Publications by authors named "Ram Babu Goyal"

Article Synopsis
  • Gastrointestinal duplications are rare congenital malformations typically found in infants, often diagnosed in the first two years of life.
  • A retrospective study conducted from 2012 to 2022 analyzed 32 pediatric patients with GI duplications, revealing a predominance of acute presentations and multiple associated malformations.
  • The most common locations for these duplications were the ileum and gallbladder, with favorable outcomes noted in about 75% of cases, highlighting the need for careful clinical assessment.
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Congenital pouch colon (CPC) is classified on the basis of anatomic morphology into five types. Congenital segmental intestinal dilatation associated with anorectal malformation (ARM) is very rare. We are adding two neonates of CPC type 2 associated with segmental dilatation of the ileum to single similar case described in the literature till date.

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Article Synopsis
  • Anterior sagittal anorectoplasty (ASARP) is a surgical technique used to repair vestibular fistula (VF) and other low-type anorectal anomalies in pediatric patients, emphasizing its effectiveness and good cosmetic outcomes.
  • A study conducted from 1992 to 2017 involved 157 patients aged 1-15 years, highlighting that most were diagnosed with VF and had a majority of successful surgeries with minimal complications.
  • Results showed high satisfaction in perineal appearance after 3 months, with only a small percentage requiring additional procedures or facing complications, making ASARP a reliable option for treating anorectal malformations in females.
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We describe three male neonates where infant feeding tube (IFT) passed 18-20 cm in the upper esophageal pouch. A blunt-tipped red rubber catheter confirmed esophageal atresia (EA) with long upper pouch in all three cases. Definitive management revealed EA with tracheoesophageal fistula and long overlapping upper esophageal pouch consistent with Kluth Type IIIb variant in two patients.

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Background: The association of neonatal intestinal obstruction with situs inversus totalis is extremely rare with only few cases reported in the literature to date. This association poses dilemmas in management. We present two such cases (of Indian origin), and briefly discuss the pertinent literature and measures to prevent unfavorable outcome.

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Fetus-in-fetu (FIF) is a rare and interesting entity characterized byincorporation of a malformed, monozygotic, diamnionic parasitic twin into the body of other normal twin partner. FIF is differentiated from teratoma by its embryological origin, its unusual location in the retroperitoneal space and the presence of vertebral column (axis) often with appropriate arrangement of other organs or limbs around this axis. We report two cases of FIF.

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The wandering spleen is a rare condition characterized by the absence or underdevelopment of one or all of the splenic suspensory ligaments that resulting in increased splenic mobility and rarely torsion. Preventing infarction is the aim of a prompt surgery by splenopexy. We report a case of salvage splenopexy in torsion of a wandering spleen in a three year old girl presented with severe abdominal pain for three days.

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Biliary atresia (BA) is a rare disease and the end result of a destructive, inflammatory cholangiopathy, leading to fibrosis and biliary cirrhosis. It is classified into syndromic variety with various congenital anomalies and non-syndromic (isolated anomaly). We present here a 1-month-old female child with the syndromic variety of BA associated with polysplenia syndrome, dextrocardia, situs inversus totalis and malrotation of intestines.

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Congenital pyloric atresia (CPA) is a very rare surgical condition. Eleven patients with the diagnosis of CPA treated at our hospital were retrospectively studied for the age at diagnosis, sex, presenting symptoms, associated anomalies, operative findings, treatment and outcome. Male: Female is 8:3.

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