Mullerian duct anomalies are rare and can present with abnormalities in upper vagina, cervix, uterus, and fallopian tubes. The exact incidence of cervicovaginal agenesis is unknown and there are very few cases recorded in the literature. Authors report a 12-year-old girl referred from gynaecologist with chronic cyclical abdominal pain with underdeveloped, geniatilia and developed secondary sexual characters. Radiological investigations showed hypoplastic cervix with hematometra and left hemato salpinx. A definitive repair with creation of a neovagina using a sigmoid colon segment was performed in a single stage. Many techniques are described for reconstruction of cervicovaginal canal. Use of colon in creation of a neovagina is described by authors. Here we report a case of complete vaginal agenesis presenting with Hematometra-Hematosalpinx where a neovagina was created using a segment of sigmoid colon. Single staged surgery for neovagina creation using segment of sigmoid colon offers a promising and safe alternative for cervicovaginal agenesis.
The kidney is the most common genitourinary organ injured from external trauma, occurring in 1% to 5% of all injuries. Non operative management of renal injuries with renal salvage as the primary aim has gained much support in the past decades; though paediatric data is limited. Here we present a case of unilateral complete transection managed conservatively and the renal salvage was possible with retaining normal function.
Abstract:Introduction: One in 5,000 live births is found to have anorectal malformations with a female preponderance. These patients are managed during the first year of their life with advanced health care facilities. Still a few cases present in adult life. Case Report: One such case of a 24 year old female is reported here who presented with chronic constipation. Transverse colostomy was done at birth, soon after diagnosing anorectal malformation. The stoma underwent spontaneous closure and she continued to pass faeces through anovestibular fistula. Anterior sagittal anorectoplasty was performed and a continent neo-anus was created. Conclusion: Careful neonatal examination shall diagnose all anorectal malformations at birth. Illiteracy, lack of neonatal health care, inadequate medical facilities are some of the reasons for the delayed diagnosis and persistence of this condition till adulthood. Most pediatric surgeons consider posterior sagittal anorectoplasty as the procedure of choice in treating anorectal malformation.
Background: A bezoar is persistent, ingested material that collects within the gastrointestinal tract. The most common type of bezoar, a gastric trichobezoar, is made up of human hair and found in the stomach. Patients with trichobezoar often remain asymptomatic for many years. The aim of treatment of trichobezoar is removal of the bezoar and to prevent recurrence. Case Report: A 12 year old girl presented with abdominal pain and vomiting. suffering from trichophagia developing trichobezoar. Ultrasonography was suggestive of partial gastric outlet obstruction and barium swallow was suggestive of bezoar in gastric lumen. Conclusion: Trichobezoar should be considered in young females presenting with non-specific abdominal complaints.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.