Sirenomelia, alternatively known as ‘mermaid syndrome’ is a very rare congenital deformity in which the legs are fused together, giving them the appearance of the tail of a mermaid’. Other birth defects are always associated with sirenomelia, most commonly abnormalities of the kidneys, large intestines, and genitalia. The present case is a one of sirenomelia associated with an absent right kidney, mild left hydronephrosis, single umbilical artery, and severe oligohydramnios. We discuss the findings, relative to the present literature and related etiopathogenesis.
An inguinal hernia occurs when an intestinal loop or part of the omentum or genital organs passes into the scrotal cavity or labia through an incompletely obliterated processus vaginalis. Inguinal hernias are most common in preterm neonates, especially at 32-weeks gestation. Content of hernia is mostly bowel and ovary/testicles. Presence of uterus in herniated sac is rare, and only few cases are reported in literature. Hernia is more frequently located on the right side because the right processus vaginalis closes later than the left. Physical examination is sufficient to enable diagnosis in most cases. Ultrasound examination is indicated in patients with inconclusive physical findings, in patients with acute scrotum, and to investigate contralateral involvement in patients in whom only a unilateral hernia is clinically evident. Routinely, color or power Doppler imaging is used in inguinal-scrotal hernia to investigate intestinal and testicular/ovarian perfusion. Urgent surgery is indicated in patients with an akinetic dilated bowel loop (a sign of strangulation) or impaired testicular/ovarian perfusion.
Background: Trauma is a common and devastating insult to the spine and spinal cord with important long-term sequelae for the individual. Diagnostic imaging, particularly Magnetic Resonance Imaging (MRI), plays a crucial role in evaluating and detecting spinal trauma. MRI is not only a diagnostic tool in spinal trauma but also a prognostic predictor. It is possible to predict the neurological outcome of the patients with different cord abnormalities. The objective of this study is to enumerate the cord findings in MRI in patients with spinal trauma and to correlate the findings with clinical profile and neurological outcome of the patients.Methods: A total of 50 cases of spinal trauma over a period of 1 year were included in the study. MRI of spine performed in patients with spinal trauma to see the cord findings. Detailed motor and sensory examination of the patient on admission and discharge was done and graded according to American Spinal Injury Association Scale (ASIA). Chi square test of significance (p<0.005) was used to assess the association between MR findings and clinical outcome.Results: In the study we observed that patients with cord haemorrhage and large cord oedema had initial high grade AIS and less chance of recovery with vice versa. Patients with presence of focus of haemorrhage had more severe grade of initial ASIA than those without haemorrhage with significantly more chances of retaining complete injury at follow up. Patients with edema less than 3cm improved on follow up examination.Conclusions: MRI is an excellent modality of imaging in the diagnosis of cord abnormalities in spinal trauma. The cord findings correlate with the neurological deficit of the patient on admission and discharge.
Gastroschisis is not a very rare congenital deformity, but extragastrointestinal association is rare, if any present, in that condition, an alternative diagnosis should be considered, like Pentalogy of Cantrell, Limb-body wall complex, etc., Other birth defects are always associated with gastroschisis, most commonly, abnormalities of the cardiac and genitourinary. The present case is one of the gastroschisis to highlight the associations of spinal and lower limbs anomalies, with two-vessel short umbilical cord and severe oligohydramnios in primiparous.
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