P. L. N. G. Rao

Anterior abdominal wall—an unusual site for ectopic testis

Testicular descent can be described in two phases, the transabdominal and the inguinoscrotal. During the inguinoscrotal phase, the testis may deviate from the normal path of descent and “migrate” to an abnormal location; this is called ectopic testis and is a relatively uncommon condition. The common sites for ectopic testes include the superficial inguinal pouch, the perineum, the opposite side of the scrotum, the femoral canal, and the pubopenile region. In addition to these well-recognized sites, preperitoneal and extracorporeal ectopic testes, which are extremely rare, have been reported. We report yet another rare site for ectopic testis, the anterior abdominal wall, probably the first of its nature to be reported in the English literature.

Spontaneous umbilical fistula: A rare complication of ventriculoperitoneal shunt

Although complications following ventriculoperitoneal shunt for hydrocephalus are not uncommon, leak of cerebrospinal fluid from the normal umbilicus following ventriculoperitoneal shunt is very rare. One such case is reported.

Cystic teratoma of the pancreas

Cystic teratoma of the pancreas is an extremely rare entity: only 11 cases have been described so far in the world literature. We report the 12th case, in a 4-month-old girl.

Unilateral inguinal ectopic scrotum with covered exstrophy.

Abstract.A case of ectopic scrotum located in the right inguinal area and associated with covered exstrophy and ipsilateral renal agenesis is described. Initially, repair of the exstrophy was performed. Scrotal reconstruction was carried out after 1 year, during which time the patient developed an inguinal hernia in the ectopic scrotum. The literature is reviewed and the scrotal reconstruction procedure is discussed.

Duodenojejunal obstruction by a hemangioma

Abstract.Gastrointestinal obstruction by hemangiomas is exceedingly rare. We report a case of a duodenojejunal obstruction caused by a large hemangioma. The patient underwent a gastrojejunostomy for relief of the obstruction and has been symptom-free, although the hemangioma persists.

Low anorectal malformation associated with ‘ano-urethro-cutaneous’ fistula

Anorectal malformations are one of the common congenital anomalies encountered in the newborn period. The plethora of anomalies described makes it a complex subject for embryological explanations. Fistulous communications between the blind rectum and the urinary tract are common in boys with high/intermediate anomalies, but it is uncommon in children with low anorectal malformations, more so a double fistula. We are reporting a case of ‘ano-uerthro-cutaneous fistula’ associated with a low ano rectal malformation.

Primary intestinal trichobezoars

Primary intestinal trichobezoars are uncommon clinical entities. Two such cases in children are reported along with a review of the literature.

Thymic cysts of the neck

Thymic cysts of the neck are rare clinical entities. Only 45 children with cervical thymic cysts have been reported in the literature so far; 2 more cases are reported here. Both presented as cystic swellings in the left side of the neck and were pre-operatively diagnosed as a cystic hygroma and a solitary thyroid nodule. Investigations included blood counts, ultrasonograms, thyroid scans, and aspiration cytology. Both lesions could be easily excised by the cervical route. The final diagnosis was made only after histopathological examination. The relevant literature on the aetiology, pathology, clinical features, and treatment is reviewed.

Evisceration of bowel through an intraperitoneal drainage wound

Although complications of intraperitoneal drainage are relatively common, to our knowledge there has not been a reported case of evisceration of bowel through an intraperitoneal drainage wound a few hours after removal of a corrugated rubber drain. We report one such case in a 75-day-old child.

Ovarian torsion masquerading as a pelvic malignancy

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