Browsing by Author "Punit Srivastava"

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A child presented with bilateral congenital constriction ring in lower extremity: A case report
(2009) Richa Jaiman; Ajay N. Gangopadhyay; Dinesh K. Gupta; Punit Srivastava; Vijay D. Upadhyaya; Shiv P. Sharma; Vijayendra Kumar
Introduction: The congenital constriction ring of lower extremity is very uncommon and rare condition. The actual incidence in general population is not known. In English literature, very few cases are reported time to time as congenital constriction band syndrome associated with musculoskeletal disorder like congenital talipes equino varus. The lesion can involve skin only or goes to deeper structure up to bone, which can lead to gangrene of foot or auto amputation. Case presentation: We are presenting a case of bilateral congenital constriction ring in lower limb who presented at age of 4 year without any other associated congenital anomaly, simply managed by Z-plasty, which improves quality of life after physiotherapy. Conclusion: Congenital constriction ring of lower limb is extremely rare condition in children. Early diagnosis and management is mandatory, either in single stage or by stage procedure, to prevent auto-amputation of limb and to improve quality of life on feet. © 2009 Jaiman et al.; licensee Cases Network Ltd.
An unusual presentation of hydatid cyst in anterior abdominal wall
(Kathmandu University, 2008) Punit Srivastava; A.N. Gangopadhyay; V.D. Upadhyaya; S.P. Sharma; R. Jaiman
Hydatid disease is a parasitic infestation caused by the larval form of the cestode worm Echinococcus. The most commonly encountered form of the disease is visceral hydatid cyst caused by Echinococcus granulosus or dog tapeworm. Muscular involvement has been reported in only 3-4% cases. We are reporting this case because of its rarity, difficulty to diagnose clinically, dramatic response to medical treatment and to alert the reader of this rare infestation so that open biopsy will be avoided.
Atresia of ileocecal junction, ileocecal valve: Rare variants of bowel atresia
(2009) Punit Srivastava; A.N. Gangopadhyay; D.K. Gupta; S.P. Sharma; Vijay D. Upadhyaya; Vijayendra Kumar; Richa Jaiman
Atresia of ileocecal junction and isolated atresia of ileocecal valve are rare types of intestinal atresia with very few reports in literature. We report two such cases. Radiology showed dilated ileal segment and distal micro colon in both the cases. At laparotomy there was atresia of ileocecal junction in the first case and isolated ileocaecal valve atresia with normal ileocecal junction in the other case. Both the babies were managed by ileocolic resection with an end to end anastomosis. The prognosis of ileocecal atresias is satisfactory.
Concavo-convex oblique anastomosis technique for jejuno ileal atresia
(2009) Zaheer Hasan; A. Gangopadhyay; Punit Srivastava; Mohammad Hussain
Aim: To evaluate the role of end-to-end oblique bowel anastomosis in bowel atresia. Methods: End-to-end oblique anastomosis was done in 25 neonates of bowel atresia and the results were compared with traditional method of end to back anastomosis in 25 cases. Results: We found less mortality and morbidity (5%) in our technique as compared to end to back technique (20%). Conclusions: We recommend this technique, as anastomosis is wide with less angulations, flow of effluent is linear, and there is less force exerted over post-anastomotic side wall.
Double coin in esophagus at same location and same alignment - A rare occurrence: A case report
(2009) Eti V. Upadhyaya; Punit Srivastava; Vijay D. Upadhyaya; A.N. Gangopadhyay; S.P. Sharma; D.K. Gupta; Zaheer Hassan
Coin is the most common foreign body swallowed by pediatric age group. The multiple coin swallowing is extremely rare and very few cases had been reported in English literature. Most of them were present at different site and had different alignment in the esophagus. The location of the coin (trachea vs. esophagus) is commonly determined by the alignment of the coin on radiographic studies. A 4-year-girl was presented to us with history of coin ingestions one day back without any respiratory distress. On radiological study there was suspicion of two coins on same location and alignment. The diagnosis was confirmed after removal. The both coin was removed successfully by esophagoscopy. Unexpected second foreign bodies in pediatric esophageal coin ingestions are rare and it is mandatory to do post operative radiography after removal to exclude duplex coin or tracheal coin. We are presenting this case because of its rarity, difficulty in diagnosis especially when proper history is not available. © 2009 Upadhyaya et al; licensee Cases Network Ltd.
Esophageal atresia with distal tracheoesophageal fistula with gasless abdomen: A diagnostic dilemma
(2009) Zaheer Hasan; Vijai D. Upadhyaya; Punit Srivastava; S.P. Sharma; A.N. Gangopadhyay
A "gasless abdomen" in babies with esophageal atresia (EA) has traditionally been thought to imply absence of a distal tracheoesophageal fistula (TEF). We present 2 cases with gasless abdomen and later turned out to be cases of esophageal atresia with tracheoesophageal fistula. These cases are presented because of its extreme rarity and because of ease in management if the condition is diagnosed preoperatively.
Giant meconium hydrocele: A rare presentation of antenatal gastrointestinal perforation
(2011) Punit Srivastava; Ajay N. Gangopadhyay; Dinesh K. Gupta; Vijayendra Kumar; Shiv P. Sharma; Vijai D. Upadhyaya; Richa Jaiman
[No abstract available]
Is primary chemotherapy effective in large hydatid cyst of liver
(2009) A. Gangopadhyay; Punit Srivastava; Vijai Upadhyaya; Zaheer Hasan
[No abstract available]
Mature cystic teratoma in falciform ligament of the liver in an infant
(2009) A.N. Gangopadhyay; Punit Srivastava; Vijai D. Upadhyaya; Zaheer Hasan; K.R. Vijayendra; S.P. Sharma
[No abstract available]
Noncommunicating isolated enteric duplication cyst in childhood
(2009) Punit Srivastava; Ajay N Gangopadhyay; Vijayendra kumar; Vijay D. Upadhyaya; Shiv P. Sharma; Richa Jaiman; Zaheer Hasan
Duplications of the alimentary tract are spherical or tubular structures lined by epithelium similar to intestine that are firmly attached to or share the wall of the alimentary tract and have a common blood supply with the adjacent segment of the bowel. Completely isolated duplication cysts are an extremely rare variety of gastrointestinal duplications with their own exclusive blood supply and do not communicate with the intestine. There are only 4 cases reported in the English literature-3 in childhood and 1 in an adult, and all are male. We report a case of noncommunicating isolated ileal duplication cyst in a 3-year-old female child that presented as a mass in the right iliac fossa, mimicking an intussusception. The duplication had its own blood supply arising from the terminal ileal mesentery. This report describes the first female patient with this condition and reviews the English literature. © 2009 Elsevier Inc. All rights reserved.
Split notochord syndrome associated with dorsal neuroenteric fistula: A rare entity
(2010) Punit Srivastava; A.N. Gangopadhyay; D.K. Gupta; S.P. Sharma
Split notochord syndrome (SNS) is an extremely rare congenital malformation associated with anomalies of the vertebral column, gastrointestinal tract and central nervous system. Twenty cases of SNS associated with dorsal enteric fistula have been reported in literature till date. The present report describes a unique case of SNS associated with lumbosacral meningomyelocele, dorsal neuroenteric fistula and dorsal herniation of right kidney along with vessels. The neonate was well managed by excision of enteric fistula, closure of duramater of meningomyelocele and repair of posterior wall hernia after placement of kidney in renal fossa. This kind of entity is uncommon and not been reported earlier.
Sutureless skin closure with isoamyl 2-cyanoacrylate in pediatric day-care surgery
(2009) Zaheer Hasan; Ajay N. Gangopadhyay; Dinesh K. Gupta; Punit Srivastava; S.P. Sharma
Importance of day-care surgery in pediatric age group is ever increasing and nowadays bulk of surgery is performed as a day-care procedure. Day-care procedure requires short intra-operative period and less postoperative complications. The introduction of tissue adhesive has been received enthusiastically since they may result in equivalent tensile strength-improved cosmetic appearance of the scar and lower infection rate when compared to sutures, staples and adhesive tape. We have used isoamyl 2-cyanoacrylate as a tissue adhesive for skin closure in day-care surgery. Novocryl is ideal for such procedure as it is a sterile, inert, non-toxic, biocompatible and bacteriostatic liquid topical skin adhesive containing isoamyl 2-cyanoacrylate formulation. We applied isoamyl 2-cyanoacrylate glue in 100 patients over skin cut margin after stitching subcutaneous tissue. Skin margin were held together by means of skin hook for 1-2 min. The cosmesis was better as there were no suture marks or lumpiness. There were no major complications in our study. Thus, isoamyl 2-cyanoacrylate can be considered as an alternative to skin suturing in the pediatric day-care surgery. © 2009 Springer-Verlag.
Twin fetus in fetu in a child: A case report and review of the literature
(2010) Ajay N Gangopadhyay; Arvind Srivastava; Punit Srivastava; Dinesh K Gupta; Shiv P Sharma; Vijayendra Kumar
Introduction. Fetus in fetu is an extremely rare condition wherein a malformed fetus is found in the abdomen of its twin. This entity is differentiated from teratoma by its embryological origin, its unusual location in the retroperitoneal space, and the presence of vertebral organization with limb buds and well-developed organ systems. The literature cites less than 100 cases worldwide of twin fetus in fetu. Case presentation. A two-and-a-half- month-old Asian Indian baby boy had two malformed fetuses in his abdomen. The pre-operative diagnosis was made by performing an ultrasound and a 64-slice computer tomography scan of the baby's abdomen. Two fetoid-like masses were successfully excised from the retroperitoneal area of his abdomen. A macroscopic examination, an X-ray of the specimen after operation, and the histological features observed were suggestive of twin fetus in fetu. Conclusion. Fetus in fetu is an extremely rare condition. Before any operation is carried out on a patient, imaging studies should first be conducted to differentiate this condition from teratoma. Surgical excision is a curative procedure, and a macroscopic examination of the sac should be done after twin or multiple fetus in fetu are excised. © 2010 Gangopadhyay et al; licensee BioMed Central Ltd.