Fetal diastematomyelia: MR imaging: A case report

MRI is increasingly being used in the diagnosis of fetal anomalies suspected on USG. The USG evaluation of fetal spinal anomalies is limited by acoustic shadowing, fetal position and the amount of liquor. Fetal MRI is able to show spinal anomalies well, as in our case of fetal diastematomyelia with a dorsal dermal sinus, suspected on USG at 28 weeks gestation

Abdominal wall ectopic testis - Case report and review of literature

Undescended testis is a common condition which affects about 2–4% of male infants and more commonly seen in preterm infants. The descent of testis is a complex process which requires cross talk between various hormones and testes. Undescended testis is where a testis has been arrested in its normal pathway of descent due to various factors. Ectopic testis is the one which has deviated from its normal pathway of descent. Abdominal testis is the rarest form of ectopic testis which has been reported in literature. To the best of our knowledge 6 cases have been reported till date. Keywords: Undescended testis, Ectopic testis, Abdominal wall hernia, Abdominal ectopic testis, Laparoscopic orchidopexy and open orchidopex

Adrenal masses associated with Beckwith Wiedemann syndrome in the newborn

Adrenal cystic lesions are rare and may be associated with both complete and incomplete Beckwith syndrome (BWS). Because the adrenal gland often houses malignant lesions, differentiation between benign and malignant lesions of the gland, although usually difficult, is very necessary from the point of view of management. Here we present our experience in a case of incomplete BWS with adrenal cystic lesion and review of the literature

Isolated prostatic utricle

Complete excision of a prostatic utricle through posterior sagittal rectum retracting approach is reported in an infant

Gall bladder duplication with choledochal cyst: A rare entity

A 4-year-old male child presented with complaints of abdominal pain and vomiting along with yellowish discoloration of the eyes. Investigations were suggestive of acute pancreatitis and double gall bladder (GB) with dilated common bile duct (CBD) with intraluminal calculi and Type II choledochal cyst. He underwent surgical resection of double GB with dilated CBD with hepatico-docho-jejunostomy. On follow-up, the patient was asymptomatic. Our case highlights the importance of preoperative diagnosis to deal with increased operative difficulty and complications

Role of chemoports in children with hematological/solid tumor malignancies - Technical implications and complications: An institutional experience

Aim: The aim of this retrospective analysis was to identify the variously related complications and to study preventive and therapeutic measures for these complications. Materials and Methods: A total of 72 catheters were inserted in 69 patients (mean follow-up of 1140 days) from December 2002 to May 2017. Sixty-four children were diagnosed to have hematological malignancies, and five children had solid tumors. The youngest child was 2 months of age, and the oldest was 15 years, 5 months. Records were analyzed retrospectively for the age, indication, route of insertion, and postoperative complications. A protocol-based insertion and postinsertion handling by trained nursing staff/doctors were instituted, including a periodic training program for those concerned. Results: Chemoport-related complications were infection in 3 (4.16%), necessitating port removal in one patient. The rest were managed by antibiotic-lock therapy. The other problems were catheter tip occlusion in 1 (1.38%) and extravasation in two patients (2.77%) leading to a sterile collection around the port chamber. An unsightly scar in 4 (5.55%) and granuloma formation at scar site in 1 (1.38%) patient were noted. Conclusion: Totally implantable chemoports are preferred in children with solid and hematological malignancies because of decreased pain, the rate of infection, and ability to maintain patency for the long term. Despite significant advantages over other types of central venous access, chemoports have their own complications. It was also noted that the rate of complications could be minimized by periodic training of all the personnel concerned and following protocol-based handling of ports