Leydig Cell Tumor of Testis in a Child: An Uncommon Presentation.

Leydig cell tumors (LCTs) are rare testicular tumors. Incidence is 1%-3% of all testicular neoplasms, bilateral in 10%. They are frequently hormonally active, leading to feminizing or virilizing syndromes.

A rare anomaly in twin pregnancy--acardiac twin.

Twin reversed arterial perfusion syndrome is the extreme manifestation of twin to twin transfusion syndrome. The pathogenesis is thought to be reversed arterial transfusion. Acardiac foetus grossly features severe reduction anomalies particularly of the upper body.

Bilateral giant juvenile fibroadenoma of breasts.

An 11-year-old girl with rapidly enlarging bilateral breast lumps is reported. It was diagnosed as a case of juvenile fibroadenoma following fine needle aspiration cytology and confirmed on histopathological examination of the excised specimens.

Separation of thoraco-omphalopagus Siamese twin.

A pair of female thoraco-omphalopagus twins, with two pairs of lungs, common diaphragm and separate pleural cavities was separated at the age of 5(1/2) months after a parasitic relationship had developed between them. Before separation both the babies developed recurrent respiratory tract infection and frequent diarrhea. They were treated with medical therapy and made fit for anesthesia.

Oral tumors in newborn.

Tumors arising from the oral cavity in the newborn are rare. Congenital epulis and epignathus are the two lesions usually seen. They cause problems because of their position and size and have the potential to cause respiratory obstruction.

Pyriform sinus fistula.

Pyriform sinus fistulae/sinuses are rare causes of recurrent cervical abscess, especially on the left side. They can also present as acute thyroiditis. Treatment in the form of simple incision and drainage is invariably unsuccessful, and the entity may be confused with the residual tract of a second branchial arch anomaly.

Soave procedure for infants with Hirschsprung's disease.

Objective: Traditionally the surgical treatment of Hirschsprung's disease (H.D.) includes preliminary colostomy in normally innervated bowel followed by one of several pull through procedures.

Spontaneous duodenal perforation in a newborn.

A full-term 4-day-old male baby presented with spontaneous duodenal perforation into the lesser sac. Exploration revealed a perforation in the posteromedial wall of the second portion of the duodenum. The perforation was closed and the baby recovered uneventfully.