Eventration of diaphragm with hiatal hernia: a case report.

A 25-day-old female baby having eventration of diaphragm associated with a big hiatal hernia is being reported here. This is the second report describing the rare association.

Multiple associated anomalies in patients of duodenal atresia: a case series.

Duodenal atresia has been reported in association with various malformations and syndromes common being Down syndrome, malrotation, and annular pancreas. Its association with multiple anomalies is rare and scarcely reported in literature. Herein 3 cases of duodenal atresia associated with multiple congenital anomalies are being reported.

Ventilator-associated pneumonia in children.

Objective: To determine the frequency of Ventilator-Associated Pneumonia (VAP) and to identify the associated factors, causative organisms and outcome of VAP in children admitted to ICU.

Study Design: Cross-sectional, observational study.

Place And Duration Of Study: Medical ICU (MICU) of the Children's Hospital and Institute of Child Health, Lahore, from August 2008 to March 2009.

Congenital right hemidiaphragmatic agenesis.

Congenital diaphragmatic hernia is a congenital defect of the diaphragm through which intestine and other viscera herniate into the chest. In extreme form of diaphragmatic maldevelopment, there might be a complete agenesis of diaphragm. A 45-day old male infant was presented with fever, cough and respiratory distress for a week.

Sirenomelia: adding something new.

A case of sirenomelia is being reported who was born in a twin pregnancy and showed different anatomy of lower torso.

Aplasia cutis congenita scalp presenting with life threatening hemorrhage: a case report.

Aplasia cutis congenita is a rare congenital anomaly characterized by the absence of a patch of skin since birth. It may lead to life threatening complications at times. A 5-day-old neonate with Aplasia cutis congenita was received in a state of shock due to tremendous blood loss from the superior sagittal sinus.

Colonic atresia and stenosis: our experience.

Background: Colonic atresia and stenosis are rare entities. On average 1 case per year of colonic atresia is being seen in most of pediatric surgical centers and to date less than 10 cases of colonic stenosis have been reported.

Material And Methods: The medical record of patients of colonic atresia and stenosis managed during March 2006 to March 2010 was reviewed.

Congenital pouch colon with ileovesical and colovesical fistulae: A new variant.

We report a case of persistent cloaca and type I congenital pouch colon associated with ileovesical and colovesical fistulae. Such a malformation has not been reported so far.

A neonate with Poland-Mobius syndrome.

Poland-Mobius syndrome is a combination of two rare congenital syndromes characterized by congenital facial weakness, loss of abduction of eyes, limb defects, and absence or hypoplasia of the pectoral muscles. A patient with features of both the Mobius syndrome and the Poland syndrome is presented in this case report.

Caffey's disease in an infant.

Caffey's disease is a self limited disorder of infantile age group. It is synonymous with 'infantile cortical hyperostosis' and 'Caffey's-Silver syndrome'.It is characterized by fever, irritability, bone pain and characteristic bony changes.

Decorative crystal balls causing intestinal perforation.

Crystal jelly balls are used for decorative purpose in homes and offices. They swell on contact with water. We managed a patient with a clinical diagnosis of acute abdomen.

Pulmonary sequestration cyst in a patient of cerebral palsy.

Pulmonary sequestration cyst is a rare entity in pediatric patients. Most of the time, it is diagnosed as an incidental finding. It is associated with other congenital anomalies, especially congenital diaphragmatic hernia.

A child with Roberts syndrome.

Roberts syndrome is a genetically determined rare birth defect causing, skeletal deformities, particularly symmetrical limb reduction and craniofacial anomalies. For any child with limb and craniofacial bony malformations, this syndrome should be considered in the differentials. Although this syndrome represents only a small proportion of the total number of individuals with limb deficiency, it is important to be identified in order to give accurate genetic counselling including recurrence risk in siblings and possible prenatal diagnosis.

Mature gastric teratoma: the mixed exogastric and endogastric variety.

Gastric teratomas are extremely rare tumors. A 15-day-old neonate presented with abdominal mass. Ultrasound of abdomen showed mixed echogenicity lesion.