ABSTRACT
A female infant who presented with transient obstructive jaundice and who was shown to have mild fusiform dilatation of the common bile duct at the age of 18 months was followed up with hepatobiliary ultrasound scans over a period of 17 years. Enlarging gallbladder polyps were identified during the last 2 years of follow-up, and endoscopic retrograde cholangio-pancreatography (ERCP) showed a common pancreato-biliary channel with minimal bile duct dilatation. A high concentration of pancreatic amylase was detected in the bile. Hepaticojejunostomy and cholecystectomy were performed. Histologically, the resected common bile duct showed fibrous thickening of the wall and loss of surface epithelium. Muscular hypertrophy and polypoid lesions, which were foci of cholesterosis, were identified in the gallbladder. There was a minimal lymphocytic infiltrate in the subepithelial connective tissue. This report documents a progressive change in the ultrasound appearances of the gallbladder and histological changes in the extrahepatic ducts secondary to a common pancreato-biliary channel and pancreato-biliary reflux.
Subject(s)
Common Bile Duct/abnormalities , Gallbladder Neoplasms/etiology , Pancreatic Ducts/abnormalities , Polyps/etiology , Adolescent , Cholangiopancreatography, Endoscopic Retrograde , Common Bile Duct/diagnostic imaging , Common Bile Duct/pathology , Epithelium/pathology , Female , Gallbladder Neoplasms/pathology , Gallbladder Neoplasms/surgery , Humans , Pancreatic Ducts/diagnostic imaging , Polyps/pathology , Polyps/surgeryABSTRACT
A rare hepatobiliary malformation in which the common hepatic duct drains directly into the gallbladder or the cystic duct (cholecystohepatic duct) is described in two children born with oesophageal atresia. Attention is drawn to the rarity of this combination. A brief review of the literature of cholecystohepatic and accessory hepatic ducts is also presented.
Subject(s)
Abnormalities, Multiple/surgery , Cholestasis, Extrahepatic/complications , Esophageal Atresia/complications , Hepatic Duct, Common/abnormalities , Cholestasis, Extrahepatic/surgery , Cystic Duct/surgery , Female , Hepatic Duct, Common/surgery , Humans , Infant, Newborn , Male , Tracheoesophageal Fistula/complicationsSubject(s)
Colon/pathology , Urinary Bladder Diseases/pathology , Child , Humans , Male , Metaplasia/pathology , ProlapseABSTRACT
The rarity of rectal carcinoma in children has prompted us to report this patient who presented with bleeding per rectum and constipation. Histopathological examination of biopsy revealed the growth to be a colloid carcinoma of rectum and it was inoperable on exploratory laparotomy. There are three factors which contribute to an overall poor prognosis of rectal carcinoma in children viz. delay in diagnosis, advanced stage of disease and poorly differentiated histology.
Subject(s)
Adenocarcinoma, Mucinous/pathology , Palliative Care/methods , Rectal Neoplasms/pathology , Adenocarcinoma, Mucinous/complications , Adenocarcinoma, Mucinous/epidemiology , Adenocarcinoma, Mucinous/surgery , Child , Colostomy , Constipation/etiology , Female , Gastrointestinal Hemorrhage/etiology , Humans , Ileostomy , Prognosis , Rectal Neoplasms/complications , Rectal Neoplasms/epidemiology , Rectal Neoplasms/surgery , RectumABSTRACT
Posterior midline cervical cystic hygromas (PMC) are frequently found associated with chromosomal aberrations and usually do not survive. The present report illustrates diagnosis of this condition by sonography in an 18 weeks old fetus and an amniocentesis revealed 45 x0 karyotype and increased concentration of alpha-fetoproteins. Pregnancy was terminated in view of Turner's syndrome. The etiology and natural history of the condition is reviewed.
Subject(s)
Fetal Diseases/diagnostic imaging , Head and Neck Neoplasms/diagnostic imaging , Lymphangioma/diagnostic imaging , Turner Syndrome/diagnosis , Abortion, Therapeutic , Diagnosis, Differential , Female , Fetal Diseases/pathology , Fetal Diseases/therapy , Head and Neck Neoplasms/complications , Head and Neck Neoplasms/pathology , Humans , Lymphangioma/complications , Lymphangioma/pathology , Pregnancy , Turner Syndrome/complications , Ultrasonography, PrenatalABSTRACT
An unusual case of extensive benign lymphoid hyperplasia of the ileo-caecal region causing ileo-caeco-colic intussusception is presented here, with a review of relevant literature. The diagnosis of intussusception was reached with the help of an abdominal ultrasound and barium enema. Histopathology of the resected specimen, revealed lymphoid hyperplasia.
Subject(s)
Castleman Disease/complications , Cecal Diseases/etiology , Ileal Diseases/etiology , Intussusception/etiology , Adolescent , Castleman Disease/pathology , Humans , MaleABSTRACT
We present an unusual case of suppurative pericarditis following rupture of a solitary right lobe amebic liver abscess. The condition was treated successfully by drainage of the liver abscess alone.