An approach to giant neonatal hydrocolpos with normally sited anus - Diagnosis and management including a novel one stage operation.

Introduction: Giant non cloacal neonatal hydrocolpos is a rare entity where early recognition of the underlying cause and drainage of the distended vagina is paramount. Conventionally, immediate management has been by abdominal tube vaginostomy or, in urogenital sinus by vaginal clean intermittent catheterisation (CIC). Though effective in providing temporary relief, the abdominal tube vaginostomy is replete with complications, making it imperative to search for alternatives.

Intramural duodenal haematoma with mucosal prolapse causing intestinal obstruction.

Intramural small bowel haematoma is a rare cause of intestinal obstruction in children. Coagulation disorders or anticoagulant therapy are the most common cause followed by blunt trauma. A one and half-year-old boy, with known case of gastro-oesophageal reflux disease had undergone upper gastrointestinal endoscopy and biopsy.

Outcome of end cutaneous ureterostomy (ECU) as a non conservative option in the management of primary obstructive megaureters (POM).

Introduction: Primary obstructive megaureters (POM) can be treated with one of the following options: conservative management with antibiotic chemoprophylaxis and active observation of the hydroureteronephrosis (HUN) until suspicion of renal deterioration; refluxing/non-refluxing ureteric reimplantation with antibiotic suppression; temporary double-J stenting; endoscopic balloon dilatation; endoureterotomy; and end cutaneous ureterostomy (ECU).

Objective: To study the profile of patients with POM and assess the efficacy, safety and outcome of ECU as an interim procedure.

Methods: A retrospective review was performed of patients who underwent ECU for POM between January 2004 and December 2014.

Urogenital Management in Cloaca: An Alternative Approach.

Introduction: In the management of cloaca, there is concern that dissection of the urogenital sinus in early childhood with the aim of total anatomical correction is hazardous. Avoiding such mobilization and providing mitrofanoff channel, when needed, till peripubertal period reduces complications and is technically easier.

Materials And Methods: Forty-three cases of cloaca were managed in the period 2004-2016.

Residual terminal bowel fistulating into the alimentary tract: a hitherto unreported complication of surgery for anorectal malformation.

The residual terminal bowel after pull-through surgery for anorectal malformation has been reported to cause urinary complications. We report two boys where residual bowel has fistulated postoperatively into the alimentary tract causing metabolic and septic complication in one and a large pelvic mass with urinary and rectal obstruction in the other.

An assessment of quality of life of operated cases of esophageal atresia in the community.

Aims: To evaluate the outcome of the operated children of esophageal atresia (EA) focusing on their early and late morbidity and mortality and quality of life (QoL) of survivors.

Settings And Design: A cross-sectional follow-up with retrospective analysis of available medical and surgical records of children who underwent repair for EA.

Materials And Methods: The medical records of the children who underwent repair for EA during the period from 2000 to 2011 at the Christian Medical College Hospital, Vellore, were collected retrospectively.

The use of ileocolic segment for esophageal replacement in children.

Aims: To evaluate and describe the procedure and outcome of ileocolic replacement of esophagus.

Materials And Methods: We review 7 children with esophageal injuries, who underwent esophageal replacement using ileocolic segment in Christian Medical College, Vellore, India between 2006 and 2014.

Results: The ileocolic segment was used in 7 children with scarred or inadequate esophagus.

Use of congenital pouch colon for augmenting the neurogenic bladder in a child: a 13-year follow-up.

Congenital pouch colon is an anomaly always associated with anorectal malformation, where the colon is replaced by or terminates into a large aperistaltic intestinal pouch. Vertebral anomalies leading to neurogenic bladder are rare associated malformations. The pouch is aperistaltic and thus a poor rectal substitute but this very property makes it ideal for bladder augmentation.

A retroperitoneal enteric duplication cyst communicating with the right upper ureter in an infant.

We report an extremely rare case of isolated retroperitoneal enteric duplication cyst with gastric mucosa causing haematuria and dysuria by communicating with the urinary system. A 9-month-old male child was admitted to our hospital with persistent haematuria, dysuria and anaemia. Investigations revealed a retroperitoneal cyst abutting the hydronephrotic non-functioning right kidney.