Posterior mediastinal teratomas.
Posterior mediastinal teratomas are rare. We report this entity in a five year old boy. A review of literature of eighteen cases is presented.
Child, Preschool↗
Biomedical subjects
K N Rattan
Publications and source records attributed to K N Rattan.
Cystic hygroma of the gluteal region.
Cystic hygromas occur most commonly in the neck. Rarely are they known to involve the axilla, groin, mediastinum, retroperitoneum, pelvis, mesentery, omentum and spleen. We successfully managed a case of cystic hygroma of gluteal region in a one and half year old child who presented with a cystic, non transilluminant swelling in this region since birth. The diagnosis of cystic hygroma was made by surgery and subsequently confirmed after histopathological examination. Because of rarity of cystic hygroma in gluteal region this case in being reported.
Buttocks↗
Achalasia cardia.
Achalasia cardia is an uncommon condition in children. It needs special consideration as it is associated with a higher incidence of recurrent respiratory infection and failure of growth and development, thereby requiring an early surgical intervention. Four such cases who were successfully managed surgically are described.
Child, Preschool↗
Intrauterine intussusception--a cause for ileal atresia.
A case of ileal atresia consequent to intrauterine intussusception is reported. The baby presented with features of neonatal intestinal obstruction but signs of peritonitis were absent. The intussusception was discovered on gross examination of distal atretic ileal segment. The case was managed successfully by resection and end to back anastomosis. This case is reported to highlight intrauterine intussusception as one of the causes of ileal atresia.
Humans↗
Mesenteric leiomyoma in infancy.
Leiomyoma of the mesentery is an uncommon tumor. This has been documented in adults and children. However, there is no such case reported in an infant, which is being presented in this report.
Humans↗
Choledochal cyst: a 10-year experience.
A retrospective study of 11 cases of choledochal cyst over a period of 10 years is presented. There were 8 females and 3 males in a ratio of 2.67:1. The classical triad of jaundice, mass and abdominal pain was seen in none of our patients. Ultrasonography was diagnostic in 9 out of 11 (80%) patients. Surgical procedures performed were, complete excision of the cyst with Roux en Y hepaticojejunostomy (nine cases), internal drainage of the cyst (one case) and excision of the extrahepatic cyst with Roux en Y hepaticojejunostomy in one case of Type IV choledochal cyst. One patient died in the immediate postoperative period. Others have remained well upto 10 years follow-up. We recommend total cyst excision with hepaticojejunostomy as the treatment of choice.
Anastomosis, Roux-en-Y↗
Post traumatic bile ascites.
A 4 year old girl with progressive distension of abdomen and previous history of blunt abdominal trauma was found to have bile ascites due to left hepatic duct (LDH) injury. The management with a brief review of literature is discussed below.
Ascites↗
Cystic lymphangioma with special reference to rare sites.
A 10 year retrospective study of 45 cases of cystic lymphangioma (CL) in children is presented. There were 25 females and 20 males. Age ranged from 6 months to 8 years. Common sites were involved in 38 and rare sites in 7 patients. Rare sites were--gluteal region (1), pelvis (1), retroperitoneum (1), mesentery (2), inguinal region (1) and inguinoscrotal region (1). The clinical presentation included sudden increase in size (25), lump abdomen (3), gluteal abscess (1), abdominal distension (1) and inguinal swelling (2). Diagnosis was established preoperatively in 38 cases, and after surgery and histopathology in 7 cases. Near total or subtotal excision was carried out in all cases. Facial nerve palsy (1) and recurrence (2) were the complications of surgery. The study is presented to highlight the occurrence of the cystic lymphangioma at rare sites to avoid diagnostic errors and unnecessary mutilating surgery.
Child↗
Multiple neurilemmomas of the penis.
A 10-year-old male with multiple small swellings over the shaft of the penis for 2 years was found to have multiple neurilemmomas on histopathologic examination. The case is reported in view of the extreme rarity of the entity.
Biopsy↗
Caudal duplication--a case report.
Caudal duplication is a rare entity due to incomplete separation of mono-ovular twins. It is usually associated with various congenital malformations involving mainly the genitourinary and gastrointestinal tracts. We report such a case operated upon successfully in which there was no other associated anomaly.
Anal Canal↗
Pneumothorax complicating acute miliary tuberculosis in children.
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Acute Disease↗
Rapunzel syndrome--a case report.
The gastric trichobezoars usually occur in young girls, often those with psychiatric disorders. Rarely these are known to extend from the stomach to the small intestine as a tail, when they are termed the Rapunzel syndrome. Until 1997, only 10 such cases have been reported in the literature. We report another case in which we could extract the trichobezoar by gastrotomy and enterotomy.
Bezoars↗
Prepenile scrotum with high anorectal malformation.
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Abnormalities, Multiple↗
Neonatal scrotal faecal fistula.
Incarceration of a congenital inguinal hernia, if untreated promptly, can result in dreaded complications like faecal fistula. We report one neonate who presented with a scrotal faecal fistula due to late presentation.
Anastomosis, Surgical↗
Management of congenital lobar emphysema with endobronchial intubation and controlled ventilation.
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Bronchi↗
A report of 27 cases of congenital short colon with an imperforate anus: so-called 'pouch colon syndrome'.
This is a retrospective study of 27 cases of congenital short colon with anorectal malformation (pouch colon syndrome) treated during the last 5 years (from January 1991 to December 1995). The radiological feature of enormously dilated colonic pouch occupying more than half the width of abdomen was diagnostic in almost all cases. Excision of pouch and end enterostomy was associated with maximum survival (92.3%) in good risk patients. Proximal diverting enterostomy with decompression and irrigation of pouch is a preferable alternative to pouch colostomy in poor risk patients. Tapering coloplasty and colostomy should be reserved only for types I and II cases of pouch colon.
Abnormalities, Multiple↗
Accessory scrotum with imperforate anus.
Accessory scrotum is the rarest anomaly of the scrotum; less than two dozen cases have been reported. A case of accessory scrotum with imperforate anus is reported.
Anus, Imperforate↗