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2.  A Giant Lymphatic Cyst of the Transverse Colon Mesentery 
Mesenteric cysts are not uncommon in pediatric age group but giant lymphatic cysts of mesentery are reported infrequently. This is a report of six years old female who had vague abdominal pain with distension for two years. Investigations revealed a large cystic mass in abdomen. On exploration a giant lymphatic cyst in the mesentery of transverse colon found. More than 1500 ml of milky fluid was drained. The cyst was unilocular and appeared to be the collection of lymph (chyle) between two leaves of the mesentery of transverse colon. It is postulated that trauma to or malformation of lymphatics at the root of mesentery might have lead to this pathology.
PMCID: PMC3417989  PMID: 22953250
Lymphatic cyst; Mesenteric cyst; Lymphatic malformation; Abdominal mass
3.  Tracheal Trifurcation Associated With Esophageal Atresia 
We report a newborn with esophageal atresia (EA) in whom right tracheal bronchus (TB) and a tracheal diverticulum were identified intra-operatively. The right TB was further confirmed on MRI scan performed post-operatively. Such a tracheal trifurcation associated with EA has not been reported hitherto from Indian subcontinent.
PMCID: PMC3417993  PMID: 22953257
Esophageal atresia; Tracheo-esophageal fistula; Tracheal bronchus; Tracheal trifurcation
4.  A Case for Case Report 
PMCID: PMC3417994  PMID: 22953256
5.  Mucinous Adenocarcinoma of Colon 
Bleeding per rectum is a common complaint in pediatric age group and mostly relates to benign conditions. Underlying colorectal carcinoma is a rare cause and carries a poor prognosis. We report two cases of mucinous adenocarcinoma of colon, one in a 9 years old male and other in a female of 12 years. The boy presented with rectal bleeding and increasing constipation of more than three years duration. He had mucinous adenocarcinoma (T3N0MX) of rectosigmoid region and underwent local complete resection of the tumor with colostomy. He also received postoperative chemotherapy and later underwent colostomy reversal. He is tumor free at two years follow up. The girl presented with signs of intestinal obstruction and at colonoscopy a stricture found in descending colon. The tumor was resected and biopsy reported as poorly differentiated mucinous adenocarcinoma with positive mesenteric nodes positive for tumor (T3N2MX). She is on chemotherapy.
PMCID: PMC3417995  PMID: 22953263
Colorectum;  Mucinous adenocarcinoma;  Bleeding per rectum;  Child
6.  Intrauterine Intussusception Causing Ileal Atresia 
Intrauterine intussusception (IUI) is the one of the rarest recognized causes of jejuno-ileal atresia (JIA). We report on a 15-day old full-term neonate presenting with features of intestinal obstruction, wherein on exploration, a visible ileo-ileal intussusception resulting in ileal atresia was found. The relevant literature has been reviewed.
PMCID: PMC3417996  PMID: 22953261
Intrauterine Intussusception; Jejuno-ileal atresia; Neonatal intestinal obstruction; Etiology
7.  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
8.  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
10.  A Giant Occipital Encephalocele 
Giant occipital encephaloceles are rare lesions. Because of their enormous size they pose a surgical challenge. Herein we report a four months old female baby who presented with progressively increasing swelling over the occipital region. This swelling was present since birth. Surgery was planned to reduce the size of the swelling as well as its contents. The redundant sac was excised and reduced sufficiently enough to accommodate the healthy looking brain tissue. In contrast to the previous case reports where the neonates had poor prognosis, this infant did well postoperatively.
PMCID: PMC3418000  PMID: 22953259
Microcephaly;  Occipital encephalocele;  Neurological development
11.  Conjoined Twins: The Flip Side 
PMCID: PMC3418001  PMID: 22953266
12.  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
13.  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
16.  Pancreatic Calcification 
PMCID: PMC3417982  PMID: 22953254
17.  Delayed Recognition of Type 1 Sigmoid-Colon Atresia: The Perforated Web Variety 
Colonic atresias are the rare malformations of the colon and constitute about 1.7 to 15% of all gastrointestinal (GI) atresias. A 6-month old infant presented with recurrent episodes of sub-acute intestinal obstruction since birth. During the index admission, patient had clinical signs of complete intestinal obstruction. The patient was operated and type I sigmoid-colon atresia found which on further exploration tuned out to be of perforated mucosal web variety. The resection of the involved part of colon and a primary end to oblique colo-colic anastomosis was performed.
PMCID: PMC3417983  PMID: 22953248
Colonic atresia; Colonic stenosis; Perforated colonic web; Intestinal obstruction
18.  Broken Piece of Silicone Suction Catheter in Upper Alimentary Tract of a Neonate 
Esophageal foreign bodies (FB) are common in adults and children. These are rarely reported in infants and neonates. A 2-day-old newborn was referred to our hospital with history of accidental intrusion of soft silicone suction catheter into the upper gastrointestinal tract (GIT). X-ray chest and abdomen confirmed the presence of suction tube in esophagus and stomach. The suction catheter was retrieved successfully at direct laryngoscopy.
PMCID: PMC3417984  PMID: 22953251
Esophageal foreign body; Neonate; Laryngoscopy
19.  An Unusual Case of Gastroschisis 
Gastroschisis is an abdominal wall defect through which intestine and rarely other organs eviscerate. It is less frequently associated with anorectal malformations. Abnormal size and shape of the defect is rarely identified in these patients. We report a case of gastroschisis with an unusual abdominal wall defect, imperforate anus and an ectopically placed vestibule. The defect was extended from right side of umbilicus to the perineum. There was evisceration of entire gastrointestinal tract (GIT), liver, gallbladder and urinary bladder. The defect was not manageable with a spring loaded silo and a sterilized blood bag was used to cover the defect. The unusual defect, associated anomalies and evisceration of unusual viscera are the main reasons for reporting the index case.
PMCID: PMC3417985  PMID: 22953245
Gastroschisis; Imperforate anus; Evisceration
20.  Atresia of the Ascending Colon: A Rarity 
Atresia of the colon is among the rare types of all gastrointestinal atresias. Ascending colon is the rarest site of all the colonic atresias. The authors report a case of a 4-day-old male baby who presented with the features of distal intestinal obstruction. At laparotomy type I atresia of the ascending colon, just distal to cecum, was found. Primary ceco-colic anastomosis along with a covering ileostomy was performed. Ileostomy was reversed 3 weeks later.
PMCID: PMC3417987  PMID: 22953246
Atresia of ascending colon; Neonatal intestinal obstruction; Early ileostomy reversal
21.  Gastric Duplication Cyst Presenting as Acute Abdomen: A Case Report 
Gastric duplication cysts are rare variety of gastrointestinal duplications. Sometimes they may present with complications like hemorrhage, infection, perforation, volvulus, intussusception and rarely neoplastic changes in the gastric duplication cyst. We present one and half year old male child who developed sudden abdominal distension with pain and fever for two days. Ultrasound revealed a cystic mass in the hypochondrium and epigastric regions. On exploration an infected and perforated gastric duplication cyst was found. Surgical excision of most part of cyst wall with mucosal stripping of the rest was performed. Histopathology confirmed the diagnosis of gastric duplication cyst. Early surgical intervention can result in good outcome.
PMCID: PMC3417988  PMID: 22953249
Gastric duplication cyst; Acute abdomen; Peritonitis
22.  Ileal Duplication Cyst Causing Recurrent Abdominal Pain and Melena 
Alimentary tract duplications are rare congenital anomalies. The presentation depends on their anatomical location, size and other characteristics. The most common variety is small bowel cystic duplication. We report a case of an eight years old girl who presented with recurrent abdominal pain and melena. Radioisotope technetium scan showed increased uptake of tracer in right lower abdomen and a diagnosis of Meckel’s diverticulum made. At surgery a cystic, communicating, ileal duplication found which was resected along with adjacent gut. It is thus reiterated that while investigating children with recurrent abdominal pain and melena, gut duplications must be included in the differential diagnosis.
PMCID: PMC3417990  PMID: 22953247
Alimentary tract duplications; Pain abdomen; Melena
24.  Sirenomelia 
PMCID: PMC3417992  PMID: 22953255

Results 1-24 (24)