APSP Journal of Case Reports

Caecal Adenocarcinoma in a Patient Mimicking Complicated Appendicitis

Muhammad Azhar, Tayyaba Batool — Wed, 21 Mar 2018 09:44:07 -0400

Colorectal cancer (CRC) presenting with intestinal obstruction is uncommon in paediatric age and carries poor prognosis. We report a case of a 13-year-old boy who presented with acute intestinal obstruction, clinically appearing to be secondary to complicated appendicitis. Exploratory laparotomy revealed a caecal mass which was resected. Histopathology report showed only inflammatory cells with no sign of malignancy. The patient was discharged home after smooth recovery but re-admitted after 2 months with recurrence of intestinal obstruction. Considering clinical behavior of the patient, the tissue blocks obtained from first surgery were reviewed and it turned out to be a poorly differentiated adenocarcinoma with positive mesenteric lymph nodes for metastatic carcinoma.

Endoscopic Management of Recurrent Third Branchial Fistula using Histoacryl Glue

M Z Naveed, A Naveed, A Irfanullah — Wed, 21 Mar 2018 09:44:07 -0400

Third branchial cleft anomalies are rare accounting for 2-8% of all branchial abnormalities. We report a case of a 9 year old boy who presented with discharging sinus on the left side of neck. A sinogram revealed third branchial arch fistula. The tract was surgically removed, however, on follow up the fistula was recurred. He was later taken for endoscopic cauterization and injection of Histoacryl (n-Butyl cyanoacrylate ) glue into the tract, after which his wound healed swiftly. Historically, surgical excision of the fistulous tract has been the mainstay of treatment. Recently, minimally invasive methods are gaining wider acclaim and may potentially become the treatment of choice in the future.

Cystic Nephroma with Pleuropulmonary Blastoma: A Rare Dual Pathology

Kiran Hilal, Anam Khan, Nida Sajjad, Kumail Khandwala — Wed, 21 Mar 2018 09:44:07 -0400

Cystic nephroma (CN) belongs to a heterogeneous group of renal cystic tumors while pleuropulmonary blastoma is an uncommon pediatric lung neoplasm, believed to be originating either from lung tissue itself or from the pleura. Synchronous development of pleuropulmonary blastoma following cystic nephroma is a rare entity in pediatric patients. The etiology and pathogenesis of this dual pathology is still unknown. We report a case of a child who presented with an abdominal mass diagnosed as cystic nephroma on surgical resection, who later developed a thoracic lesion which was subsequently diagnosed as pleuropulmonary blastoma.

Spontaneous Rupture of a Congenital Diaphragmatic Eventration in an Infant

Nitinkumar Borkar, Rohit Meshram, Atul Jindal, Nitin Kashyap, Debajyoti Mohanty — Wed, 21 Mar 2018 09:44:07 -0400

Rupture of eventration of diaphragm is a rare entity that commonly presents as sudden onset respiratory distress. We report a case of a 7-month-old infant with congenital diaphragmatic eventration having spontaneous diaphragmatic rupture which led to secondary diaphragmatic herniation with gastric volvulus. Clinical diagnosis of gastric volvulus was suspected on the basis of imaging and failed entry of nasogastric tube into stomach. Exploratory laparotomy revealed rupture of eventration of diaphragm and gastrothorax with volvulus. Anatomical repair of diaphragmatic perforation followed by diaphragmatic plication resulted in successful outcome in our patient.

Intercostal Space Ossification in a Child with Empyema Thoracis and Rhizomelic Chondrodysplasia Punctata

Jih Huei Tan, Chor Lip Henry Tan, Simon Jerome Vendargon — Wed, 21 Mar 2018 09:44:08 -0400

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Laparoscopic Repair of Congenital Lumbar Hernia in a 4 Week Old Infant

Faraz A Khan, Saleem Islam — Wed, 21 Mar 2018 09:44:08 -0400

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Double Jejunal Webs: A Rare cause of Severe Malnutrition

Jawad Afzal, Bilal Mirza, Nasir Mahmood, Muhammad Sharif, Nabila Talat — Wed, 21 Mar 2018 09:44:08 -0400

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