About
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Introduction
Dr Amit Kumar is Associate Professor in deptt of pediatric surgery at AIIMS patna.
Current institution
Additional affiliations
July 2015 - July 2018
Publications
Publications (41)
Background/Purpose
The anal position index (API) defines the normal anal position as the ratio of fourchette- anal distance to fourchette- coccyx distance for females and the scrotum- anal distance to scrotumcoccyx distance for males. In this study, measurement of the API in newborns and infants with anorectal malformations (ARM), using the center...
Infantile Hypertrophic Pyloric Stenosis (IHPS) with Meckel's diverticulum presenting as an intraluminal cyst is a very rare presentation. We are reporting a case presenting with persistent non-bilious vomiting after each feed. Exploration revealed IHPS with incidental finding of intraluminal cyst at Meckel's diverticulum. Keywords: Idiopathic hyper...
Gynaecological malignancy account for 2% of all kinds of cancer in children and 60-70% of these lesions arise from ovaries. The clinical manifestations and histological types of ovarian tumours in paediatric population are different from those seen in adults. In pre menarche group usually ovarian tumours are of germ cell origin. These germ cell tum...
A BSTRACT
Background
Consent is never truly exercised in children as parents act as their proxy and often do not understand the advantages, disadvantages, risks, and benefits of the procedure. Their high anxiety state is mirrored in the child, leading to slower recovery. Hence, this study was designed to understand if an intervention can impact th...
Enteric duplication has cystic and tubular varieties. A male infant presented with a large cystic, well-demarcated mass in the right flank. On exploratory laparotomy, multiple cystic and tubular lesions were present adjacent to the mesenteric border of the small bowel along with malrotation of the small bowel. The tubule-cystic structure was excise...
Teratomas are composed of multiple tissues foreign to the organ or site from which they arise. They are tumours which consist of solid or organoid masses containing tissues derived from all three or any of the three blastodermic layers. Their histologic features are heterogeneous and may include cystic or solid areas as well as mature and immature...
A BSTRACT
A 2-year-old male child presented to us with absent left testis in scrotum since birth. Parents noted a pinkish white globular mass in medial aspect of left thigh. At the time of presentation (2 years old) he had a 2 x 2 cm, firm, subcutaneous swelling located on the medial aspect of the left thigh. Ultrasonography was suggestive of left...
Case Series:
Genitourinary prolapse in newborn females as an introital mass is an uncommon entity. The usual causative mechanisms are poor pelvic
innervation, damage or pressure on pelvic musculature and ligaments etc. Different methods of reduction as treatment were proposed in the
past. Apart from uncommon occurrence of genitourinary prolapse i...
Mermaid syndrome is a very rare, lethal congenital anomaly. It is associated with other congenital anomalies and is incompatible with life. Typical clinical features are fused lower limb from perineum to ankle and single umbilical artery. Etiology is multifactorial and is extreme form of caudal regression syndrome. When diagnosed in early gestation...
Inflammatory myofibroblastic tumour in paediatric patients present with a diagnostic dilemma because of its clinical, radiological and histopathological features overlapping with other mesenchymal tumours common in this age. Because of its rarity, the exact features are still unclear. Here, we are reporting clinical, radiological and histopathologi...
Introduction
Inguinal hernia is a common surgical condition in children. Conventionally, the open approach for inguinal hernia repair has been considered the gold standard. However, in the past two decades, laparoscopic inguinal hernia repair has gained popularity among paediatric surgeons as an alternative to the open approach. Apart from good cos...
Primary vaginal calculi are uncommon in children. Urethral duplication in females is seen to occur in association with complex congenital malformations. We report the case of perianal persistent urogenital sinus with a hypertrophied clitoris with phallic urethra, scrotum-like pouch, uterus didelphys with obstructed hemivagina, and giant colpolithia...
The cystic dilatation of the common bile duct (CBD) is a rare pathology in an infant. It is the second-most common surgical cause of cholestatic jaundice in infants after biliary atresia. A 4-month-old female child was admitted to our department with complaints of abdominal distension. The physical examination revealed the presence of a huge palpab...
We report a case of colonic agenesis with anorectal malformation in a newborn girl. The patient also presented with congenital heart disease. We are presenting the clinical features, intraoperative findings, and treatment plan.
Pelvic magnetic resonance imaging (MRI) is the latest addition to already existing tools for evaluation of anorectal malformation (ARM). It provides detailed information about pelvic floor musculature as well as position of rectal pouch. However, lack of knowledge about normal pelvic floor anatomy can lead to misinterpretation of pelvic MRI which c...
Background: In children with anorectal malformations (ARM), the vertical fibres of the striated muscle complex (SMC) are believed to be located within the limits of the anal dimple (AD).
Methods: Forty five cases of ARM underwent posterior sagittal anorectoplasty (PSARP), median age 8.5 months. During PSARP the anterior, posterior limits and midpoi...
Aim: The aim of the study was o define the preoperative diagnostic clinical and radiological features in girls with congenital pouch colon (CPC).
Materials and Methods: Records of 47 girls with CPC, managed from 1996 to 2018, were reviewed. There were two age groups: Group A (newborn to 12 months; n = 26) and Group B (>12 months to 20 years; n = 21...
Background
Pseudotail with occult spinal dysraphism with neurological deficit is a rare phenomenon. Ignoring pseudotail as sign of occult spinal dysraphism may lead to catastrophe in diagnosis and further management.
Case presentation
We are reporting a case of a 30-month-old male child who presented with a tail-like structure at lower back and dr...
Background
Currarino syndrome is a rare congenital malformation having autosomal dominant inheritance. It comprises of anorectal malformation, presacral mass, and sacral vertebral defect occurring in variable proportion. The most common presentation is chronic constipation which is usually due to compression of rectum by anterior sacral mass. If cl...
Cholecystoeneteric fistula is a rare entity, which is seen in cholecystitis complicated with cholangitis. The incidence of such fistula in pediatric patients with the choledochal cyst is extremely rare. Here, we report one such case of choledochal cyst in which cholecystocolonic fistula was detected intraoperatively.
Scrotal swelling with intermittent discharge and sinus is rare in paediatric age group. Among various differential diagnosis, Infantile
Epididymitis is one possibility of scrotal swelling in infancy. Here, we are reporting one such case of scrotal swelling in a four-year-
old child which was present since three months of age. After failed initial...
Introduction: Anastomotic leak is the release of intestinal
contents into the abdomen at the site of surgical stitch line,
where two ends of the bowel have been joined for restoration of
the gastrointestinal continuity. There are considerable variations
in incidence of anastomotic leaks following gastrointestinal
operations which have motivated the...
Superior mesentric artery mimicking as gastric volvulus
Superior mesenteric artery (SMA) syndrome is a rare cause of high intestinal obstruction. It is commonly seen in
severely malnourished patients presenting with repeated episodes of vomiting. We report a case of SMA syndrome in
a 3 years old male child provisionally diagnosed as chronic gastric volvulus with severe acute malnutrition. The
diagnosis...
Anorectal Malformations (ARM) are known to be associated with urogenital abnormalities. However, the incidence of ectopic ureter
in these patients is rare. This report is about a male child with ARM. He presented after a failed Posterior Sagittal Anorectoplasty
(PSARP). The presenting complaint was urinary leak from rectum. Subsequently, the pati...
Meckel’s diverticula are most common physiological congenital variants of small bowel whereas communicating ileal duplications
are rarer ones. They turn out pathological, mostly because of the ectopic mucosal tissues, they harbor. Once symptomatic, they
are preferably treated by segmental bowel resection with inclusion of heterotopic mucosa and e...
Importance
A nasogastric tube is used commonly to decompress the stomach and provide enteral feeding in surgical and medical practice. Sometimes this safe and innocent‐looking tube may lead to unexpected complications. We focus here on the possibility of spontaneous ‘lariat loop’ knotting of the nasogastric tube when some resistance is felt on tube...
Penile tourniquet syndrome (PTS) is a condition in which a hair coil is wrapped around the penis causing damage to the urethra and penis. The spectrum of complications due to PTS may range from simple oedema of the penis to complete penile necrosis. We are reporting an 8-year-old boy who presented late to us with complete urethral transection havin...
Spigelian hernia (SH) is rarely seen in the pediatric population and it is usually associated with undescended testis on the ipsilateral side. The condition has remained a question as to whether this is a cause, effect, or a new syndrome. Herein, we report the case of a 2-year-old child with right iliac region swelling that bulges out when he cries...
Spigelian hernia (SH) is rarely seen in the pediatric population and it is usually associated with undescended testis on the ipsilateral side. The condition has remained a question as to whether this is a cause, effect, or a new syndrome. Herein, we report the case of a 2-year-old child with right iliac region swelling that bulges out when he cries...
Primary Haemangioendothelioma (HE) of spleen is a rare vascular tumour. These tumours have intermediate biologic behaviour between haemangioma and angiosarcoma. So far, few cases have been reported in literature and most of them are in adults or adolescents. Here the present authors report a 6-month-old infant who presented with mass per abdomen. C...
Paediatric obstructive uropathy is defined as any congenital obstruction in the urinary tract severing renal function to any extent.
More frequent causes in male counterpart include posterior urethral valve and uretero-pelvic junction obstruction. Multicystic
dysplasia of kidney, on the other hand, is an enlarged kidney almost completely replaced b...
Lymphangiomas are rare benign hamartoma resulting from sequestered lymphatic channels. They mostly occur at head, neck and axilla. Abdominal wall is an unusual location for the lesion. This is a report of abdominal wall lymphangioma in a three year eleven-month-old male child, having painless abdominal wall swelling, which presented a challenge at...
