Browsing by Author "Seth Kachhap"

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Congenital Segmental Dilatation of Ascending Colon with Distal Microcolon: A Diagnostic Dilemma
(Wolters Kluwer Medknow Publications, 2023) Ruchira Nandan; Vaibhav Pandey; Greeshma Suresh; Rajat Kumar Singh; Seth Kachhap
A 5‑day‑old male presented with bilious vomiting, a grossly distended abdomen, and passage of a small amount of stool. The anal opening was at a normal position. X‑ray abdomen showed a large bowel loop with a single air‑fluid level occupying more than half of the abdominal width. On laparotomy, the ascending colon was dilated to form a pouch‑like structure, and the ileum and appendix were opening into it. Colon distal to pouch was present as microcolon. Histopathology of the dilated segment was suggestive of congenital segmental dilatation (CSD). In CSD, the distal bowel is of normal caliber. This is a rare case of CSD of ascending colon with distal microcolon. © 2023 Journal of Indian Association of Pediatric Surgeons.
Distal duodenal web with malrotation: An unusual finding
(SAGE Publications Ltd, 2024) Greeshma Suresh; Vaibhav Pandey; Ruchira Nandan; Seth Kachhap
The most common site of the congenital duodenal web is the second part. Web distal to the second part of the duodenum is rare. It mimics the windsock deformity. Diagnosis may be missed if accompanying malrotation is present. We hereby report two cases of distal duodenal webs associated with malrotation and challenges in their diagnosis and management. © The Author(s) 2023.
Fetus-in-fetu: A tale of the trapped triplets
(Wolters Kluwer Medknow Publications, 2023) Ruchira Nandan; Seth Kachhap; Pratishtha Sengar; Amrita Ghosh; Vaibhav Pandey; Manish Indal
A 7-day-old male child presented with abdominal distention and jaundice. Radiological investigations revealed an encapsulated sac encasing three fetus-in-fetu (FIF) in the retroperitoneum. Laparotomy revealed a sac occupying almost the whole of the abdomen. The sac was stretching the duodenum and barely visible common bile duct, which were carefully separated. The rest of the bowel was displaced to the left. The sac containing three FIFs was excised intact. One of the fetuses was highly differentiated and had thoracic meningomyelocele, which has never been reported in FIF. © 2023 Wolters Kluwer Medknow Publications. All rights reserved.
Spontaneous Evisceration following Ruptured Umbilical Hernia Abscess in an Infant: A Rare Case Report
(Wolters Kluwer Medknow Publications, 2025) Greeshma Suresh; Seth Kachhap; Ajit Kumar Vidhyarthy; K. Sharma; Sarita Chowdhary
Umbilical hernia is one of the most common congenital anomalies. We document an unusual event of abscess of umbilical hernia in a 5-month-old female which was associated with rupture of the hernia followed by evisceration. Immediate reduction and surgical repair were done. The case reports an uncommon trilogy of rupture of umbilical hernia, abscess, and spontaneous evisceration. © 2025 Journal of Indian Association of Pediatric Surgeons.