{"title":"Retained Wireless Capsule Endoscope in a Girl with suspected Crohn’s Disease","authors":"K. Herle, Susan Jehangir","doi":"10.21699/ajcr.v7i4.466","DOIUrl":"https://doi.org/10.21699/ajcr.v7i4.466","url":null,"abstract":"Wireless capsule endoscopy (WCE) is one of the great milestones in the field of gastroenterology. It is versatile in image acquisition, painless and can reach parts of the small bowel not amenable to conventional endoscopy. The commonest complication with WCE is retention of the capsule. We report a case of retained capsule in a child who was being investigated for obscure gastrointestinal bleeding (OGIB). Operative intervention was required for its retrieval after two weeks of expectant management.","PeriodicalId":89657,"journal":{"name":"APSP journal of case reports","volume":"16 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2016-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68185242","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":"Right Parotid Fibrolipoma: A Rare Lesion in a Child","authors":"K. Rattan, Sunita Singh, S. Bansal","doi":"10.21699/ajcr.v7i4.448","DOIUrl":"https://doi.org/10.21699/ajcr.v7i4.448","url":null,"abstract":"Lipoma rarely involves parotid gland especially in children. An 11-year-old boy presented with right parotid swelling. Preoperative workup including CT scan and FNAC gave suspicion of parotid gland lipoma. The diagnosis was confirmed on histopathology after complete excision of the mass.","PeriodicalId":89657,"journal":{"name":"APSP journal of case reports","volume":"47 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2016-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68184875","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":"Tetra-Amelia Syndrome","authors":"Shilpi Gupta, V. Chaturvedi, Liladhar Agarwal","doi":"10.21699/ajcr.v7i4.459","DOIUrl":"https://doi.org/10.21699/ajcr.v7i4.459","url":null,"abstract":"A newborn was noticed lying unattended in the hospital campus. It had complete absence of all four limbs, deformed ears, facial cleft, proptosis, hydrocephalus, corneal opacity, absent nipples, anterior abdominal wall defect with exstrophy bladder, absent external genitalia, and sacral spina bifida (Fig.1 A & B). The child died after few hours due to aspiration pneumonitis. These features are part of ‘tetra-amelia syndrome’ (TAS) which is an extremely rare autosomal recessive congenital disorder, characterized by absence of all four limbs and anomalies involving the cranium and face, urogenital system, anorectum, heart, lungs, skeleton, and central nervous system.[1] Mutation in WNT3 gene (Chromosome 17q21) has been linked to TAS. Prenatal molecular genetic testing is possible even before routine prenatal ultrasonography can detect TAS. Infants are often stillborn or die soon after birth. However, it is important to note that even complete absence of all extremities per-se is not incompatible with life. Management and survival is guided by presence and severity of associated anomalies. Such cases obviously need major assistance for most routine activities. This case highlights the social stigma associated with birth of a child with TAS. Parental and family counseling is of utmost importance for acceptance and further genetic testing. Figure 1 A & B: Showing absence of all the four limbs facial cleft, left corneal opacity, absent nipples, abdominal wall defect, exstrophy bladder and absent genitalia.","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":"68184893","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":"Disc Battery - An Unusual Vaginal Foreign Body in a Child","authors":"Y. Khan, M. Mahmood, E. Taqi","doi":"10.21699/ajcr.v7i4.467","DOIUrl":"https://doi.org/10.21699/ajcr.v7i4.467","url":null,"abstract":"Disc battery ingestion and esophageal injury is well-known in children. Insertion of a disc/lithium battery into body’s natural orifices is rarely reported. We present a case of self-insertion of a lithium battery into the vagina by a 2 ½ year old female. Vaginoscopy was performed and the battery was retrieved which had corroded and caused vaginal ulceration. Post-operative outcome was favorable. Treating physicians must be aware of the hazardous effects of insertion of lithium batteries as it may cause significant damage in a short period.","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":"68184999","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":"Symptomatic Mullerian Duct Cyst in a Male Infant","authors":"Abhishek Chinya, Prince Raj, S. Sinha, Y. Sarin","doi":"10.21699/ajcr.v7i4.449","DOIUrl":"https://doi.org/10.21699/ajcr.v7i4.449","url":null,"abstract":"Symptomatic Mullerian duct cyst is a rare entity in children. A 9-month-old male infant presented with bowel and urinary obstructive symptoms. Imaging investigations revealed a cystic mass in the rectovesical pouch compressing bladder neck and rectum. At laparotomy, a Mullerian duct cyst was found. Most of the cyst was excised and the remaining cyst mucosa was cauterized. The child improved thereafter.","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":"68184937","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}
Bayram Ali Dorum, Nilgün Köksal, Hilal Özkan, Sabahattin Karakaya, Ahsen Karagözlü Akgül
{"title":"Sacrococcygeal Teratoma associated with Trisomy 13.","authors":"Bayram Ali Dorum, Nilgün Köksal, Hilal Özkan, Sabahattin Karakaya, Ahsen Karagözlü Akgül","doi":"10.21699/ajcr.v7i3.423","DOIUrl":"https://doi.org/10.21699/ajcr.v7i3.423","url":null,"abstract":"<p><p>Sacrococcygeal teratoma (SCT) is rarely associated with syndromes. We report a female newborn with a prenatal diagnosis of small sacrococcygeal teratoma and postnatally diagnosed as having trisomy 13. The sacrococcygeal teratoma was excised. It was reported as mature teratoma. The child succumbed to sepsis postoperatively. </p>","PeriodicalId":89657,"journal":{"name":"APSP journal of case reports","volume":"7 3","pages":"22"},"PeriodicalIF":0.0,"publicationDate":"2016-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4921219/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34654329","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":"Sacrococcygeal Teratoma: Mistreated With Repeated Aspirations.","authors":"Ramagopal G, Guru R, Suresh P, Moorthy G, Devi Lu","doi":"10.21699/ajcr.v7i3.422","DOIUrl":"https://doi.org/10.21699/ajcr.v7i3.422","url":null,"abstract":"One year and nine month old baby girl brought to the hospital with swelling in the left gluteal region noticed by the parents since three months of age. They consulted a local practitioner who suggested aspiration by needle, which was done multiple times. The size of the swelling used to decrease immediately after aspiration but returned to its usual size within 1-2 months. On examination, the child was alert, active with normal growth and development. Left gluteal region was more prominent with skin over the region showing multiple puncture marks (Fig. 1), palpation revealed an illdefined, immobile, and non-tender mass with variable consistency. Per rectal examination showed mass extending up to the presacral region. Bimanual palpation revealed extension of the mass up to the level of the pelvic brim. Ultrasound revealed a well-defined anechoic cystic lesion near coccyx. MRI of the left gluteal region showed two peripherally enhancing lesions near the anterior-inferior part of the coccyx confirming the diagnosis of SCT (Fig. 1). Serum alpha fetoprotein level was normal. At operation, a large dumb-bell shaped mass with both solid and cystic (mainly) components, arising from the coccyx, was completely excised along with coccygectomy. Postoperative recovery was uneventful. Biopsy report showed it to be mature teratoma (Fig. 1) with margins free of tumor. The parents were counseled for regular follow-up.","PeriodicalId":89657,"journal":{"name":"APSP journal of case reports","volume":"7 3","pages":"26"},"PeriodicalIF":0.0,"publicationDate":"2016-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4921223/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34655450","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}
Alireza Mirshemirani, Alireza Mahdavi, Mehdi Sarafi
{"title":"Skin and Neourethral Necrosis in Staged Hypospadias Repair.","authors":"Alireza Mirshemirani, Alireza Mahdavi, Mehdi Sarafi","doi":"10.21699/ajcr.v7i3.401","DOIUrl":"https://doi.org/10.21699/ajcr.v7i3.401","url":null,"abstract":"Complications in hypospadias surgery are not uncommon however penile skin or flap necrosis is rarely reported. Ischemia of the flap or graft is a major complication in two stage repair of hypospadias. A 2-year old boy with proximal penile hypospadias, operated earlier for chordee correction and urethral plate formation with a preputial flap, presented for stage 2 repair. Ten days after surgery patient developed skin and neourethral necrosis. Early debridement was done followed by coverage with scrotal flaps.","PeriodicalId":89657,"journal":{"name":"APSP journal of case reports","volume":"7 3","pages":"19"},"PeriodicalIF":0.0,"publicationDate":"2016-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4921216/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34654326","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":"Ewing's Sarcoma of the Adrenal Gland.","authors":"Dilip Kumar Pal, Vipin Chandra, Kumar Rajiv Ranjan, Debasis Chakrabortty, Manju Banerjee","doi":"10.21699/ajcr.v7i3.406","DOIUrl":"https://doi.org/10.21699/ajcr.v7i3.406","url":null,"abstract":"<p><p>Ewing's sarcoma (ES) or primitive neuro-ectodermal tumor (PNET) typically occurs in long or flat bones, the chest wall, extra-skeletal soft tissue, and rarely in solid organs. Incidence of adrenal Ewing's sarcoma is very rare. Here we report a case of Ewing's sarcoma of the right adrenal gland in an 8-year-old girl who presented with an abdominal mass. The huge tumor was managed by preoperative neo-adjuvant chemotherapy followed by surgical resection. She died due to metastasis after five months of surgery. </p>","PeriodicalId":89657,"journal":{"name":"APSP journal of case reports","volume":"7 3","pages":"20"},"PeriodicalIF":0.0,"publicationDate":"2016-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4921217/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34654327","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":"Intestinal Perforation in Obstructed Umbilical Hernia due to Wedged Plum Seed.","authors":"Rahul Gupta, Vikram Singh Mujalde, Shilpi Gupta, Pradeep Kumar Gupta, Anu Bhandari, Praveen Mathur","doi":"10.21699/ajcr.v7i3.439","DOIUrl":"https://doi.org/10.21699/ajcr.v7i3.439","url":null,"abstract":"<p><p>The foreign body ingestion is a rare cause of gastrointestinal perforation in children and is typically seen with sharp foreign bodies or button batteries. Herein, we report an 11-month old male baby who presented with obstructed umbilical hernia. Abdominal radiograph showed dilated small bowel loops, while ultrasonography and CT scan suggested presence of a foreign body. Laparotomy revealed obstructed umbilical hernia with a plum seed being stuck in the terminal ileum causing intestinal perforation. Resection and anastomosis of intestine was performed. </p>","PeriodicalId":89657,"journal":{"name":"APSP journal of case reports","volume":"7 3","pages":"25"},"PeriodicalIF":0.0,"publicationDate":"2016-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4921222/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34655448","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}