Prem Kumar

• All India Institute of Medical Sciences

Background Wilms’ tumor (WT) is the most common kidney tumor of the pediatric age group. The outcome of WT has improved due to the evolution of the treatment approach. A prospective observational study was conducted at All India Institute of Medical Sciences (AIIMS), Patna, to analyze the clinical profile along with the response and outcome to neoa...

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...

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...

Objective To describe results of image guided sclerotherapy of venous malformations (VM) localized in the masseter muscle. Methods Retrospective review of prospectively maintained data was done to include consecutive cases treated over 5-year period, with minimum 6 months follow-up. Sclerotherapy was done using ultrasound (US) guided needle punctu...

Introduction: Pathophysiology of vertigo in patients having neck pain is not well understood, and many theories have been postulated. Cervical spondylitis is one of the most common causes of neck pain, and these are the group of patients who often complain of vertigo. The role of vascular flow alteration in these patients in causing vertigo is unde...

Fetus in fetu (FIF) is an extremely rare condition in which malformed fetus is found most commonly in the retroperitoneum of living twin. It occurs in about 1 in 500 000 live births and less than 200 cases have been reported in medical literature. We report FIF in a 17-year-old woman unlike other cases which were usually detected in early age and i...

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...

Trichobezoar is a rare clinical condition causing acute abdomen in children. Clinical presentation is varied and ranging from chronic abdominal pain to gastric perforation. Its early diagnosis is necessary to combat complications. We are presenting two cases of gastric trichobezoars showing two poles of clinical presentation-chronic undifferentiate...

Background: Malrotation with midgut volvulus is a common surgical emergency in children. A diagnostic tool for malrotation with characteristics ideal in emergency settings such as non-invasiveness and rapidity remains a keenly debated issue among surgeons and radiologists alike. Methods: Fifty-two pediatric patients of suspected malrotation with...

Gastric volvulus is an uncommon entity found in the paediatric population. We are reporting a case of chronic gastric volvulus presented to us with the complaints of recurrent vomiting after each feed. The vomiting was projectile, nonbilious, and the content was milk. The patient was evaluated by clinical and radiological means in the form of the X...

Cysticercosis cellulosae is a systemic parasitic infection caused by the larval stage of pork tapeworm, Taenia solium which involve humans as either a definitive or secondary hosts. The central nervous system is the most important primary site of involvement. Cases of cysticercosis presenting as an isolated muscle mass is an extremely rare entity a...

Giant bladder stone causing renal failure in pediatric age group is a rare clinical entity. It occurs due to negligence to seek medical advice in poor socioeconomic group. It occurs due to bladder changes and blockade of both ureteric orifices due to large size of bladder stone. This clinical situation mimics like bladder outlet obstruction. Urgent...

Currarino syndrome (CS) is a rare clinical condition. The classical presentation includes a triad of sacral anomaly, anorectal malformations, and presacral mass. This syndrome belongs to the group of persistent neuroenteric malformations. This article presents two cases of Currarino syndrome, where there was rare clinical variants such as rectal at...

Omental cyst is rare congenital anamoly of gastrointestinal tract. It is represented as abdominal distension. Occasionally, it may be presented with acute abdomen due to twisting of omental cyst and omentum and other complications. The ultrasonography and CECT abdomen are useful to make diagnosis of abdominal cyst. Complete surgical excision of cys...

An epidermoid cyst of accessory spleen, a rare condition may present as pseudocyst of pancreas and other cystic tumours of the pancreas. This case report along with the review of literature attributes some clinical features and investigative pattern to differentiate between epidermoid cyst of accessory spleen and other cystic tumour of pancreas.

Parameatal urethral cyst is a rare clinical entity. Benign and usually asymptomatic, these cysts have limited mention in available medical literature. We report a case of parameatal urethral cyst in an 8 year old male child presenting with dysuria and treated with complete surgical excision.

Acute pain abdomen is the most common presenting symptom to visit a pediatric outpatient department or pediatric surgery emergency. It ranges from trivial to life threatening conditions. A meticulous evaluation is necessary to prevent catastrophes. This article focuses on common conditions which need to be kept as differential diagnosis during clin...

We describe a rare constellation of variant anatomy of the aortic arch branches, seen on a magnetic resonance angiographic examination during the course of investigation for recent onset memory loss in a 52-year-old patient. There was a common origin of both the common carotid arteries (CCA), the common trunk being the first major branch of the aor...