Forgotten DJ stents with calculi in a double moiety re-implant: A case report

Calculi occurring around double J (DJ) stents is a rare occurrence. Our case was of a 12-year-old female who was operated for ureteric re-implantation of both moieties in a case of left sided double moiety with Grade IV VUR. Two DJ stents were kept in situ and patient was lost to follow-up. The stents and resultant calculi came into notice when she came with abdominal pain and dysuria. They were removed by pyelolithotomy with suprapubic cystolithotomy

Tuberculous intestinal perforation in a case of Burkitt lymphoma on chemotherapy - A case report

Intestinal perforation induced by chemotherapy in a patient of Burkitt lymphoma is a known potential complication whichcarries high mortality. Perforation may also occur as a result of the transmural nature of the tumour. Patients on chemotherapyare prone to contract infectious diseases due to a compromised immune system. Pulmonary tuberculosis has been reported inthese patients, but abdominal tuberculosis has not. We report the case of a five year old boy on chemotherapy for Burkittlymphoma, and who developed a tuberculous jejunal perforation. The patient underwent drain insertion and stabilizationfollowed by exploratory laparotomy with resection of the pathological segment and closure of the duodenal stump at the fourthpart. Bowel continuity was re-established by gastrojejunostomy. Histopathologic examination of the resected segment revealedintestinal tuberculosis. Anti -tubercular therapy was started and continued for nine months. The last cycle of chemotherapy wasadministered 1 month after surgery. At 1 year of follow up the patient is asymptomatic and thriving well

An unusual presentation of rectal atresia with rectal duplication cyst in a neonate: A case report

A 10 days old male baby brought with abdominal distension and cystic swelling in the left buttock. Radiological investigationssuggested para-rectal abscess or rectal duplication cyst. Patient underwent transverse loop colostomy and later definitivesurgery by posterior sagittal approach. Intra-operative findings were suggestive of small atretic rectal segment with duplicationcyst of the rectum. To the best of our knowledge, neonatal rectal atresia with rectal duplication cyst has not been reported inEnglish literature

Complete sternal cleft - A rare congenital malformation and its repair in a 3-month-old boy: A case report

Complete midline sternal cleft is a rare congenital anomaly resulting from failed midline ventral fusion of the sternal bars. Very few cases of complete sternal cleft have been described in literature. We present a case of complete sternal cleft in a 3-month-old child. The patient underwent primary closure of the defect using stainless steel wires

Our experience of laparoscopic pyloromyotomy with ultrasound-guided parameters

Traditional management of infantile Hypertrophic Pyloric Stenosis is open pyloromyotomy after initial adequate resuscitation of the patient. From 1991, laparoscopic approach is considered feasible and safe. Today, diagnosis of hypertrophic pyloric stenosis is made most often made by ultrasound. With use of ultrasound-guided parameters (length of pyloric tumour and thickness of pyloric tumour), we could avoid ‘incomplete pyloromyotomy’ and ‘mucosal perforation’ (most common complications in laparoscopic approach) to achieve 100% adequacy and safety in laparoscopic pyloromyotomy