-
[show abstract]
[hide abstract]
ABSTRACT: Primary hepatic tumors are uncommon in children and account for only three per cent of the tumors in children. Infantile hemangioendothelioma
is a rare benign hepatic tumor arising from mesenchymal tissue. Most of the cases present before six months. An unusual presentation
and progression of infantile hemangioendothelioma is reported in a 19-month-old female child. The diagnosis was arrived at
by radiological and histopathological examination. The patient underwent excision surgery, following which made an uneventful
recovery. On follow-up at six months, patient was asymptomatic with no evidence of recurrence.
The Indian Journal of Pediatrics 04/2012; 68(5):459-461. · 0.52 Impact Factor
-
The Indian Journal of Pediatrics 05/2010; 77(6):704-5. · 0.52 Impact Factor
-
[show abstract]
[hide abstract]
ABSTRACT: Congenital ureteric obstruction caused by a ureteric valve is an exceedingly rare entity. Our patient, a nine-year-old male, had undergone evaluation for recurrent pain in the abdomen and was diagnosed as a case of left hydronephrosis on ultrasound abdomen. Intravenous urography and magnetic resonance urography showed incomplete duplex system on the right side along with left hydronephrosis and hydroureter. Cystoscopy with left ascending gram followed by excision of lower third of ureter along with valve and Cohen's ureteroneocystostomy was done. Histopathology revealed Type II ureteric valve. A high index of suspicion is required to make a correct preoperative diagnosis.
Indian Journal of Urology 11/2008; 24(4):561-3.
-
[show abstract]
[hide abstract]
ABSTRACT: Gastric volvulus is a surgical emergency presenting in various forms. Association with diaphragmatic defect is well known. Here we describe three cases of gastric volvulus associated with diaphragmatic defect having varied presentations and their management. A rare case of gastric volvulus with complete gangrene of the stomach is also reported. Three types of gastric volvulus have been described depending on the rotation axis: organoaxial, mesentericoaxial and combination of both types. Operative treatment includes reduction, correction of underlying cause and gastropexy.
Indian Journal of Surgery 12/2007; 69(6):260-3. · 0.08 Impact Factor
-
[show abstract]
[hide abstract]
ABSTRACT: Thoracoscopy offers great advantages when compared with open surgery in terms of postoperative pain and pulmonary complications. Considering the benign nature of most of the mediastinal cysts, thoracoscopy is safe and feasible with minimal morbidity. The purpose of this article is to review our experience with four cases of mediastinal cysts resected successfully within a period of one year by thoracoscopy.
The cases of mediastinal cysts operated by thoracoscopic excision in K.E.M. Hospital, Mumbai from November 2005 to December 2006 were reviewed. The age varied from six months to 10 years. The patients presented with respiratory distress or recurrent lower respiratory tract infection. All patients underwent Chest X-ray and CT scan thorax to delineate the location of the cyst and its relationship with adjacent vital structures. Two patients had anterior and two had posterior mediastinal cyst. The ports were placed depending on the location of the cyst on the CT scan, following the principles of triangularization. The cysts were excised mainly by blunt dissection.
All the patients were successfully managed by thoracoscopic surgery. None of them had intraoperative complications. Dissection in patient with history of recurrent respiratory tract infection was difficult because of adhesions. Intercostal drain was removed within 48hrs and the patients were discharged on the fourth postoperative day.
Thoracoscopy in mediastinal cysts is a safe and effective procedure with low morbidity and a shorter hospital stay.
Journal of Minimal Access Surgery 10/2007; 3(4):123-6.
-
[show abstract]
[hide abstract]
ABSTRACT: Urethral polyp is a rare finding in young children. Fibroepithelial polyps of the urethra are usually diagnosed during the first decade of life. They present with obstruction, voiding dysfunction and hematuria. They can be associated with other congenital urinary tract anomalies. They are usually benign fibroepithelial lesions with no tendency to recur and are treated by surgical ablation, fulguration or laser therapy.
Indian Journal of Urology 05/2007; 23(2):206-7.
-
[show abstract]
[hide abstract]
ABSTRACT: Aero-digestive foreign bodies are a common occurrence in infants and children. The manifestations, hazards and consequences depend upon the location, nature of the foreign body and the time lapse. This communication reports a series of four cases with unusual course and consequences of aero-digestive foreign bodies. These were generalized tetanus, hypernatremia and metabolic acidosis with intra-cranial hemorrhage and severe pneumonia and empyema. Awareness of these consequences would help treating doctors to take appropriate steps in devising preventive and therapeutic strategies.
International Journal of Pediatric Otorhinolaryngology 10/2005; 69(9):1269-74. · 1.17 Impact Factor
-
[show abstract]
[hide abstract]
ABSTRACT: A rare case of extrarenal Wilms' tumour (ERWT) that presented as an asymptomatic subcutaneous lumbar mass is reported. The diagnosis could only be established postoperatively.
Pediatric Surgery International 10/2002; 18(5-6):543-4. · 1.25 Impact Factor
-
[show abstract]
[hide abstract]
ABSTRACT: An unusual case of a 5-year-old boy with duplication of the glans, a rare variety of diphallia, is reported. The two glandes were arranged one above the other, the dorsal glans had only a blind pit while the ventral glans had a patent urethra with glanular hypospadias. The child also had right renal agenesis and a posterior urethral stricture.
Pediatric Surgery International 02/2002; 18(1):70-1. · 1.25 Impact Factor
-
[show abstract]
[hide abstract]
ABSTRACT: A rare form of gastric trichobezoar extending into small bowel with varying gastrointestinal symptoms is known as Rapunzel syndrome. A case history of 6 years old boy is described. This is the twelfth patient with Rapunzel syndrome in the literature.
The Indian Journal of Pediatrics 10/2001; 68(9):895-6. · 0.52 Impact Factor
-
[show abstract]
[hide abstract]
ABSTRACT: A 1.2-year-old male presented with gradual-onset biliary ascites, mild icterus, and failure to thrive due to spontaneous bile-duct perforation (SPBD) confirmed by technetium 99Tc HIDA scan and abdominal paracentesis. Peritoneal tube drainage for 2 weeks helped the perforation to seal spontaneously, as there was no distal obstruction. No surgery was needed. Only less than 100 cases of SPBD have been reported in the English literature. The pathogenesis and treatment options are reviewed and discussed.
Pediatric Surgery International 08/2001; 17(5-6):463-4. · 1.25 Impact Factor
-
[show abstract]
[hide abstract]
ABSTRACT: The incidence of horseshoe kidney (HK) is estimated at 1 in 400 cases. The occurrence of Wilms' tumor (WT) in a HK is an uncommon event, estimated at 0.4%-0.9% of all WTs. We report a case of WT arising from the isthmus of a HK and review the literature on the subject.
Pediatric Surgery International 08/2001; 17(5-6):465-6. · 1.25 Impact Factor
-
[show abstract]
[hide abstract]
ABSTRACT: A 9-month-old female presented with Cushing's syndrome. Investigations suggested the diagnosis and revealed a functioning left adrenal carcinoma without metastasis. However, when the abdomen was explored 30 days later after controlling the hypertension only normal adrenals were encountered, suggesting complete spontaneous regression. This is the fourth case of its kind. The case along with a review of this rare phenomenon is presented.
Pediatric Surgery International 04/2001; 17(2-3):230-1. · 1.25 Impact Factor
-
[show abstract]
[hide abstract]
ABSTRACT: To assess the important factors for successful primary closure in staged reconstruction of bladder exstrophy, 25 patients (18 males, 7 females) underwent primary bladder closure during the years 1993-1997. Twenty-one were more than 72 h old; all of these underwent bilateral posterior iliac osteotomies followed by primary bladder closure during the same anesthetic. Bladder closure was done in a double layer. The ureteric catheters were removed after 2 weeks and the bladder catheter after 3.5-4 weeks. Only 1 patient had a bladder dehiscence on the 10th postoperative day due to infection; 3 had partial wound dehiscences but no bladder dehiscence. One had a partial bladder prolapse. The osteotomies needed no drainage, and no complications occurred. One patient needed a urinary diversion 3 years after surgery as the bladder capacity did not increase. Eleven important factors play a pivotal role for successful primary bladder closure: (1) Proper patient selection; (2) A staged approach; (3) Anterior approximation of the pubic bones with placement of the bladder and urethra in the true pelvis; (4) Posterior bilateral iliac osteotomies in all indicated cases; (5) Double-layered closure of the bladder; (6) Two weeks' proper ureteric catheter drainage; (7) Prevention of infection; (8) Prolonged and proper postoperative immobilization; (9) Prompt treatment of bladder prolapse; (10) Prevention of abdominal distension postoperatively; and (11) Ruling out bladder-outlet obstruction before removing the bladder catheter.
Pediatric Surgery International 02/2000; 16(3):194-8. · 1.25 Impact Factor
-
[show abstract]
[hide abstract]
ABSTRACT: A 20-day-old female presented in acute renal failure with an absent bladder and vaginal atresia. The right ureter opened into the uterus, resulting in a urometrocolpos, and the left ureter opened through a stenotic opening into the introitus. The literature is reviewed for reported cases and the embryo-pathology of bladder agenesis is discussed.
Pediatric Surgery International 08/1999; 15(5-6):415-6. · 1.25 Impact Factor
-
[show abstract]
[hide abstract]
ABSTRACT: We report a male child with Thrombocytopenia and Absent Radii (TAR) syndrome but with single absent radius and associated
tracheoesophageal fistula which has never been reported till date.
The Indian Journal of Pediatrics 04/1999; 66(3):460-463. · 0.52 Impact Factor
-
[show abstract]
[hide abstract]
ABSTRACT: Traumatic pseudoaneurysms are rare in civilian trauma, more so in childhood. A case of anterior tibial artery pseudoaneurysm
is described which was successfully treated non surgically by percutaneous coil embolisation, thus questioning the need for
surgery in peripheral pseudoaneurysms.
The Indian Journal of Pediatrics 04/1999; 66(2):298-300. · 0.52 Impact Factor
-
[show abstract]
[hide abstract]
ABSTRACT: A case of covered exstrophy without sequestration of a bowel segment is reported. A 4-year-old female presented with dribbling of urine. Treatment to date has been simple excision of the covered membrane with functional closure of the bladder and bilateral posterior iliac osteotomies, with reconstruction of the bladder neck and genitalia to be performed at a later date. The embryogenesis of this rare variant, a review of the reported cases, and management options are discussed. Keyword Covered exstrophy. Exstrophy. Bladder variants
Pediatric Surgery International 12/1998; 14(1-2):129-30. · 1.25 Impact Factor
-
[show abstract]
[hide abstract]
ABSTRACT: A 7-year-old female with a type I choledochal cyst underwent an exploratory laparotomy. A Roux-en-Y choledochojejunostomy was done following cyst excision. The patient was re-explored 8 days later for an anastomotic bile leak and high fever. A round-worm was found obstructing the jejunal lumen at the porta hepatis, resulting in a biliary leak. Various aspects of biliary ascariasis are discussed along with the case report.
Pediatric Surgery International 10/1998; 13(7):533-4. · 1.25 Impact Factor
-
[show abstract]
[hide abstract]
ABSTRACT: To study the efficacy of endoscopic variceal sclerotherapy (EST) in controlling acute variceal bleeding and preventing recurrence of bleeding from esophageal varices in children.
Ninety children (mean age 7.3 +/- 3.0 years) with portal hypertension [extra-hepatic portal venous obstruction (EHPVO) 83, cirrhosis 7] presenting with hematemesis and/or melena were subjected to EST using 3% phenol in water as sclerosant.
Active variceal bleeding could be controlled in 31 of 34 (91%) cases. Varices could be obliterated in 87% of patients with a mean of 5.4 +/- 2.5 injection sessions. Pre-obliteration variceal rebleeding was observed in 15% of patients. Complications such as esophageal ulceration, stricture and perforation were observed in 32%, 4.5% and 1% of patients respectively. Strictures responded to dilatation whereas perforation responded to conservative treatment. Recurrence of varices was seen in 22% of patients at a mean interval of 5.8 +/- 1.9 months. The mortality in the emergency group was 9.5% and nil in the elective group. Ten percent of patients required surgical intervention.
EST with 3% phenol in water is effective in controlling active bleeding as well as preventing recurrent bleeding from esophageal varices in children.
Indian Journal of Gastroenterology 02/1994; 13(1):1-4.
