Multiple singing magnet ingestion leading to partial gastric outlet obstruction

Ingestion of multiple magnets can cause serious complications in children. A 6-year-old boy presented with clinical features of partial gastric outlet obstruction secondary to ingestion of multiple magnets. On exploration, six magnets were retrieved from stomach. The patient is doing fine thereafter

Delayed diagnosis of tubular ileal duplication

Alimentary tract duplications have varied presentation and are often misdiagnosd. A 5- year-old girl presented with abdominal pain, vomiting, and bleeding per rectum. She had a long history of various gastrointestinal symptoms and was being managed as a case of celiac disease. Ultrasound abdomen during current admission suggested an intussusception. At operation, a long tubular communicating duplication of ileum was found. Resection and end to end anastomosis was curative

Inflammatory pseudotumor of mesentery

Inflammatory pseudotumor is one of infrequent lesions of mesentery in pediatric age group. They usually mimic a malignant lesion. A 5-year-old male child presented with abdominal pain and a palpable mass in the umbilical region. Ultrasound revealed a mixed echoic mass in the same area. CT scan showed a solid mass with internal calcifications. At operation a hard mass in the mesentery of the distal ileum was found. The mass was excised completely and limited hemicolectomy done. Histopathology of the excised specimen was reported as inflammatory pseudotumour of the mesentery

Accidental ingestion of hydrochloric acid causing acute gastric perforation in a child

In children, accidental ingestion of acid produces gastric outlet obstruction in most instances. Rarely, gastric perforation may occur. A 3-year-old boy presented immediately after accidental ingestion of hydrochloric acid [HCI] with abdominal distension, lethargy, and acidotic breathing. Abdominal radiograph revealed massive air under diaphragm. Laparotomy was performed after initial resuscitation. Stomach was found sloughed off at the greater curvature. The necrosed gastric part was resected and the remaining stomach repaired transversely. The patient is in follow up

Rapunzel syndrome presenting with ileoheal intussusception in a boy

Trichobezoars are usually reported in young girls with some psychiatric illness and rarely reported in boys. In this manuscript a case of 5 years old boy is reported who presented with signs of peritonitis. Ultrasound abdomen gave a positive donut sign On exploration it was revealed to be a ease of Rapunzel syndrome with ileo-ileal intussusception