ABSTRACT
A 15 days old female baby presented with a 6 x 7 cm reddish lump with irregular margins on her right scapular region, since birth. Histopathology and immunohistochemistry of excised tissue revealed it to be soft tissue Ewing's sarcoma. Postoperatively, she received only one dose of chemotherapy but could not survive and expired at the age of one month.
Subject(s)
Sarcoma, Ewing/congenital , Soft Tissue Neoplasms/congenital , Antineoplastic Agents/therapeutic use , Biopsy , Fatal Outcome , Female , Humans , Immunohistochemistry , Infant, Newborn , Sarcoma, Ewing/pathology , Sarcoma, Ewing/therapy , Soft Tissue Neoplasms/pathologyABSTRACT
Alimentary tract duplications are rare congenital anomalies. We report a case of a 14-year-old boy, who presented with acute abdomen, with features favouring acute appendicitis. Laparotomy revealed perforated ileal duplication cyst. Resection of ileum along with cyst and anastomosis was undertaken, and proximal ileostomy performed. Postoperative recovery was uneventful and ileostomy was reversed successfully. Histopathology revealed the presence of gastric mucosa at the site of perforation.
Subject(s)
Abdomen, Acute/diagnosis , Ileum/abnormalities , Intestinal Perforation/diagnosis , Abdomen, Acute/pathology , Abdomen, Acute/surgery , Adolescent , Anastomosis, Surgical , Appendicitis/diagnosis , Appendicitis/pathology , Appendicitis/surgery , Diagnosis, Differential , Humans , Ileostomy , Ileum/surgery , Intestinal Perforation/pathology , Intestinal Perforation/surgery , Laparotomy , MaleABSTRACT
A five-year-old female child presented with intestinal obstruction. X-ray abdomen and chest showed multiple air-fluid levels in abdomen and a single gas shadow with air-fluid level in left hemithorax. Ultrasound confirmed the presence of gut loop in left side of chest. Laparotomy was carried out with repositioning of intestinal loops in abdominal cavity and closure of posterolateral diaphragmatic defect with non-absorbable suture. Patient recovery was uneventful. As soon as diagnosis of diaphragmatic hernia is made, surgical intervention should be made to prevent fatal complications.
Subject(s)
Hernia, Diaphragmatic/diagnosis , Child, Preschool , Female , Hernia, Diaphragmatic/surgery , Hernias, Diaphragmatic, Congenital , Humans , Intestinal Obstruction/etiology , Intestinal Obstruction/surgery , LaparotomyABSTRACT
A female baby of one-and-a-half-year old presented with extrusion of ventriculoperitoneal (VP) shunt through umbilicus. On exploration, the urachal remnant was found perforated by VP shunt and the tube exteriorized through umbilicus. Child was managed successfully with excision of urachal remnant, removal of VP shunt, antibiotic treatment and re-insertion of shunt.
Subject(s)
Foreign-Body Migration/etiology , Umbilicus , Ventriculoperitoneal Shunt/adverse effects , Ventriculoperitoneal Shunt/instrumentation , Female , Humans , InfantABSTRACT
A 10-month-old male infant presented with bilateral inguinal hernia and left un-descended testis. During right herniotomy, both gonads were found on same side with mullerian duct structures. On naked eye examination, both gonads were normal looking. Excision of mullerian duct remnant and fixation of ectopic testis was made. Histopathological examination revealed that gonads were testicles. Presence of multiple granulomas composed of Langhans cells and epithelioid cells in ectopic testicle suggested tuberculosis. Patient was kept on antituberculous therapy and was on regular follow-up without any complication.
Subject(s)
Abnormalities, Multiple/microbiology , Choristoma/diagnosis , Cryptorchidism/diagnosis , Mullerian Ducts/abnormalities , Testicular Diseases/diagnosis , Tuberculosis, Male Genital/diagnosis , Abnormalities, Multiple/diagnosis , Abnormalities, Multiple/surgery , Antitubercular Agents/therapeutic use , Choristoma/microbiology , Choristoma/surgery , Cryptorchidism/microbiology , Cryptorchidism/surgery , Drug Therapy, Combination , Hernia, Inguinal/congenital , Hernia, Inguinal/diagnosis , Hernia, Inguinal/surgery , Humans , Infant , Isoniazid/therapeutic use , Male , Pyrazinamide/therapeutic use , Rifampin/therapeutic use , Syndrome , Testicular Diseases/microbiology , Testicular Diseases/surgery , Tuberculosis, Male Genital/drug therapy , Tuberculosis, Male Genital/microbiology , Urologic Surgical Procedures, Male/methodsABSTRACT
A 3 years old female child was brought to the emergency department with acute abdomen. Laparotomy disclosed multiple segmental dilatations in the middle third of the ileum which was resected and anastomosed. Post-operative recovery was uneventful. Histopathological findings showed lack of smooth and longitudinal muscles in dilated segments of the intestine with intact mucosa without any evidence of necrosis and inflammation.
Subject(s)
Abdomen, Acute/etiology , Ileal Diseases/congenital , Ileal Diseases/complications , Intestinal Obstruction/etiology , Child, Preschool , Dilatation, Pathologic/congenital , Dilatation, Pathologic/surgery , Female , Humans , Ileal Diseases/pathology , Ileal Diseases/surgery , Intestinal Obstruction/complications , Intestinal Obstruction/pathology , Intestinal Obstruction/surgery , Intestine, Small/abnormalities , Laparotomy , Muscle, Smooth/abnormalitiesABSTRACT
A case report of a 3 months old male child is presented, who had right inguinal hernia with left impalpable testis. During herniotomy we found both testes on right side (transverse testicular ectopia) with presence of mullerian duct structures.
