Panna Lal Sah

Benign cystic mesothelioma of the peritoneum in a child—case report and review of the literature

A 4-year old female child presented with clinical features of ascites that, on computed tomography, showed a huge thin-walled cystic lesion in the peritoneum. Laparotomy confirmed a unilocular cyst in the peritoneum adhered to the parietal wall and bowel but not originating from any internal organs. Histopathologic examination of the cyst wall was consistent with the diagnosis of benign mesothelioma. Benign cystic mesothelioma of the peritoneum has rarely been reported in children.

Colonic inflammatory myofibroblastic tumours: an institutional review.

The aim of the study was to present the largest series of colonic inflammatory myofibroblastic tumour (C‐IMFT) in the literature so far and to provide a review of this condition.

Idiopathic sclerosing encapsulating peritonitis in an adult male with intermittent subacute bowel obstruction, preoperative multidetector-row CT (MDCT) diagnosis.

Idiopathic sclerosing encapsulating peritonitis (SEP) is a rare cause of intestinal obstruction that is characterised by a thick greyish-white fibrotic membrane encasing the small bowel. It is difficult to make a definite preoperative diagnosis. We report a successfully treated case of a 42-year-man, presented with sub acute small bowel obstruction caused by SEP. CT showed characteristic findings of small bowel loops congregated to the center of the abdomen encased by a soft-tissue density mantle. He had undergone adhesiolysis and uneventful postoperative period. A high index of clinical suspicion may be generated by the recurrent character of small bowel obstruction combined with relevant imaging findings and lack of other plausible aetiologies. Clinicians must rigorously pursue a preoperative diagnosis, as it may prevent a surprise upon laparotomy and result in proper management.

Atypical presentation of Boerhaave's syndrome

Boerhaaves syndrome is the rare and often fatal condition of spontaneous oesophageal rupture. When present with atypical symptoms, diagnosis is frequently late, which contributes to the high morbidity and mortality. The authors describe a unique case of a 50-year-old man presented with atypical Boerhaaves syndrome, in which the diagnosis was made several days following presentation by observing a large pleural effusion that had evolved rapidly on chest radiographs. He was managed without thoracotomy. Although survival has been reported with non-operative management of contained oesophageal perforations, to our knowledge, this is the rare case report of surviving Boerhaaves syndrome with free pleural rupture, without thoracotomy.

Primary Intrapelvic Hydatid Cyst Presenting with Urinary Retention

Although hydatid disease can affect any part of the body, hydatid cysts located at unusual sites may create diagnostic confusion. The primary involvement of the pelvic cavity is a very rare and patients usually present with pressure symptoms affecting the adjacent organs. Herein, we report a case of pelvic hydatid cyst describing the ultrasonography (USG) and computed tomography (CT) findings of disease.

Post-Enucleation Orbital Retinoblastoma: Recurrence with Intracranial Metastasis

Retinoblastoma recurrence following enucleation is relatively rare complication. It usually involves orbit, pineal, parasellar or suprasellar regions. Meticulous follow-up during the first two years after surgery should be done in all patients undergoing enucleation for retinoblastoma. Radiotherapy and intensive systemic chemotherapy may be useful in this disease. W e describe an unusual case of orbital recurrence of retinoblastoma with intracranial metastases in a 3 year old girl child. Retinoblastoma, Enucleation, Orbital recurrence, Intracranial metastasis

Congenital omental cyst.

Congenital omental cysts are rare intra-abdominal pathology, which are difficult to diagnose preoperatively; as such a high index of suspicion is required for accurate preoperative diagnosis. We present a case of congenital omental cyst in a 3-year-old girl who presented with huge abdominal distension. We performed diagnostic examinations including ultrasonography and CT of the abdomen. An omental cyst was diagnosed because of its position and connection to the surrounding tissues. She was operated and cyst was excised completely. Histological examination revealed an omental cyst with endothelial lining and haemorrhagic fluid inside. She had an uneventful recovery and doing well, without recurrence at follow-up of 24 months. Clinicians must rigorously pursue a preoperative diagnosis, as it may prevent a surprise upon laparotomy and result in proper management.