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Biomedical subjects

Amar Shah

Publications and source records attributed to Amar Shah.

11 recordsLinked to original sources
PubMed2006

Cutaneous mucormycosis in children.

Cutaneous mucormycosis is a rare fungal infection in children. It is commonly found in immunocompromised children. Early diagnosis is difficult and requires a very high degree of suspicion. Recommended mainstay of treatment has been amphotericin B and extensive surgical debridement which may at times require amputation if limb is involved. The authors share their experience of two cases of successfully treated cutaneous mucormycosis.

Dermatomycoses↗
PubMed2006

Impalpable testes--is imaging really helpful?

The study evaluated the role of imaging studies in the diagnosis of impalpable undescended testes. A total of 40 children referred with 45 impalpable undescended testes had an ultrasound scan and clinical examination by a pediatric surgeon. 22 out of these 45 testes were found to be palpable on clinical examination by a pediatric surgeon. Of the remaining 23 boys (23 units of testes), 21 underwent MRI scan for identification of testes and results were compared with findings at laparoscopy. The diagnostic agreement of ultrasound and MRI in correctly localizing the testes was 19% and 52% respectively whereas the sensitivity of detection was 60% and 55% respectively. Imaging studies therefore have a limited role in pre-surgical evaluation of boys with impalpable testes.

Child, Preschool↗
PubMed2005

Lymphangioma of the penis: a rare anomaly.

Lymphatic malformations are known to affect any part of the body. However, lymphangiomas involving the penile skin are rare. We report a case of a cutaneous lymphatic malformation of the penis.

Child↗
PubMed2005

Malakoplakia of bladder in childhood.

Malakoplakia is a granulomatous inflammatory disease affecting the genitourinary tract. It is rare in childhood. We report a case of malakoplakia presenting as multiple bladder polyps in an 11-year-old boy. The child did not respond to long-term antibiotic treatment, and subsequent surgical excision of the polyps resolved his problems. We propose surgical excision as an alternative form of management of this rare lesion.

Child↗
PubMed2004

Pyloric duplication in a neonate: a rare entity.

Duplications of the alimentary tract are rare anomalies that have been reported to occur all along the gastrointestinal tract. Of the various alimentary tract duplications, pyloric duplications are extremely rare. We report the case of a 3-day-old neonate who was antenatally diagnosed as having a cystic mass in the abdomen and who presented with vomiting on the 2nd day of life. At operation, a duplication cyst of the pylorus was removed successfully and a pyloroantrectomy performed.

Diagnosis, Differential↗
PubMed2004

Neonatal prostatic rhabdomyosarcoma.

Rhabdomyosarcoma is one of the commonest soft tissue sarcomas of childhood, but neonatal presentation is extremely rare. This limited experience means there are no clear treatment guidelines in this age group. The authors report a boy with recurrent attacks of hematuria commencing in the neonatal period, which were shown to be from a prostatic rhabdomyosarcoma. To the best of our knowledge this is the first reported case of neonatal rhabdomyosarcoma in this site.

Humans↗
PubMed2004

Paediatric priapism--treatment conundrum.

Priapism is a rare condition in childhood. The majority of reported cases are boys with sickle cell disease, in whom nonoperative management may be successful when patients present early. We report a 14-year-old boy with sickle cell disease who presented with priapism of 72-h duration and was successfully treated by bilateral saphenocorporal shunts.

Adolescent↗
PubMed2004

Use of Foley's catheter to gain access for retroperitoneoscopy.

With the increasing popularity of laparoscopic urologic surgery, many different methods have been used to dissect the extraperitoneal space and gain access to the kidney and ureter. We present our initial experience using a Foley catheter to gain retroperitoneal access. This technique was successfully used in 30 children. We have not encountered any major complications and recommend its use in children.

Catheterization↗