{"title":"Giant Lingual Teratoma with Cleft Palate in Male New-Born","authors":"J. Rawat, Piyush Kumar, Sudhir Singh, Hemlata","doi":"10.21699/AJCR.V7I5.474","DOIUrl":"https://doi.org/10.21699/AJCR.V7I5.474","url":null,"abstract":"Teratoma of oropharyngeal region, also known as an epignathus, is found in approximately 1:35,000– 1:200,000 live births with female predominance.[1] Congenital malformations such as cleft palate, bifid tongue, dorso-nasal fistula and nasal dermoid cyst may be associated with teratoma of oropharyngeal region in 6 % cases.[2] Management of these cases are challenging with respect to handling of airway at birth and during surgery (especially with giant teratoma).","PeriodicalId":89657,"journal":{"name":"APSP journal of case reports","volume":"7 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2016-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68185370","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A. Singh, Vinay Mathur, Ramesh Tanger, Arun Gupta, Ayush Kumar
{"title":"Foreign Body in Duodenum Mimicking a Duplication Cyst on Imaging","authors":"A. Singh, Vinay Mathur, Ramesh Tanger, Arun Gupta, Ayush Kumar","doi":"10.21699/ajcr.v7i5.468","DOIUrl":"https://doi.org/10.21699/ajcr.v7i5.468","url":null,"abstract":"Paediatric age group is most vulnerable for the accidental foreign body (FB) ingestion which may go unnoticed. These patients present with symptoms or complications as a result of FB and may mimic other conditions on various investigations. We describe a 9-month old infant who ingested crystal gel ball and presented with vomiting for a month. On radiological imaging it was interpreted as duplication cyst of the duodenum. At operation, crystal gel ball was retrieved. Our case vindicates importance of keeping various possibilities in mind as differential diagnoses during evaluation and management of surgical ailments such as the duplication cyst of duodenum.","PeriodicalId":89657,"journal":{"name":"APSP journal of case reports","volume":"7 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2016-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68185633","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Incidentally Diagnosed Multiple Vascular Lesions of the Spleen: Littoral Cell Angioma or Hemangioma?","authors":"E. Aydın","doi":"10.21699/ajcr.v7i5.492","DOIUrl":"https://doi.org/10.21699/ajcr.v7i5.492","url":null,"abstract":"Vascular lesions of the solid abdominal viscera may pose diagnostic and management issues. A 16-year old girl admitted to emergency department due to recurrent abdominal pain and diagnosed to have multiple vascular malformations of the spleen on imaging investigations. Littoral cell angioma was preoperative suspicion owing to no response of the vascular lesion to the propranolol. It turned out to be cavernous hemangioma on histopathology.","PeriodicalId":89657,"journal":{"name":"APSP journal of case reports","volume":"7 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2016-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68185849","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Huge Gastric Teratoma in an 8-Year Old Boy.","authors":"Rajpal S Sisodiya, Simmi K Ratan, Parveen K Man","doi":"10.21699/ajcr.v7i5.495","DOIUrl":"10.21699/ajcr.v7i5.495","url":null,"abstract":"<p><p>Gastric teratoma is very rare tumor and usually presents in early infancy. An 8-year-old boy presented with a huge mass in abdomen extending from epigastrium to the pelvis. Ultrasound and CT scan of abdomen revealed a huge mass with solid and cystic components and internal calcifications. The preoperative diagnosis was a teratoma but not specifically gastric one. At operation, it was found to be gastric teratoma. The mass was excised completely with part of the stomach wall. The histopathology confirmed it to be mature gastric teratoma. The rarity of the teratoma with delayed presentation prompted us to report the case.</p>","PeriodicalId":89657,"journal":{"name":"APSP journal of case reports","volume":"7 1","pages":"38"},"PeriodicalIF":0.0,"publicationDate":"2016-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5116229/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68185449","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":"Severe Hematuria and Prevesical Hematoma after Open Ureterocystoneostomy: Sequel of Undiagnosed Hemophilia","authors":"E. Hisamatsu, K. Yoshino","doi":"10.21699/AJCR.V7I5.486","DOIUrl":"https://doi.org/10.21699/AJCR.V7I5.486","url":null,"abstract":"Surgical interventions for vesicoureteral reflux (VUR) include open or laparoscopic ureterocystoneostomy (UCN) and endoscopic injection. Historically, open UCN has been the gold standard in surgical treatment of VUR with high success and low complication rates. [1] Although open UCN causes bleeding from the incised bladder wall or dissected trigone, the bleeding is usually not severe unless a bleeding disorder is present. We report a case of bilateral VUR that developed severe persistent hematuria and prevesical hematoma after open UCN.","PeriodicalId":89657,"journal":{"name":"APSP journal of case reports","volume":"7 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2016-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68185732","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Piyush Kumar, Sudhir Singh, J. Rawat, Sarita Singh
{"title":"Postoperative Ileocolic Intussusception in a Neonate with Anorectal Malformation","authors":"Piyush Kumar, Sudhir Singh, J. Rawat, Sarita Singh","doi":"10.21699/AJCR.V7I5.473","DOIUrl":"https://doi.org/10.21699/AJCR.V7I5.473","url":null,"abstract":"A 7-days-old male neonate with anorectal malformation (ARM) presented with abdominal distension and bleeding per rectum. He had an operation for ARM (Anoplasty) a day after birth and the patient had history of passing stool normally for two days. It was followed by blood mixed stool and abdominal distension. On examination, the patient had features of mild dehydration and sepsis. The abdomen was distended and a mass was palpable on left side of abdomen. Perineal examination showed attempt of a primary anoplasty performed at other hospital for absent anal opening to decompress the bowel. Haematological and biochemical investigations including coagulation profile were in the normal limits. X-ray abdomen in AP erect view revealed multiple air fluid levels. Patient was resuscitated with intravenous (IV) fluids. Antibiotics and analgesics were started. In view of abdominal distension, palpable abdominal mass, and history of bloody stool, we kept the possibility of intussusception in mind. Exploratory laparotomy was performed after about four hours of admission. Intraoperatively, ileocolic intussusception was found, which was advancing up to the sigmoid colon (Fig.1). It was not possible to manually reduce the intussusception owing to ischemic intussusceptum, thus resection of bowel with ileostomy and colonic mucous fistula (Transverse colon) were made. On opening the resected bowel, no pathological lead point was found. Patient was discharged in good general condition on fifth post-operative day of procedure. Sitz bath and care of perineal wound was advised. Patient was in regular follow up or two months with satisfactory condition. However, he did not turn up in third month. On telephonic inquiry, it was informed that the patient developed ileostomy diarrhoea and succumbed to dehydration.","PeriodicalId":89657,"journal":{"name":"APSP journal of case reports","volume":"7 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2016-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68185768","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pradeep Kajal, K. Rattan, Namita Bhutani, K. Bhalla
{"title":"Giant Primary Epithelial Splenic Cyst in an Adolescent Girl","authors":"Pradeep Kajal, K. Rattan, Namita Bhutani, K. Bhalla","doi":"10.21699/ajcr.v7i5.485","DOIUrl":"https://doi.org/10.21699/ajcr.v7i5.485","url":null,"abstract":"A 13-year old girl presented with abdominal pain and upper abdominal fullness for 4 months. On examination, there was a large, smooth, and firm lump palpable involving the left hypochondrium, epigastrium, left lumbar region, and reaching almost up to the umbilicus. It was moving with respiration and the upper limit was not reachable. Rest of the examination was normal. All routine hematological and biochemical investigations were within normal range. Hematological tests for human immunodeficiency virus (HIV), hepatitis C virus (HCV) and hepatitis B virus (HBV) viz. ELISA for HIV, anti-HCV and HBsAg were negative. X-ray chest revealed slight elevation of left diaphragm. Abdominal ultrasonography revealed a giant unilocular cystic lesion in the spleen. Casoni’s skin test and complement fixation test for Echinococcus granulosus were negative. Stool examination done over 3 consecutive days was found to be normal. Computed tomography confirmed the splenic large cyst with dimensions of 22x17x15cm with thin, compressed rim of normal parenchyma posterolaterally (Fig.1). At laparotomy, a huge splenic cyst of more than 20 cm of maximum diameter was found with almost total displacement and compression of remaining splenic parenchyma. However due to cyst size and location, preservation of spleen was considered impossible and total splenectomy was carried out after decompression of the cyst by aspiration of about 2000 ml of turbid serous fluid (Fig.2). The postoperative period was uneventful and patient was discharged in fair health on 5th postoperative day.","PeriodicalId":89657,"journal":{"name":"APSP journal of case reports","volume":"7 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2016-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68185650","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Neurenteric Cyst Presenting with Bleeding Per Rectum","authors":"T. Yadav, P. Parmar, K. Rattan","doi":"10.21699/ajcr.v7i4.454","DOIUrl":"https://doi.org/10.21699/ajcr.v7i4.454","url":null,"abstract":"Neurenteric cyst in the thoracic cavity may produce a myriad of clinical features. We report a 7-month-old girl who presented with significant bleeding per rectum. On imaging, a mediastinal cystic structure with air-fluid levels was evident with cervico-thoracic vertebral anomalies. The cyst was excised and histopathology showed intestinal mucosal lining with heterotopic pancreatic tissue confirming the diagnosis of neurenteric cyst.","PeriodicalId":89657,"journal":{"name":"APSP journal of case reports","volume":"7 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2016-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68185138","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Inflammatory Myofibroblastic Tumor of Common Bile Duct in a Girl","authors":"Aureen D’cunha, Susan Jehangir, R. Thomas","doi":"10.21699/ajcr.v7i4.445","DOIUrl":"https://doi.org/10.21699/ajcr.v7i4.445","url":null,"abstract":"Inflammatory myofibroblastic tumor (IMT) is a rare, low grade malignant lesion which can occur anywhere in the body. In children it is usually found in the visceral soft tissues with a potential for local invasion and recurrence, and rarely distant metastasis. We report the diagnostic dilemma faced in the management of a 12-year old girl who presented with obstructive jaundice with a mass lesion at the distal end of the common bile duct. She underwent a tumor resection with a bilio-enteric bypass followed by a course of oral steroids and celecoxib.","PeriodicalId":89657,"journal":{"name":"APSP journal of case reports","volume":"8 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2016-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68185254","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Malrotation and Midgut Volvulus associated with Asymptomatic Duplication Cyst of Jejunum","authors":"Sandip K. Rahul, V. Upadhyaya, B. Kumar","doi":"10.21699/ajcr.v7i4.447","DOIUrl":"https://doi.org/10.21699/ajcr.v7i4.447","url":null,"abstract":"Gastrointestinal duplications can affect any part of the alimentary tract and are notorious for their variable presentation. Their association with malrotation and midgut volvulus is rare. We describe an 8-year old boy presented with episodes of abdominal pain. Radiological workup showed whirlpool sign and abnormal relationship of mesenteric vessels. At operation, malrotation with chronic volvulus was found. Incidentally, a jejunal communicating duplication cyst was also noted.","PeriodicalId":89657,"journal":{"name":"APSP journal of case reports","volume":"7 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2016-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68185276","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}