus developed intestinal obstruction early postoperatively. At re-operation, missed complete congenital pouch colon with a small perforation and displacement of small bowel into the lesser sac were found. The patient was managed by adhesionolysis, excision of pouch colon, and end ileostomy. The patient did well postoperatively.
PMCID: PMC4420407  PMID: 26023530
Congenital pouch colon;  Internal hernia; Lesser sac
7.  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
11.  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
12.  Congenital Hairy Polyp of Posterior Tonsillar Pillar 
Congenital hairy polyps are exceedingly rare congenital anomalies. We report a case of congenital hairy polyp arising from posterior tonsillar pillar which was excised with bipolar cautry.
PMCID: PMC4420430  PMID: 26023478
congenial hairy poly; posterior tonsillar pillar; neonate
16.  Congenital Midline Cervical Cleft 
PMCID: PMC3525291  PMID: 23277891
18.  Auto-amputated Ovarian Cyst with Compression Sequelae: A Case Report 
Ovarian cysts contribute a major share of cystic lesions in fetal life. Quite often, these cysts are benign and resolve spontaneously. Occasionally, these cysts can twist, resulting in ovarian loss. We report a case of auto-amputated ovarian cyst presetting with intestinal obstruction.
PMCID: PMC4420356  PMID: 26023413
Ovarian cyst;  Fallopian tubal atresia;  Ileal stenosis
20.  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
21.  Multiple Congenital Segmental Dilatations of Colon: A Case Report  
Congenital segmental dilatation of colon (CSDC) is a rare malformation in neonates. A single segmental dilatation of colon is mentioned in the available case reports. Not a single case of multiple CSDC is reported hitherto. We report a case of multiple CSDC associated with cleft lip and palate, and rectal atresia.
PMCID: PMC4420409  PMID: 26023399
Multiple congenital segmental dilatations of colon; neonate; rectal atresia
22.  Congenital Pouch Colon: A Preliminary Report from Pakistan 
Background: Congenital pouch colon (CPC) is a rare entity in patients of anorectal malformations (ARM) requiring special consideration as to the management. This study is aimed at evaluating the presentation, management, and the outcome of initial surgery in patients with CPC.
Materials and Methods: This retrospective study was conducted in the department of Pediatric Surgery of our institute during May 2007- May 2010. The Information about the demography, clinical features, investigations, management, and the outcome of initial surgery was retrieved and analyzed.
Results: There were 21 patients of CPC managed during the study period. Sixteen (76%) were males and five (24%) females (M:F 3.2:1). Mean age of presentation was 4.8 days with a range of 12 hours to 45 days. In 18 (85.7%) patients, CPC was found with high ARMs, whereas, in 3 (14.3%) patients it was associated with low ARMs. Imperforate anus with moderate to massive abdominal distension was the presentation in 16 (76%) patients. Abdominal radiographs helped in preoperative diagnosis in 8 patients. Two patients had pneumoperitoneum on abdominal radiographs. At operation, type I CPC was found in 9 (42.8%) patients, type II in 5 (23.8%), type III in 2 (9.5%) patients, and type IV CPC in 5 (23.8%) patients. In 11 (52.4%) patients, pouch was emptied and retained with proximal enterostomy. In 7 (33.3%) patients, end enterostomy with pouch excision was done. In two patients, a window colostomy was formed. In one patient, pouch was disconnected from the normal bowel and Hartmann’s pouch with end ileostomy was formed. There were 2 (9.5%) deaths in our series.
Conclusion: CPC is a rare malformation. Massive abdominal distension with imperforate anus is the common presentation. Optimum management can reduce the morbidity and mortality.
PMCID: PMC4420416  PMID: 26023397
Imperforate anus; congenital pouch colon; urogenital anomalies

Results 1-25 (67)