ABSTRACT
Two cases of small bowel obstruction ( SBO) in children induced by phytobezoar impaction are reported. Both the children were between 3-4 yrs of age and had no history of any previous intra-abdominal operation. Preoperative diagnosis was not possible in either case. Both the cases were diagnosed at laparotomy and obstruction was relieved by disintegration of the phytobezoar mass. Postoperatively, after specific questioning suggestive history of Carissa Opaca (Garna) ingestion, 24 hrs before onset of symptoms was obtained from the parents.
ABSTRACT
A 16 months old male child with features of acute urinary and intestinal obstruction due to a vegetative foreign body (FB) impacted in the anterior urethra is presented. The patient had an untreated intermediate ano-rectal malformation (ARM) with wide recto-urethral fistula (RUF). Multiple other congenital anomalies were, also, seen in this patient. The foreign body was removed by an external urethral meatotomy, relieving recto-urethral obstruction. However, the child died of septicaemia 6 hours post-operativerly. To best ofOUt knowledge, this is the first case of ARM, presenting with urethral obstruction due to a foreign body.
ABSTRACT
Thirty patients of abdominal tuberculosis in the age group of 20-40 years weare analyzed. Majority of the cases had abdominal pain as the leading clinical presentation. A significant number of patients also had abdominal lump. Intestinal obstruction / perforation was present in 10 patients requiring surgical intervention. Barium studies (done on 27 occasions) had positive rate of 70%. All patients, where diagnosis of tuberculosis was confirmed, received three-drug anti-tubercular regimen There was no post-operative mortality.
ABSTRACT
A 62 year old female who presented with features of acute duodenal perforation and associated carcinoma stomach (Ca-Stomach) is reported. Upper gastrointestinal endoscopy, biopsy and barium meal showed an adenocarinoma of cat'dia and proximal 1I3rd of stomach. Such an association of pathology is not reported earlier in the literature.
ABSTRACT
Twenty children with various diaphragmatic anomalies, managed over a period of 3 years, are presented, These included congenital diaphragmatic hernia (CDH 10), congenital eventration of diaphragm (CDE 6) and hiatus hernia with gastro-esophageal reflux (HH-GER 4). Clinical presentation of these children was: respiratory distress (7), recurrent repiratouy tract infection with failure to thrive (11) and gastric volvulus (3). Two patients of gastric volvulus had acute surgical abdomen. The patients in respiratouy distress group were all newborns with CDH. Whereas, those who had gastric volvulus were CDE 2 and HH-GER 1. All children were operated through left subcostal transabdominal approach, except those with HH-GER who were explored through upper midline incision. Repair of diaphragmatic defect/placation was done in patients with CDH/CDE, whereas Nissen fundoplication (Loode wrap) was done in patients of HH-GER. Three newborns with CDH and one child with CDE and gastric volvulus died. All other 16 surviving children are doning well after 4 months to 3 years of follow up.