ABSTRACT
A 29-year-old man presented with dull abdominal pain and a lump occupying almost the entire abdomen, four months after a fall from a height. Ultrasonography revealed a cystic lesion with debris occupying almost the entire abdomen. Diagnostic tap revealed brownish fluid. Exploration revealed a huge thick-walled cyst of the sigmoid mesocolon, which could be enucleated out entirely. Histology suggested it to be a false cyst.
Subject(s)
Abdominal Injuries/complications , Accidental Falls , Adult , Follow-Up Studies , Humans , Injury Severity Score , Laparotomy/methods , Male , Mesenteric Cyst/diagnosis , Risk Assessment , Severity of Illness Index , Sigmoid Diseases/diagnosis , Treatment OutcomeABSTRACT
An 11-month-old girl child presented with distension of abdomen, constipation, vomiting and fever. X-ray of the abdomen suggested intestinal obstruction. Exploration revealed the distal ileum to be kinked around a band running from the tip of a congested Meckel's diverticulum to the lateral pelvic wall. A small perforation was noticed at the tip of the diverticulum and a live roundworm was found lying free in the peritoneal cavity. The diverticulum along with a segment of adjoining bowel was resected and end-to-end anastomosis done. The diverticulum had a wide lumen and showed no heterotopic tissue on subsequent examination.
Subject(s)
Abdominal Pain/diagnosis , Anastomosis, Surgical , Animals , Female , Follow-Up Studies , Helminthiasis/complications , Humans , Infant , Intestinal Perforation/complications , Laparotomy/methods , Meckel Diverticulum/complications , Risk Assessment , Severity of Illness Index , Treatment OutcomeABSTRACT
Congenital aneurysms of the sinus of Valsalva are rare lesions that can rupture into any cardiac chamber, due to the central position of the aortic root. Rupture into the pulmonary artery, however, is very rare. We encountered an 18-year-old girl with rupture of the right coronary sinus into the pulmonary artery. During surgical correction, the girl was also found to have a small outlet ventricular septal defect, which was obscured by multiple hypertrophied septal trabeculae in the right ventricular outflow tract.