Auto-amputated ovary presenting as abdominal mass in an infant

Among female infants, a mass in the abdomen carries a large number of differential diagnoses. A relatively uncommon condition is ovarian cyst, which may be encountered among such patients. Even more rare condition is auto-amputation of ovary. We herein, present a case of a female infant who presented as abdominal mass and turned out to be autoamputation of right ovary attached to mesentery of intestine. It was excised successfully and the patient is doing well at 3 years follow-up

Gross and fine motors functional impairments in children with cerebral palsy: a cross-sectional study

Objective: To assess prevalence of gross and fine motor functional impairments in children with CP

Methods: This cross sectional study was conducted at Department of Developmental and Behavioural Paediatrics, The Children's Hospital and Institute of Child Health, Lahore from October, 2014 to September, 2015. Atotal of 100 CP patients were taken to assess for gross and fine motor functional impairment, using Gross Motor Functional Classification System [GMFCS] and Bimanual Fine Motor Function [BFMF] scales. All data were analyzed using SPSS version 20

Results: In this hospital-based study comprised 100 children with a diagnosis of CP with 2 to 8 years of age were ascertained. The mean age of patients was found as 4.090 +/- 1.672 years. Study group included 32 females and 68 males. GMFCS was found at level I in 5% patients, level II in 18% patients, level III in 16% patients, level IV in 15% patients and level V in 46% patients. The corresponding percentages for BFMF were 21.7% patients, 18% patients, 15% patients, 13% patients and 33% respectively. Among oral musculature problems, drooling was the most common problem [68 %]. Larger proportion of gross motor functional impairment were associated with the spastic type of cerebral palsy [p=0.03], more specifically quadriplegic cerebral palsy [p=0.000]. Also a larger number of patients with fine motor functional impairments were associated with spastic type of cerebral palsy [p=0.009], more precisely quadriplegic cerebral palsy [p=0.000]

Conclusion: It is concluded that quadriplegic spastic CP was the most frequent type that had the worst motor impairment hence making patients functionally dependant in activities of daily livings

unusual abdominal wall defect in a child

To Anterior abdominal wall defects distant form umbilicus on left side, without associated anomalies are very uncommon entity. We present a case of 11 months old child wh. had an unusually located abdominal wall defect, which was closed using fascia lata successfully

Comparison of single-dose nalbuphine versus tramadol for postoperative pain management in children: a randomized, controlled trial / 대한마취과학회지

BACKGROUND: Acute postoperative pain control in children is an essential component of postoperative care, particularly in daycare procedures. Giving patients continuous narcotic analgesics can be risky; however, a single dose may be sufficient. METHODS: This study used a prospective, randomized controlled design and was conducted at the Pediatric Surgery Unit, Services Hospital, Lahore. In total, 150 patients who underwent inguinal herniotomy (age range: 1–12 years) were randomly assigned to two groups: group A (nalbuphine) and group B (tramadol). Patients were given a single dose of either nalbuphine (0.2 mg/kg) or tramadol (2 mg/kg) immediately after surgery and pain was measured at 0, 1, 2, 4, and 8 h. RESULTS: The demographic characteristics were similar between the two groups. The mean pain score was lower in group A than in group B at 0 and 1 h (P < 0.05). However, at 4 h and 8 h, the pain scores in group A were still lower, but not significantly. In all, 9 patients (12.0%) required rescue analgesics in group A compared to 16 patients (21.3%) in group B (P = 0.051). The mean time for requirement of rescue analgesics was 6.5 ± 0.5 h in group A and 5.3 ± 1.7 h in group B (P = 0.06). CONCLUSIONS: A single dose of nalbuphine is sufficient, and superior to tramadol, for postoperative pain management in children who have undergone daycare procedures.

Isolated fallopian tube torsion: a case report

In children right iliac fossa pain is a common presentation and has a lot of differentials. Of the uncommon differentials, fallopian tube torsion is a rare entity. It is usually not suspected and found peroperatively. We had a 12 years old patient who presented with right iliac fossa pain and was found having isolated fallopian tube torsion. Patient underwent right salpingectomy and is doing well to date

Duplication cyst presenting as hydrocoele in a child

Enteric duplication cyst can occur anywhere in Gastrointestinal Tract [GIT], from oropharynx to rectum. Their presentation depends upon the portion of GIT involved. The most common site of GIT involved is small intestine, in 50% of cases. Small intestinal duplication cyst usually present with abdominal pain or mass and rarely as intussusception, volvulus or small bowel obstruction. It may also present very rarely as inguinal hernia of which only 2 cases have been reported yet. We report a 3 years child presenting as hydrocoele of the cord which turned to be duplication cyst which is very rare presentation

case of sigmoid colon atresia

Atresia of the colon is one of the rare types among all the gastrointestinal atresias. Sigmoid colon is one of the rarest sites of coIon atresia. In most of the pediatric surgical centers one case per year is seen and only few cases of sigmoid atresia/ stenosis documented in literature. We report a case of male baby w o presented on 4th day of life with features of large intestinal obstruction. At laparotomy type II atresia of sigmoid colon was found, for which colostomy was done