Geetesh Ratre, Khan Abdul Sikandar Khan, Mahendra Kumar Jangid, Reyaz Ahmad
{"title":"Isolated Bilateral Congenital Lower Lip Sinuses in a Child: A Rare Non-syndromic Presentation.","authors":"Geetesh Ratre, Khan Abdul Sikandar Khan, Mahendra Kumar Jangid, Reyaz Ahmad","doi":"10.4103/jiaps.jiaps_338_25","DOIUrl":"https://doi.org/10.4103/jiaps.jiaps_338_25","url":null,"abstract":"","PeriodicalId":16069,"journal":{"name":"Journal of Indian Association of Pediatric Surgeons","volume":"31 2","pages":"317"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13061489/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147645493","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Aparna Sridhar, Nitin G Pai, Santosh Prabhu, Brij Mohan Kumar Singh, K Vasudeva Bhat, Vijay Kumar
{"title":"PEComa of the Mesentery of the Colon in a Child: A Peculiar Tumor that Evades a Common Diagnosis.","authors":"Aparna Sridhar, Nitin G Pai, Santosh Prabhu, Brij Mohan Kumar Singh, K Vasudeva Bhat, Vijay Kumar","doi":"10.4103/jiaps.jiaps_289_25","DOIUrl":"https://doi.org/10.4103/jiaps.jiaps_289_25","url":null,"abstract":"<p><p>PEComas or perivascular epithelioid cell tumors are rare soft-tissue tumors that form around perivascular spaces with a female preponderance, the origins of which are yet to be established. PEComas of the gastrointestinal tract are very rare, and only 21 cases have been reported in the literature. This case report comes from a tertiary hospital of an adolescent male who presented with complaints of vague abdominal pain and was noted to have lump in his right hypochondrium. Ultrasound-guided biopsy was done, after which PEComa was considered and was further confirmed on the excised specimen using HMB-45, the characteristic melanin marker of PEComa on immunohistochemistry. The adolescent is now healthy and on regular follow-up. PEComas are rarely considered in the first few differential diagnoses, as they require histopathological confirmation for definitive diagnosis.</p>","PeriodicalId":16069,"journal":{"name":"Journal of Indian Association of Pediatric Surgeons","volume":"31 2","pages":"294-296"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13061500/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147645640","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Shubhangi Kadam, T K Jayakumar, Prashant Ramteke, Nilesh Nagdeve, Amitkumar Jadhav, Kiran Khedkar, Ram Jeewan Singh
{"title":"Renin-producing Hepatoblastoma in an Infant: A Case Report.","authors":"Shubhangi Kadam, T K Jayakumar, Prashant Ramteke, Nilesh Nagdeve, Amitkumar Jadhav, Kiran Khedkar, Ram Jeewan Singh","doi":"10.4103/jiaps.jiaps_161_25","DOIUrl":"https://doi.org/10.4103/jiaps.jiaps_161_25","url":null,"abstract":"<p><p>A rare case of renin-secreting hepatoblastoma in a 1-year-old infant is presented, marked by unexplained hypertension. Elevated renin levels and immunohistochemical confirmation established the diagnosis. Surgical removal of the tumor normalized blood pressure. The case highlights the need to consider secondary hypertension in pediatric liver tumors for timely diagnosis and treatment.</p>","PeriodicalId":16069,"journal":{"name":"Journal of Indian Association of Pediatric Surgeons","volume":"31 2","pages":"267-269"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13061475/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147645294","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Reyaz Ahmad Wani, T Narasimha Murty, Prince Raj, Charu Tiwari, Nitin Kumar Borkar, Rahul Giri
{"title":"Isolated Extraperitoneal Congenital Lumbar Hernia in Children: A Series of Three Cases.","authors":"Reyaz Ahmad Wani, T Narasimha Murty, Prince Raj, Charu Tiwari, Nitin Kumar Borkar, Rahul Giri","doi":"10.4103/jiaps.jiaps_356_25","DOIUrl":"https://doi.org/10.4103/jiaps.jiaps_356_25","url":null,"abstract":"<p><p>Congenital lumbar hernia is a very rare hernia with < 100 cases reported in the literature so far. Extraperitoneal variant of this hernia is devoid of sac and usually contains retroperitoneal fat as its content. We present three such cases presenting as lumbar swellings (2 inferior and 1 superior triangle), clinically indistinguishable from lipomas. Based on clinical history and upon confirmation by computed tomography scan, excision of lipomatous swelling with primary repair was done by open technique. The size of the defect was around 2-3 centimeters, and the content in all of them was fat. The follow-up ranges from 3 to 24 months with no recurrence.</p>","PeriodicalId":16069,"journal":{"name":"Journal of Indian Association of Pediatric Surgeons","volume":"31 2","pages":"258-260"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13061495/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147645508","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Nomogram of Common Bile Duct Diameter in Children from a Tertiary Care Center in Central India: A Cross-sectional Observational Study.","authors":"Suresh Kumar Thanneeru, Rajesh Malik, Ankur Patel, Pramod Kumar Sharma, Roshan Chanchlani, Reyaz Ahmad, Yada Varun Tej, Mukesh Kumar","doi":"10.4103/jiaps.jiaps_365_25","DOIUrl":"https://doi.org/10.4103/jiaps.jiaps_365_25","url":null,"abstract":"<p><strong>Background: </strong>Normal common bile duct (CBD) diameter measurements are essential to distinguish from pathological conditions. The size criteria used for adults do not apply to children. There are differences among studies reported from various geographic regions. There is a lack of literature, particularly from India.</p><p><strong>Methods: </strong>A cross-sectional observational study was conducted at a tertiary care center in Central India. A sample size of 96 was calculated using a sample size formula to estimate the population mean. Children aged from newborns to 15 years old with no hepatobiliary pathology who required ultrasonography were included. The GE Logiq S8 ultrasound machine (GE Healthcare, Wauwatosa, WI, USA) was used to measure CBD diameter.</p><p><strong>Results: </strong>A total of 131 children were included, with a mean age of 6.05 ± 3.75 years (range: 1 month-14 years). The children were divided into three age groups: under 1 year (<i>n</i> = 13; CBD diameter: 1.01 ± 0.36), 1-10 years (<i>n</i> = 89; CBD diameter: 2.36 ± 0.94), and over 10 years (<i>n</i> = 19; CBD diameter: 2.77 ± 0.87). There is a significant difference in CBD diameters among the age groups (<i>P</i> < 0.001), with no significant difference between the 1-10 years and over 10 years groups (<i>P</i> = 0.07). In addition, there is a correlation between liver span and CBD diameter (<i>P</i> < 0.001).</p><p><strong>Conclusion: </strong>The mean CBD diameter in children showed a positive correlation with age and liver span. This data can serve as a reference standard for CBD diameter in children, especially in Central India. It may aid in distinguishing pathologically dilated CBD.</p>","PeriodicalId":16069,"journal":{"name":"Journal of Indian Association of Pediatric Surgeons","volume":"31 2","pages":"210-213"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13061501/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147645631","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Transanal Prolapse of Ileocolic Intussusception in an Infant.","authors":"Meghna Kinjalk, Yogesh Kumar Sarin","doi":"10.4103/jiaps.jiaps_391_25","DOIUrl":"https://doi.org/10.4103/jiaps.jiaps_391_25","url":null,"abstract":"","PeriodicalId":16069,"journal":{"name":"Journal of Indian Association of Pediatric Surgeons","volume":"31 2","pages":"321"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13061491/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147645317","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Assessment of Changes in the Morphometric Measurements of the Abdomen in Children with Age.","authors":"Pute U Losu, Yogesh Kumar Sarin","doi":"10.4103/jiaps.jiaps_297_25","DOIUrl":"https://doi.org/10.4103/jiaps.jiaps_297_25","url":null,"abstract":"<p><strong>Introduction: </strong>Significant changes occur in the shape and size of the abdomen with age. We aimed to correlate the morphometric measurements of the abdominal wall with age and establish a nomogram to demonstrate that the shape of the abdomen changes as a child grows, highlighting the need to choose different abdominal skin incisions as per age in children.</p><p><strong>Materials and methods: </strong>A single-center prospective observational study was carried out from July 2023 to December 2024. All consecutive patients in the age groups of term newborns to 18 years visiting the department of Pediatric Surgery of a tertiary teaching hospital were enrolled in our study. The demographic and abdominal parameters were recorded.</p><p><strong>Results: </strong>Four hundred patients were included in the study. The mean age was 5.05 ± 4.3 years. There were 286 (71.5%) males and 114 (28.5%) females. The mean values of xipho-pubic AB (vertical diameter), EF (transverse diameter), costo-iliac, and EF/AB (transverse diameter/vertical diameter) were 19.83 ± 4.72 cm, 15.98 ± 2.32 cm, 9.02 ± 1.89 cm, and 0.83 ± 0.14, respectively. 92.25% (<i>n</i> = 369) of cases qualified for vertical skin incision, while only 7.75% (<i>n</i> = 31) qualified for transverse skin incision. Interpretation of the area under the receiver operating characteristic curve showed that the performance of age fell into the \"outstanding\" category. Based on this, it can be asserted that 0.92 years is the age at which EF/AB is <1, with a sensitivity of 88.1% and specificity of 83.9%.</p><p><strong>Conclusion: </strong>The cutoff age between transverse and vertical abdominal skin incisions was determined to be 11 months. The vertical skin incision was the preferred option for all age groups. A transverse skin incision may be considered in children under 11 months of age.</p>","PeriodicalId":16069,"journal":{"name":"Journal of Indian Association of Pediatric Surgeons","volume":"31 2","pages":"204-209"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13061496/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147645430","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Kumar Abdul Rashid, Reyaz Ahmad Wani, Mudasir Ahmad Magray, Ishaq Malik, Amat-Us-Samie
{"title":"Laparoscopic-assisted Management of Bleeding Meckel's Diverticulum in Children.","authors":"Kumar Abdul Rashid, Reyaz Ahmad Wani, Mudasir Ahmad Magray, Ishaq Malik, Amat-Us-Samie","doi":"10.4103/jiaps.jiaps_261_25","DOIUrl":"https://doi.org/10.4103/jiaps.jiaps_261_25","url":null,"abstract":"<p><strong>Aim: </strong>This research aims to study the clinicodemographic profile of children with bleeding Meckel's diverticulum (MD) and the role of laparoscopy in their management.</p><p><strong>Materials and methods: </strong>It is a retrospective analysis of all the patients of painless lower gastrointestinal (LGI) bleeding who underwent diagnostic laparoscopy followed by laparoscopic-assisted resection of MD at a tertiary care pediatric hospital in North India from March 2019 to March 2023.</p><p><strong>Results: </strong>Diagnostic laparoscopy was positive in 17 out of 18 patients (MD = 15, ileal duplication = 2). The mean age of patients with MD was 35.08 ± 27.24 months, with male:female ratio of 2:1 and duration of symptoms ranging from 5 days to 8 months. All of them presented with recurrent bouts of bleeding per rectum and anemia. Seven had hemoglobin <7 g/dl, while 9 needed >2 packed red blood cell transfusions. Three patients presented with shock and needed resuscitation. All the patients underwent laparoscopic-assisted surgical resection with a mean operative time of 72.6 ± 15.4 min; with 2/3<sup>rd</sup> of them getting discharged between the 3<sup>rd</sup> and 5<sup>th</sup> postoperative day, and all of them within 10 days of surgery without any major complications.</p><p><strong>Conclusions: </strong>Laparoscopy has a diagnostic as well as therapeutic role in painless obscure major LGI bleeding in children. Laparoscopic-assisted resection of MD is safe, time-saving, and without major complications.</p>","PeriodicalId":16069,"journal":{"name":"Journal of Indian Association of Pediatric Surgeons","volume":"31 2","pages":"168-172"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13061504/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147645485","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Tarun Kumar, Ravi Sankar Manogaran, Ankur Mandelia
{"title":"Primary Repair of Traumatic Hypopharyngeal Perforation via Transcervical Endoscopic Approach in an Infant.","authors":"Tarun Kumar, Ravi Sankar Manogaran, Ankur Mandelia","doi":"10.4103/jiaps.jiaps_241_25","DOIUrl":"https://doi.org/10.4103/jiaps.jiaps_241_25","url":null,"abstract":"<p><p>An 11-month-old female presented with respiratory distress, neck swelling, and sepsis following the manual removal of a foreign body (a broken Shivling) from her throat. Imaging revealed pneumo-retropharynx and a large retropharyngeal abscess. After initial stabilization and resuscitation, transcervical endoscopy was employed to drain the abscess and repair a mucosal tear in the left pyriform sinus. The patient recovered well, with no postoperative complications and complete healing confirmed via endoscopy and esophagogram. This case highlights an innovative endoscopic approach, which enabled precise visualization and suturing of the hypopharyngeal perforation while avoiding extensive neck dissection, large cervical scars, and associated morbidity.</p>","PeriodicalId":16069,"journal":{"name":"Journal of Indian Association of Pediatric Surgeons","volume":"31 2","pages":"278-281"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13061478/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147645205","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Nitinkumar Borkar, Charu Tiwari, Prince Raj, Reyaz Ahmad Wani, Mustafa Azizoglu
{"title":"Tunica Vaginalis Versus Dartos as Interposition Soft Tissue in Hypospadias Repair: A Systematic Review and Meta-analysis.","authors":"Nitinkumar Borkar, Charu Tiwari, Prince Raj, Reyaz Ahmad Wani, Mustafa Azizoglu","doi":"10.4103/jiaps.jiaps_304_25","DOIUrl":"https://doi.org/10.4103/jiaps.jiaps_304_25","url":null,"abstract":"<p><p>Hypospadias is one of the most common congenital anomalies of the male urethra, with urethrocutaneous fistula (UCF) being its most common postoperative complication. An interposition tissue layer is often used between the neourethra and skin to reduce the incidence of UCF. Dartos flap (DF) has traditionally been preferred, whereas the tunica vaginalis flap (TVF) has gained popularity for its robust vascularity. This systematic review and meta-analysis aimed to compare outcomes of TVF versus DF in primary hypospadias repair (TIP). PRISMA guidelines were followed. Randomized controlled trials (RCTs) comparing TVF and DF as interposition layers were identified through MEDLINE, Embase, Scopus, CENTRAL, trial registries, and Google Scholar. Inclusion criteria comprised children undergoing TIP with postoperative outcomes as variables. Risk of bias was assessed using the Cochrane RoB2 tool. Pooled analyses were performed using RevMan web. A fragility index (FI) was calculated for the primary outcome. Four RCTs, including 209 patients (TVF: 97, DF: 112), were included for analysis. UCF occurred in 9.28% in the TVF group versus 30.36% in the DF group. Pooled analysis favored TVF (risk ratio: 0.37; 95% confidence interval: 0.19-0.70, <i>I</i>² = 0%). No significant differences were observed for meatal stenosis (MS) or penile torsion. The FI for UCF was 7, indicating moderate robustness. TVF significantly reduces UCF rates compared to DF in TIP with similar complication rates for MS and penile torsion. Considering the moderate fragility of the primary outcome UCF and limited data on secondary outcomes, more number of RCTs would be necessary to validate these findings.</p>","PeriodicalId":16069,"journal":{"name":"Journal of Indian Association of Pediatric Surgeons","volume":"31 2","pages":"145-150"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13061505/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147645359","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}