Biomedical subjects
Publications and source records attributed to Anup Mohta.
Oral cysts in the neonatal period are very uncommon and may cause morbidity and mortality if not treated expeditiously. We report 2 cases of neonatal oral cysts that were managed successfully.
We describe a unique case of congenital umbilicobiliary fistula. A full-term neonate presented with passage of bile through the umbilicus. A contrast study demonstrated communication with the intrahepatic biliary system.
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To determine the accuracy of references published in Indian Pediatrics, we reviewed the reference lists appended to the original articles published in Indian Pediatrics during the year 2002 (volume 39) for citation and quotation accuracy. A total of 176 references out of 322 cited in 17 original articles could be retrieved from available resources. Errors of citation were found in 69 (39.27 percent) references while errors of quotation were found in 15 (8.6 percent) references. The most common errors were those in the name of authors and title of the article. Contributors should make serious efforts to check the accuracy of the references cited in their manuscripts.
Congenital perineal hernia is one of the rarest childhood hernias. We report a case of an infant with a congenital perineal hernia which was successfully repaired.
Pyonephrosis is uncommon in adults as well as children and rarely reported in neonates. Candidial pyonephrosis in a neonate has been first reported in 1988 which was associated with iatrogenic perirenal collection [Cohen, HL, Haller, JO. J ultrasound Med 1988; 7(11): 647]. This is the second reported case of neonatal pyonephrosis and the first due to Staphylococcus aureus.
A new technique of non-refluxing gastrostomy using the appendix is described for long-term feeding of children. The appendix is transplanted on its vascular pedicle and serves as a catheterizable non-refluxing conduit. The technique can be utilized when the appendix is available near the stomach as in malrotation.
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The clinician manages trauma patients in the emergency room, operation theatre, intensive care unit and trauma ward with an endeavour to provide best possible treatment for physical injuries. At the same time, it is equally important to give adequate attention to behavioural and psychological aspects associated with the event. Knowledge of the predisposing factors and their management helps the clinician to prevent or manage these psychological problems. Various causes of psychological disturbances in trauma patients have been highlighted. These include pain, the sudden and unexpected nature of events and the procedures and interventions necessary to resuscitate and stabilise the patient. The ICU and trauma ward environment, sleep and sensory deprivation, impact of injury on CNS, medications and associated pre-morbid conditions are also significant factors. Specific problems that concern the traumatised patients are helplessness, humiliation, threat to body image and mental symptoms. The patients react to these stressors by various defence mechanisms like conservation withdrawal, denial, regression, anger, anxiety and depression. Some of them develop delirium or even more severe problems like acute stress disorder or post-traumatic stress disorder. Physical, pharmacological or psychological interventions can be performed to prevent or minimise these problems in trauma patients. These include adequate pain relief, prevention of sensory and sleep deprivation, providing familiar surroundings, careful explanations and reassurance to the patient, psychotherapy and pharmacological treatment whenever required.
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Germ cell tumours in liver are uncommon. Fewer than 20 cases have been reported in the literature. Primary mixed malignant germ cell tumours of liver are even rare. Here we describe a case of primary mixed malignant germ cell tumour of left lobe of liver in a two and half year old male boy. This is the first reported case of primary mixed malignant germ cell tumour with components of yolk sac tumour and mature teratoma in an infant. The patient complained of gradual increase in abdominal distension, upper abdominal pain and loss of weight. Ultrasonography and computed tomography of the abdomen revealed a large hepatic mass. Serum alpha-feto protein levels were raised. Left lobectomy of liver was done and chemotherapy was initiated. Histopathology of specimen disclosed yolk sac tumour and mature teratoma. Levels of serum alpha-feto protein declined rapidly. Widespread intrahepatic metastasis developed and patient died due to liver dysfunction after six months of left lobectomy.
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