A leak too far--gastro-pleural fistula mimicking recurrence of repaired congenital diaphragmatic hernia following fundoplication.

Recurrence rate after a congenital diaphragmatic hernia repair is high especially after a patch repair. Recurrence can be asymptomatic, followed by respiratory or gastrointestinal symptoms and the diagnosis is usually confirmed radiologically. We present an unusual case of radiologically diagnosed recurrent left diaphragmatic hernia but at surgery was found to be a gastro-pleural fistula that occurred as a complication following fundoplication surgery.

The malrotated baby - a diagnostic dilemma.

We present a case in which misinterpretation of radiological images resulted in an incorrect diagnosis of malrotation. This case highlights the importance of adequate radiological review of images and of ensuring that the clinical picture matches the findings. Had this not been questioned in this case the baby could have undergone an unnecessary operation with potential mortality and morbidity.

Hepatic mesenchymal hamartoma mimicking hemangioma on multiple-phase gadolinium-enhanced MRI.

Mesenchymal Hamartoma [MH] is a cystic benign liver mass occurring in children. Diagnostic confusion with hepatoblastoma may arise when alpha-feto-protein is elevated, and with hemangioendothelioma when imaging shows centripetal filling. We demonstrate one such case with progressive centripetal enhancement of a liver mass with Gadolinium enhanced multiple phase gradient-echo MRI, in a child with raised alpha-feto protein.

Omental lipoblastoma in a child: diagnosis based on CT density measurements.

A 2-year-old girl presented with an abdominal mass which on CT was central and hypodense. Housefield units measured -60 which made the diagnosis of a fatty mass. The diagnosis of an omental lipoblastoma was confirmed after surgery on histology.