ABSTRACT: Two cases, one of Duplicate Exstrophy, and another of covered Exstrophy, are presented. Reconstruction was done in both patients. They are both passing urine per urethra and are continent.

ABSTRACT: Though hydrometrocolpos is not common (incidence of 1 in 16,000), 5 cases of the condition was recorded at the Pediatric Surgery Department, Chittagong Medical College Hospital, between 1994 and 1999. Four 1-day-old patients and one 1-year-old patient presented with abdominal distension (all 5), renal failure (4), ambiguous genitalia (1), and pre-rectal bleeding (1). Two patients had multiple congenital anomalies (McKusick Kaufman Syndrome). Perineal examination was done in all the cases except 1, which was provisionally diagnosed as a case of intussusception. Ultrasonography, radiological examination and isotope renal scan were done. Vaginal decompression was done in 4 cases followed by vaginoplasty in 3. One patient died before any surgical intervention, 1 died post-operatively and another of renal failure at the age of 9 months. The 2 survivors are in good condition until the writing of this report. This study observed that besides abdominal distension, renal failure is also a common presentation in hydrometrocolpos. Since patients with multiple congenital anomalies have a bad prognosis, awareness about this entity is necessary for proper diagnosis and treatment.

ABSTRACT: The authors report a case of occipital injury in an infant, in domestic violence. On examination, the child was found to be in respiratory distress and comatose; she was not moving her limbs. She was admitted as a case of non-accidental injury (NAI) and managed on the lines of head injury. A SCIWORA (Spinal cord injury without radiological abnormality) was diagnosed 36 hours later. A spinal cord injury without bone injury may be missed in a small child. A high index of suspicion must be maintained for the diagnosis of a SCIWORA in such patients, to prevent further secondary spinal cord damage.

ABSTRACT: A 1 and half year old boy presented with a lower abdominal lump along with right sided undescended testis. Serum alpha fetoprotein level was grossly raised. FNAC from the lump showed pleomorphic malignant cells in clusters. The mass was completely excised and was reported to be yolk sac tumor by histopathological examination. Testicular malignancy, a dreaded complication of cryptorchidism, may even occur in early childhood, and as such should be thought of as a possibility when a cryptorchid child presents with an abdominal lump.

ABSTRACT: Warthin's tumor, a benign parotid gland tumor, has been rarely reported in the pediatric age group. The literature shows its incidence as less than 1 percent of all salivary gland neoplasms in children. We report a case of Warthin's tumor, in a 3-year-old child, who presented with a swelling over the partoid region. Histopathological examinations confirmed the diagnosis and a surgical excision was done.

ABSTRACT: An 11-year-old girl presented with chronic abdominal pain and right upper abdominal swelling for 3 months. A CT Scan was suggestive of Hydatid or a simple liver cyst. Ultrasonography suggested a Hydatid cyst of the Liver. After induction, the swelling disappeared completely, and Ryle's tube aspiration showed an infected greenish fluid. An on table ultrasonography confirmed the cyst to be smaller. A Gastroscopy confirmed a perforation in the lesser curvature of the stomach with the infected greenish fluid pouring into it. A similar fluid was drained from the liver cyst, which ultimately confirmed our diagnosis of the liver cyst having ruptured into the stomach. A histopathological examination confirmed the hydatid nature of the cyst.

ABSTRACT: Two cases of intestinal obstruction following the intake of large quantities of chewing gum are reported. In both the cases the swallowed gum formed a mass and an obstruction in the transition zone of the jejunum and the ileum; in both, reduction was possible without enterostomy.

ABSTRACT: Gastroschisis is not a very uncommon surgical emergency. Problems associated with Gastroschisis are prematurity, low birth weight, underdeveloped peritoneal cavity, and delayed resumption of gastrointestinal flow, associated with gastrointestinal anomalies. Its ideal management varies from case to case and surgeon to surgeon. The timing of intervention is an important factor. Although immediate surgical intervention has largely been recommended, there are reports from Bianchi and Dickson where delayed reduction was done without anesthesia after more stable cardiovascular, respiratory and renal parameters were established. We had a preterm, low birth weight male neonate who presented with gastroschisis on the first day of life. After initial stabilization, we reduced the contents, under caudal anesthesia, by extending the defect by one centimeter on the right side, and did a one stitch skin closure. This minimal intervention resulted in decreased morbidity, early return of bowel function, no parenteral nutrition, good cosmetic result, no general anesthesia, no ventilatory support and reduced hospital stay and expenses.