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1.  Metal Bezoars Causing Upper Gastrointestinal Obstruction in a Schizophrenic 
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
PMCID: PMC3418016  PMID: 22953281
3.  Amyand’s Hernia with Perforated Appendix in a Neonate 
When vermiform appendix is found in the inguinal hernial sac, the condition is called Amyand’s hernia (AH). Appendix in hernial sac can be normal, inflamed or perforated. It can present as complicated hernia or acute scrotum. We present a case of Amyand’s hernia in a 25-day-old male who presented with an obstructed hernia having perforated appendix in the hernial sac.
PMCID: PMC4207239  PMID: 25374801
Amyand's hernia; Appendix; Neonate
4.  Segmental Dilatation of Intestine Presenting as Partial Intestinal Obstruction in a Child 
Segmental dilatation of the intestine in pediatric age group is a rare entity. Patients usually present with partial intestinal obstruction which may delay surgical decision. Our case was an 18-month-old girl, who presented with partial intestinal obstruction, provisionally diagnosed as a case of Hirschsprung’s disease. Diagnostic evaluation with contrast study gave a clue of small intestinal obstruction with a dilated segment.
PMCID: PMC4090817  PMID: 25057472
Intestinal obstruction; Intestinal dilatation; Segmental dilatation
5.  Neonatal Cullen's Sign 
PMCID: PMC4005086  PMID: 24834393
6.  Extra-Adrenal Myelolipoma: A Rare Entity in Paediatric Age Group 
Extra-adrenal myelolipoma is a well-described entity in adult population, however it is extremely rare in paediatric age group. An unusual case of intra-peritoneal extra-adrenal myelolipoma in an 8-year-old child is presented here. The lesion was incidentally detected while evaluating the patient for spasmodic abdominal pain. Ultrasonography followed by CT scan and MRI imaging suggested the diagnosis which was confirmed by histopathology. A non-surgical approach was adopted and there was no progression of the lesion on follow-up imaging.
PMCID: PMC3863825  PMID: 24381832
Extra-adrenal myelolipoma; Pain in abdomen; Child
8.  Urinary Bladder Hemangioma –A Rare Urinary Bladder Tumor in a Child 
Urinary bladder hemangiomas are rare, accounting for 0.6% of the urinary bladder tumors. Hemangioma is considered arising from embryonic stem cells of an angioblastic lineage. A 3-year old boy presented with hematuria. He had past operative history of excision of extensive lymphatic malformation involving retroperitoneum, pelvis and upper thigh. Computed tomography scan of abdomen and pelvis with contrast revealed a large soft tissue mass arising from the dome of the bladder. Partial cystectomy was done. Histopathology confirmed the mass as cavernous hemangioma of urinary bladder.
PMCID: PMC4288837  PMID: 25628995
Hemangioma; Stem cells; Urinary bladder; Cystectomy
15.  Isolated Hydatid Cyst in a Single Moiety of an Incomplete Duplex Kidney 
Isolated hydatid cyst of kidney is very rare. Hydatid cyst of a duplex renal system is even more rare. We report a 13-year old girl with duplex system of right kidney with isolated hydatid cyst in upper moiety. Right nephrectomy was done to cure the condition.
PMCID: PMC4288833  PMID: 25628991
Hydatid cyst; Echinococcosis; Duplex kidney
16.  Extra-lobar Pulmonary Sequestration Requiring Intrauterine Thoracentesis 
Congenital lung malformations can result in significant morbidity and mortality in children. Pulmonary sequestration is an uncommon congenital malformation of the lung that can cause complications even in fetal life. We herein present a newborn with extra-lobar sequestration (ELS) that lead to hydrops fetalis necessitating fetal intervention.
PMCID: PMC4288834  PMID: 25628992
Extra-lobar pulmonary sequestration; Fetal pleural effusion; Congenital lung malformations
17.  Endoscopic Cystogastrostomy: Minimally Invasive Approach for Pancreatic Pseudocyst 
Pancreatic pseudocysts in children are not uncommon. Non-resolving pseudocysts often require surgical intervention. Endoscopic cystogastrostomy is a minimally invasive procedure which is recommended for this condition. We report a large pancreatic pseudocyst in a 4-year old child, which developed following therapy with PEG-Asparaginase for acute lymphoblastic leukemia. It was managed with minimally invasive procedure.
PMCID: PMC4288835  PMID: 25628993
Pancreatic pseudocyst; Paediatric patients; Endoscopic cystogastrostomy
18.  Segmental Dilatation of Ileum Associated with Anterior Thoracolumbar Meningomyelocele and Bilateral Undescended Testes 
Segmental dilatation of ileum (SDI) is a rare clinical entity and so is anterior thoracic meningomyelocele (AMC). There has been no reported association between these two clinical entities. We hereby report a very rare presentation of these two in a 4 year old boy who presented with swelling in the right lower abdomen. Preoperative diagnoses were partial cecal volvulus and duplication cyst. At operation, SDI along with AMC was found.
PMCID: PMC4288836  PMID: 25628994
Segmental dilatation of ileum; Anterior meningomyelocele; Undescended testes
20.  Gastric Trichobezoar in a 6-Year Old Girl 
PMCID: PMC4288839  PMID: 25628997
22.  Actinomycosis of the Appendix in Childhood- An Unusual Cause of Appendicitis 
Actinomycosis is a rare chronic bacterial infectious disease in childhood. A 14-year-old boy admitted with cramping abdominal pain and vomiting. Physical examination revealed right lower quadrant tenderness. Appendectomy was performed. On the histological section, typical actinomycotic (sulfur) granules in the appendiceal lumen were observed.
PMCID: PMC4207231  PMID: 25374793
Appendicitis; Actinomycosis; Diagnosis
23.  Staged Closure of Giant Omphalocele using Synthetic Mesh 
Giant omphalocele is difficult to manage and is associated with a poor outcome. A male newborn presented to our hospital with a giant omphalocele. We performed a staged closure of giant omphalocele using synthetic mesh to construct a silo and then mesh abdominoplasty in the neonatal period that led to a successful outcome within a reasonable period of hospital stay.
PMCID: PMC4207232  PMID: 25374794
Giant omphalocele; Staged closure; Silo; Synthetic mesh
24.  Fetus in Fetu: Report of Two Cases 
Fetus-in-fetu (FIF) is a rare and interesting entity characterized byincorporation of a malformed, monozygotic, diamnionic parasitic twin into the body of other normal twin partner. FIF is differentiated from teratoma by its embryological origin, its unusual location in the retroperitoneal space and the presence of vertebral column (axis) often with appropriate arrangement of other organs or limbs around this axis. We report two cases of FIF. Our first case presented at 18 months, while second at 9 year of age. FIF derived their blood supply directly from aorta in both the cases.Our FIF had distinct fetoid features, well developed axial skeleton with a complete spinal column, trunk, intestinal loops, four limbs, well developed fingers and toes, male external genitalia and abundant scalp hairs. Their weightwas 600 grams and 800 grams, respectively. Postoperative period was smooth and on long-term follow up no evidence of recurrence was seen in both the patients.
PMCID: PMC4207233  PMID: 25374795
Fetus-in-fetu; Monozygotic diamnionic twinning; Teratoma
25.  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

Results 1-25 (174)