RESUMEN
Duplication of the alimentary tract is an important surgical condition. It may occur anywhere in the gastrointestinal tract. An important complication of this entity is perforation of the normal or abnormal gut. Malrotation with midgut volvulus can be a surgical emergency. We present a patient, who presented as malrotation with midgut volvulus associated with perforated ileal duplication. The patient was successfully managed.
RESUMEN
Lumbosacral parasitic twin is an extremely rare entity. About 200 cases have been reported in the literature. It may be associated with neural tube defects. We encountered a 3-day-old female child with this presentation, who was successfully operated on at the age of about 2 months. Being an uncommon entity, it is presented here.
Asunto(s)
Enfermedades en Gemelos/diagnóstico , Región Lumbosacra/patología , Meningomielocele/diagnóstico , Gemelos Siameses/patología , Enfermedades en Gemelos/cirugía , Femenino , Humanos , Recién Nacido , Región Lumbosacra/cirugía , Meningomielocele/cirugía , Gemelos Siameses/cirugíaRESUMEN
Ectopic kidney is a well-known congenital anomaly. Intrathoracic kidney, as a form of renal ectopia, is an extremely rare entity. A 62-year-old man presented to the department of radiodiagnosis for evaluation of urinary problems. On the basis of ultrasonography, he was diagnosed to be having intrathoracic kidney, which was confirmed by CT scan. We present the details of the patient and brief review of the relevant literature.
Asunto(s)
Coristoma/diagnóstico por imagen , Riñón , Enfermedades Torácicas/diagnóstico por imagen , Humanos , Hallazgos Incidentales , Masculino , Persona de Mediana Edad , Tomografía Computarizada por Rayos X , UltrasonografíaRESUMEN
AIM: To assess the usefulness of ultrasonography in the differentiation of causes of chronic cervical lymphadenopathy in children. MATERIALS AND METHODS: Children with palpable cervical lymph nodes were included. An ultrasonographic examination was performed to delineate multiple lymph nodes, irregular margins, tendency towards fusion, internal echos, the presence of strong echoes and echogenic thin layer. RESULTS: The total number of patients was 120. Echogenic thin layer and strong internal echoes were specific for tuberculosis. Long axis to short axis (L/S) ratio was more than 2 in most of the tubercular nodes (85.71%). Hilus was present in 50 (73.53%) tubercular lymphadenitis, 12 (40%) lymphoma and 10 (62.5%) cases with metastatic lymph nodes. Hypoechoic center was present in 60 (88.24%) tubercular lymphadenitis cases followed by 62.5% metastatic and 60% malignant lymphoma cases. CONCLUSIONS: Ultrasonography is a non-invasive tool for lymph nodal evaluation in children. It may be used to differentiate cervical lymphadenopathy with different etiologies in children. When correlated clinically, it may avoid biopsy in a patient.
RESUMEN
We encountered a patient with a swelling in the left lateral infraumbilical region and a left undescended testis. The appearance of the swelling was suggestive of a spigelian hernia. At operation, the swelling was actually an abdominal ectopic testis with associated inguinal hernia. This unusual finding led us to report this occurrence and present a brief review of the relevant literature.