Rectal Duplication Cyst: a rare cause of Rectal Prolapse in a toddler

Rectal duplication cysts are rare congenital anomalies. They constitute only 4% of the total gastrointestinal anomalies. They usually present in childhood. The common presenting symptoms are mass or pressure effects like constipation, tenesmus, urinary retention, local infection or bleeding due to presence of ectopic gastric mucosa. We are reporting a rare presenting symptom of rectal duplication cyst in a 4-year-old boy/toddler who presented with rectal prolapse. He also had bleeding per rectum. Rectal examination revealed a soft mass palpable in the posterior rectal wall. CT scan showed a cystic mass in the posterior wall of the rectum. It was excised trans-anally and the postoperative recovery was uneventful. Biopsy report showed rectal duplication cyst

Successful intubation with air-Q in Pierre Robin syndrome

Airway access is particularly difficult in infants and children with some anatomical deformities, usually associated with congenital syndromes. Craniofacial abnormalities are commonly seen in the Pierre Robin Syndrome [PRS], Treacher Collins and Goldenhar syndromes. The Pierre Robin sequence consists of micrognathia and relative macroglossia with or without cleft palate. In the severe case, airway obstruction and feeding difficulties are present. Endotracheal intubation may be difficult, or in some case even impossible. We present a case report of intubation of a child, suffering from PRS, by using air-Q, a new intubating LMA, and use of tongue stitches to maintain airway during recovery

Unusual presentation of Crohn's Disease

Objective of reporting this unusual case of Crohn's Disease is twofold. Firstly in western literature there appears to be an impression that it is very rare condition in Asian countries, although it perhaps is true but the fact remains that it does exist here both in children and adults. Main reason why it does not get detected, may be that because it gets drowned in the overwhelming prevalent tuberculous disease in our country as the symptoms in two conditions are somewhat similar. Second reason for reporting this case is the symptoms in this patient were predominantly gastrointestinal bleeding requiring several transfusions, which is not a predominant presenting feature in Crohn's disease