Neonatal incarcerated inguinal hernia with spontaneous scroto-fecal fistula.

This report describes the presentation of an incarcerated inguinal hernia in a neonate with the formation of a spontaneous scroto-fecal fistula. Delay in seeking medical attention in the present case was the cause of incarceration and formation of the spontaneous fecal fistula. We advocate that development of an inguinal hernia in an infant should be managed as an urgent problem even if it is easily reducible at presentation.

Unusual ventriculoperitoneal shunt extrusion: experience with 5 cases and review of the literature.

Distal migration of ventriculoperitoneal shunt is rare. We present this unusual complication in 5 patients. The lower end of the shunt was extruded from right lumbar region, cervical area, umbilicus and rectum.

Azygos vein preservation in primary repair of esophageal atresia with tracheoesophageal fistula.

The aim of this study is to report a series of patients with the Azygos vein preserved during the surgery for esophageal atresia with tracheoesophageal fistula (EA&TEF), highlighting the advantages in terms of survival and prevention of anastomotic leak. Ninety-six neonates with EA&TEF, admitted to the Department of Pediatric Surgery, King George Medical University between 2004 and 2006, were reviewed prospectively; the babies were randomly allocated to two groups: Group A (n = 46) in which the Azygos vein was preserved and Group B (n = 50), wherein it was ligated. The two groups were comparable in respect to sex, weight, prematurity, associated anomalies, Waterston classification, Spitz classification and distance between the pouches after mobilization.

Spontaneous biliary perforation in infancy and childhood: clues to diagnosis.

Spontaneous perforation of extrahepatic bile duct is rare. The cause is idiopathic once trauma and choledochal cyst are ruled out. The condition presents a diagnostic dilemma.