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1.  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
2.  Mature Gastric Teratoma: The Mixed Exogastric and Endogastric Variety  
Gastric teratomas are extremely rare tumors. A 15-day-old neonate presented with abdominal mass. Ultrasound of abdomen showed mixed echogenicity lesion. CT scan showed a mass with solid and cystic components and internal calcifications. At operation a tumor arising from the posterior wall of the stomach found. It was exogastric as well as endogastric in location. Biopsy report was suggestive of mature teratoma.
PMCID: PMC3418022  PMID: 22953284
Gastric teratoma;  Endogastric tumor;  Exogastric tumour
4.  Isolated Terminal Myelocystocele: A Rare Spinal Dysraphism 
Terminal myelocystocele is a rare spinal dysraphism that present as lumbosacral mass. Magnetic resonance imaging (MRI) is the modality of choice for preoperative diagnosis. A 2.5 months old female baby presented with lumbosacral skin covered mass. There were no associated neurological deficits. MRI of the lesion suggested two cysts, one of which was continuous with the central canal of the spinal cord. At operation terminal myelocystocele was found with tethering of the spinal cord. Untethering of the spinal cord and repair of the myelocystocele performed with uneventful recovery.
PMCID: PMC3418015  PMID: 22953270
Terminal myelocystocele; Spinal dysraphism; Myelomeningocele
5.  Enteroscrotal Fistula: A Rare Complication of Incarcerated Inguinal Hernia  
Inguinal hernia is a frequent surgical condition encountered of pediatric age group. It may get incarcerated and at times strangulated requiring prompt intervention. However if lesion is not treated timely a host of complications may occur. Enteroscrotal fistula is one such rare complication that may follow such discourse. We report a case of 25-days old male neonate who presented with enteroscrotal fistula due to incarcerated right inguinal hernia. Patient was explored through abdomen and the involved part of ileum was resected and ileo-ileal anastomosis performed.
PMCID: PMC3417997  PMID: 22953264
Strangulated inguinal hernia; Enteroscrotal fistula; Neonate
6.  Immature Gastric Teratoma: A Rare Tumour 
Gastric teratomas are very rare tumours in children. They usually present with a palpable mass in the upper abdomen. We report a case of gastric teratoma in one and half month old male infant who presented with a palpable mass in abdomen, extending from epigastrium to the pelvis. Ultrasound of abdomen revealed a huge mass with solid and cystic components. CT scan delineated calcifications in the mass. The preoperative diagnosis was a teratoma but not specifically gastric one. The mass was excised completely with seromuscular layer of the stomach wall. The histopathology confirmed it to be grade-3 immature gastric teratoma. The rarity of the origin of teratoma in addition to its immature variety prompted us to report the case.
PMCID: PMC3417998  PMID: 22953260
Gastric teratoma; Immature teratoma; Infant
7.  Partial Avulsion of Common Bile Duct and Duodenal Perforation in a Blunt Abdominal Trauma  
Complete or partial avulsion of common bile duct is a very rare injury following blunt abdominal trauma in children. A 7-year old boy presented to ER following blunt abdominal trauma by a moving motorcycle. X ray abdomen revealed free air under diaphragm and CT scan showed pancreatic contusion injury. At operation anterior wall of common bile duct (CBD) along with a 2mm rim of duodenal tissue on either side of anterior wall of CBD were found avulsed from the duodenum. The avulsed portion of CBD and duodenum were reanastomosed and a tube cholecystostomy performed. The patient had an uneventful recovery.
PMCID: PMC3418003  PMID: 22953262
Common bile duct; Avulsion; Blunt abdominal truama;  Duodenal perforation

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