Lakshmi Sundararajan

• Senior Consultant at Kanchi Kamakoti Childs Trust Hospital

Background: Double simultaneous intussusception is a peculiar and rare variety of intussusception with only 3 previously reported neonatal cases. Case presentation: A 15-day-old male neonate with respiratory distress was found to have Tetralogy of Fallot and hypoplastic pulmonary stenosis. Small bowel intussusception was diagnosed on ultrasound ab...

Background Retained appendicolith following appendicectomy, and can cause recurrent abscess in the abdomen and retroperitoneum. Case characteristics 11-yr-old boy who presented with subpulmonic abscess and pneumonia following appendicectomy for perforated appendicitis. Observations Thoracotomy revealed a thick walled subpulmonic abscess surroundi...

Laparoscopy is now a standard technique in pediatric surgery and urology. Unique complications have been reported during port/instrument insertion and dissection, often relating to issues of visibility or working space. Complications during specimen retrieval are currently unreported. We describe our experience of 2 serious complications occurring...

A case of right ureteric damage in a 7-year-old boy who underwent appendicectomy is described. Ultrasound, magnetic resonance urography, nephrostogram, and retrograde ureterogram were helpful in defining the nature and extent of the lesion. He underwent staged procedures of percutaneous nephrostomy, elective resection and reconstruction of midurete...

An 8-year-old boy with cystic fibrosis was planned for a course of home intravenous antibiotics. A peripherally inserted central catheter (PICC) was inserted from his left wrist on the third attempt. By the third day, he had developed a swollen red forearm. Clinically, a small non-tender nodule was palpable 1 cm proximal to a healthy insertion site...

Perforation of the rectum in the antenatal period is extremely rare. Three cases have been reported worldwide. Its aetiology and pathophysiology are poorly understood. Rapid recognition by its classical signs is mandatory as delay in diagnosis leads to serious morbidity. We report a fourth case, and make recommendations regarding management.

Video-assisted thoracic surgery (VATS) is increasingly used for the resection of congenital cystic lung lesions (CLLs). This study aimed to evaluate the efficacy of VATS and its outcome in both antenatally and postnatally detected CLLs. Forty-six patients managed during 2000-2005 were studied. Demographics, investigations, operative details, and ou...

The ideal approach for nephrectomy in the child with horseshoe kidney is debatable. We present two such children who underwent nephrectomy by a retroperitoneoscopic approach. Recognition of its anatomical variation is essential in the management of horseshoe kidney. Surgery is high risk, even using a traditional open procedure, because loss of the...