Chronic axillary sinus in a child

Chronic discharging sinus in the axilla is of very rare occurrence in pediatric age. Such a presentation, especially with a previous history of trauma, should be viewed with caution. Various possibilities including tuberculosis are considered. Appropriate investigations and thorough wound management will help in the prevention of long-term morbidity. We report a case of the chronic discharging axillary sinus in a child and review literature

Irreducible Hernia in Female Children Containing Ovary, Uterus or Uterine Adnexa: Case Series

Inguinal hernias are the most frequent hernias of childhood. They are relatively uncommon in females as compared to males. Congenital inguinal hernias are due to the failure of closure of processus vaginalis. In females, this usually obliterates around the eighth month of foetal life. When these remain patent, a rare but possible herniation of contents can occur through this, like the genito-urinary system, including the ovaries and sometimes the fallopian tubes. However, the occurrence of uterus as one of the contents is a rare entity. This is a case series of six such cases with various genital tract entities as contents in paediatric female inguinal hernia. In conclusion, the rare entity of uterus, uterine adnexae and ovaries being a content of inguinal hernia has to be kept in mind when treating female children

Clinical Profile and Outcome of Gastrointestinal Foreign Body in Paediatric Age Group

Background: Foreign body (FB) ingestion is a commonly encountered problem in paediatric age group. The tendency to explore objects especially from six month to six years of age make this age group more susceptible to gastro-intestinal foreign body. The foreign body ingestion may be associated with serious complications based on nature of the ingested object. Objective: To study clinical profile and outcome of gastrointestinal foreign body in paediatric age group. Materials and Methods: In this retrospective study a total of 20 pediatric patients were included in the study who presented with foreign body ingestion (International Statistical Classification of Diseases and Related Health Problems; ICD-10 codes T18) treated in Yenopoya Medical College Hospital from January 2019 to October 2020. Patients attending the paediatric surgery department were included. Inpatient and outpatient department data was collected. Characteristic data, associated conditions, presentation of patient, anatomic region, type of foreign body, management, complications, and outcome data was evaluated. Results: Majority of the foreign objects those were ingested included safety pins, coins and magnets. Most of the patients presented on first day of ingestion. 90% of the patients did not require any interventions. The common site of lodgment of foreign body at time of presentation was in the stomach. 70% of the patients did not have any symptoms at time of presentation. 30% had presented with stomach pain. Majority of patients had passage of foreign body within a week of presentation. Conclusion: Small inanimate objects which have high propensity to be ingested by children should be kept away at places which cannot be accessed by the children. Regular follow up, x-ray examination, stool examination should be done till the passage of foreign body

Minimal Invasive Approach in a Pediatric Non-Infective Splenic Cyst- Case Report and Review of Literature: - CASE REPORT AND REVIEW OF LITERATURE

Splenic cyst is a rare occurrence especially in paediatric age group, hence challenging to treat. It is usually diagnosed incidentally while doing scans for other abdominal complaints. We report a minimally invasive approach of treating a large splenic cyst with review of the literature. A teenage boy presented to the emergency room who complained of pain in the left upper quadrant of abdomen of 2 days duration, with a history of blunt abdominal trauma 2 years back. Clinical examination and relevant radiologic investigations were done for the proper diagnosis. Patient underwent laparoscopic deroofing of the large splenic cyst followed by omental pedicle insertion. Histopathological exam showed presence of an epithelial cyst