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1.  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
2.  Maffucci’s Syndrome or a Variant? 
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.
PMCID: PMC3754400  PMID: 24040593
Maffucci’s syndrome;  Enchondromas;  Haemangiomas
3.  Perforated Neonatal Appendicitis with Pneumoperitoneum 
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.
PMCID: PMC3754406  PMID: 24040599
Pneumoperitoneum;  Neonatal appendicitis;  Mortality
4.  Bilateral Suspected Tuberculous Empyema Thoracis 
Empyema thoracis is a well known complication following para-pneumonic effusions in paediatric age group. Usually it is unilateral but rarely could be bilateral. Herein we report a case of bilateral tuberculous empyema thoracis in a 12 years old, unvaccinated girl with a positive history of contact with tuberculosis. She was managed conservatively with tube thoracostomies and anti-tuberculous drugs. Emphasis is on the conservative approach and patience in management of patients with bilateral empyema thoracis.
PMCID: PMC3418046  PMID: 22953307
Empyema thoracis;  Tuberculosis;  Tube thoracostomy
5.  Pneumoscrotum: A Rare Presentation of Gastric Perforation in a Neonate 
Pneumoperitoneum in neonates is not an uncommon condition. Free air in peritoneum may be secondary to host of pathological lesions. Usually the patient presents with signs of intraperitoneal sepsis, however presence of air in the scrotum as a concomitant sign is a rare event. Herein we report a 4-day-old neonate who presented with 2 days history of fever and scrotal swelling. Abdominal signs were subtle. Scrotum was hugely distended and tense. Workup of the patient revealed free intraperitoneal gas with air in the scrotum. At exploration, two perforations were found near the greater curvature of stomach and repaired. Post-operative course was uneventful.
PMCID: PMC3418002  PMID: 22953258
Gastric perforation;  Pneumoscrotum;  Neonate

Results 1-5 (5)