CSF ascites: a rare complication of ventriculoperitoneal shunt surgery.

CSF ascites is a very rare complication of ventriculoperitoneal (VP) shunt procedure. No definite explanation has been offered for the inability of the peritoneum to absorb the CSF. Two children who underwent VP shunting for hydrocephalus, presented with ascites 3 (1/2) years and 4 months respectively, after the shunt was placed.

Wilms' tumor with vena caval, atrial, and middle hepatic vein tumor thrombus.

A 3-year-old male with a right-sided Wilms' tumor presented with tender hepatomegaly and bilateral lower-limb edema. Ultrasound and echocardiography showed a massive tumor thrombus completely occluding the inferior vena cava, right atrial cavity, and extending retrogradely into the middle hepatic vein. Two courses of preoperative chemotherapy (vincristine, actinomycin D, adriamycin) caused minimal shrinkage of the thrombus.

Button battery ingestion: a solution to a management dilemma.

There is a dilemma in the management of ingested intact button batteries in the gastrointestinal (GI) tract distal to the oesophagus: whether to do an emergency laparotomy or to adopt a wait-and-watch policy. In this case report an effective, safe, and quick method of GI lavage was used and a button battery was expelled successfully from the stomach without resorting to laparotomy or endoscopy.

Rare traumatic aorto-iliac dissection injury in a child with pelvic fracture and urethral rupture: a case report.

This is a case report of polytrauma in a 4-year-old boy who sustained a rare aorto-iliac dissection injury along with pelvic fracture and rupture of posterior urethra. This child was initially treated for the rupture of posterior urethra and extravasation of urine with suprapubic cystostomy and drainage. Lower limb ischemia developed later.

Enterogenous cyst of spinal cord : a case report.

A case of spinal cord compression due to an enterogenous cyst is described.