Metal bezoars are uncommon foreign bodies (FB) in the gastrointestinal tract (GIT) and comprised of a wide variety of objects. A 17-year-old schizophrenic presented with abdominal pain and distension along with non-bilious vomiting for 2 weeks. Physical examination revealed dullness to percussion in the epigastrium. Plain radiographs revealed objects of metal density contained within a dilated stomach. Laparotomy was performed revealing metal objects in stomach.
Keywords: Metal bezoars, Psychiatric illness, Intestinal obstruction
How to Cite: Siddiqui Z. Metal bezoars causing upper gastrointestinal obstruction in a schizophrenic. APSP J Case Rep 2011; 2:14
Neuroblastoma (NBL) is a neuroectodermal tumor derived from neural crest cells. The biological and clinical behavior of NB is extremely heterogenous. We here report a newborn who presented as 4S NBL with a massive hepatomegaly resulting in IVC syndrome.
Neuroblastoma; Inferior vena cava syndrome; Newborn
Transection of gut due to adhesive band is an unusual complication of adhesive bowel disease. A 2-year old female presented with signs and symptoms of intestinal obstruction. Eight months earlier she underwent laparotomy for excision of duplication cyst of ileum. Exploratory laparotomy performed during current admission showed complete transection of gut.
Transection of gut; Adhesive bowel disease; Intestinal obstruction
Congenital laryngeal cyst is a rare cause of airway obstruction that may require urgent diagnosis and treatment. We report a case of a neonate having history of polyhydramnios and severe respiratory distress at birth. A laryngeal cyst detected during intubation. The outcome of laryngoscopic treatment of the cyst was favorable.
Laryngeal cyst; Polyhydramnios; Respiratory distress
A four-year-old boy presented with constipation and mild abdominal distention for one year. Radiologic investigations showed a multiloculated cystic lesion in the caudate lobe of liver with focal calcification in the wall. The child underwent laparotomy with marsupialization of the cystic lesion. Histopathologic examination showed mature teratoma of liver.
Mature teratoma; Liver; Histopathology
A case of hydatid cyst within a congenital cystic adenomatoid malformation (CCAM) of the right lower lobe of lung in an 8-year-old girl is reported. Presence of CCAM was confirmed on histopathology of the lung tissue attached to the specimen.
Hydatid cyst; Congenital cystic adenomatoid malformation; Pericystectomy
Maffucci’s syndrome is a rare non hereditary disorder characterized by multiple enchondromas and haemangiomas. A 12 year old boy presented with a painful swelling at his right hand and deformed left upper limb. On detailed workup, he was found to have multiple enchondromas involving long bones and a single haemangioma. A diagnosis of Maffucci’s syndrome was established. The clinical features and workup of the disease in our patient is reported.
Maffucci’s syndrome; Enchondromas; Haemangiomas
Prostatic utricle cyst is a rare midline cystic lesion between the urinary bladder and the rectum, commonly associated with hypospadias. Along with its rarity, it presents a challenge in its diagnosis and proper management. We report a case of large prostatic utricle cyst that was managed conservatively.
Prostatic utricle; Urethra; Stricture
Hoover and Duckett identified the relationship between valves, reflux, and dysplasia, commonly known as VURD (Posterior urethral valve, Unilateral vesicoureteral reflux, Renal dysplasia) syndrome. They noted preserved contralateral renal function in patients with unilateral reflux into a non-refluxing kidney. The proposed mechanism of this protection is that the refluxing collecting system acts as a pressure pop-off. Here we report three cases of VURD syndrome.
Posterior urethral valve; Vesicoureteral reflux; Dysplasia
Mesenteric teratomas are extremely rare in children. We report a case of 5-year-old girl with abdominal mass and fever. At operation, a multicystic mass with variable consistency found within the leaves of the mesentery of jejunum with pus in it. Histopathology examination showed mature infected teratoma of the mesentery.
Mature teratoma; Mesentery
Gastrointestinal stromal tumours (GIST) are rare in paediatric patients and have a discrete clinicopathological and molecular divergence from that observed in adults. In the present report we present a case of a 2-month-old female in whom colonic gastrointestinal stromal tumour acted as a lead point of colocolic intussusception. Laparoscopically assisted reduction of the intussusception and resection of tumour was done.
Gastrointestinal stromal tumour; Colonic intussusception; Child
Lipoblastoma is a rare benign soft-tissue neoplasm that occurs most commonly in children less than 3 year of age. We present a case of left suprascapular lipoblastoma in an 11-month-old boy which grew into the thorax and was approached by thoracoscopy. In this case thoracoscopic approach was the best option to reach the intrathoracic component of the mass in the apex of the left side of the chest.
Thoracoscopy; Thoracic tumor; Lipoblastoma
Acute appendicitis is a rare condition in neonates, with a high mortality. If perforated, it seldom presents with radiologically significant pneumoperitoneum. An 11-day-old newborn presented with abdominal distension and reluctance to feeds. X-ray abdomen revealed significant pneumoperitoneum. After optimization of his condition, exploratory laparotomy was performed. Perforated appendix was found and appendicectomy done. Post operative course was stormy that lead to demise of the baby.
Pneumoperitoneum; Neonatal appendicitis; Mortality
Single trocar transanal endoscopic surgery (STTE) is a well-known technique for evaluation and management of rectal lesions in adults. We used an 11mm balloon trocar with a 10mm operative optic, introduced into the anal canal to excise a rectal lesion along with multiple rectal biopsies in a child. Rectal visibility was good with an ease to maintain the rectum insufflated.
Single trocar transanal endoscopy; Rectal lesion; Transanal surgery; Child
Mediastinal teratomas are rarely reported in children. We report a 12-year-old child, diagnosed and treated as empyema thoracis in a peripheral setting for 18 months. In our centre, CT scan performed revealed a well circumscribed multiloculated cystic lesion containing fat, bone and teeth, suggestive of a teratoma. The mass was excised and found to be an infected posterior mediastinal teratoma, confirmed on histopathology.
Infected teratoma; Mediastinum; Empyema thoracic