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Biomedical subjects

N C Digray

Publications and source records attributed to N C Digray.

7 recordsLinked to original sources

Complete vaginal prolapse: an unusual presentation of anovestibular fistula.

An adolescent girl with an anovestibular fistula presenting as a complete vaginal prolapse and large-bowel obstruction is reported. The prolapse was reduced manually after repeated bowel washouts and a divided high sigmoid colostomy. The patient is awaiting posterior sagittal anorectoplasty. Possible etiopathologic factors of the prolapse are discussed. A vaginal prolapse in a patient with an anorectal malformation has not been reported previously in the English literature.

Adolescent↗

Colorectal perforations in neonates with anorectal malformations.

Colorectal perforations in neonates with anorectal malformations (ARM) are rarely reported. Two cases, one each with a low and high ARM is presented. Delayed patient presentation and "closed-loop" intestinal obstruction seem to be possible causes of perforation in these cases. Both patients survived following surgical intervention. The pertinent literature is reviewed to emphasize the overall management of such cases.

Anal Canal↗

Silent bowel perforation and transanal prolapse of a ventriculoperitoneal shunt.

A 2-year-old hydrocephalic child presenting with ventriculitis following intestinal perforation by a ventriculoperitoneal (VP) shunt is reported. The peritoneal end of the shunt had extruded through the anus without causing any abdominal signs. Removal of the shunt, external ventriculostomy, and antibiotics were effective treatment.

Cerebral Ventricles↗

Sequestrated tubular duplication of the colon with congenital subglottic stenosis.

A 6-year-old male presenting with features of intestinal obstruction because of a sequestrated tubular duplication of the colon is reported. The patient also had congenital subglottic stenosis, an association not yet reported with any type of gut duplication. Complete excision of the duplication was done with preservation of vascularity of the adjacent normal colon. The relevant literature is reviewed briefly.

Abdominal Pain↗