Necrotizing Enterocolitis Following Operation In The Neonatal Period

Over A 16-Year Period, 33 Newborn Infants Developed Necrotizing Enterocolitis (Nec) Following Some Form Of Operation (Accounting For 19 Per Cent Of All Neonates With Nec), Including Repair Of Myelomeningocele, Intestinal Atresia, Gastroschisis And Congenital Diaphragmatic Hernia. The Neonates With Postoperative Nec Had A Median Birth-Weight Of 3.05 (Range 1.0-4.4) Kg, And Median Gestational Age Of 40 (Range 27-41) Weeks. Twenty Patients Were Treated Non-Operatively. The Remaining 13 Required Operation For Complications Of Nec. Twenty-Three Patients Are Alive And Have Been Followed For A Median Of 66 (Range 3-168) Months. If A Neonate Deteriorates Following Any Operation Nec Must Be Included In The Differential Diagnosis.link_to_subscribed_fulltex

Teratoma of the lumbosacral region: a case report

<p>Abstract</p> <p>Introduction</p> <p>Teratoma is a tumor that usually arises from one or more germ layers. They are most commonly found in the sacrococcygeal region and have a female preponderance. We present a very rare case of a boy with a benign cystic teratoma in the lumbosacral region.</p> <p>Case presentation</p> <p>A 16-year-old Indian boy presented to our hospital with a history of a lump in the lower back region since birth. Initially, it was small, but its size increased gradually over time to a size of 15 cm × 15 cm at presentation. There were no other associated abnormalities. Investigations revealed the lump to be a benign cystic teratoma. The patient underwent surgery, and the whole tumor, from its base to the vertebrae, was excised. Bisection of the tumor revealed that it contained hair and pultaceous material consistent with a teratoma, which was later confirmed by histopathologic examination.</p> <p>Conclusion</p> <p>Benign cystic teratomas should be diagnosed and managed aggressively because they generally have a greater tendency to progress toward malignancy. After extensively searching the case report database, we arrived at the conclusion that this was a rare case of a benign cystic teratoma in the lumbosacral region in a boy.</p