Heterotopic salivary gland presenting as a supra-clavicular swelling.

A 5-month-old female was referred to the paediatric surgery clinic with a neck swelling in the right supra-clavicular region. This was thought clinically to be cystic hygroma. Pathology showed an ectopic salivary gland. This should be added to the list of differential diagnoses of neck swelling in childhood.

The use of ultrasound to demonstrate small bowel polyps in a patient with Peutz-Jeghers syndrome.

A 21-year-old woman presented to the accident and emergency department with a 2-day history of lower abdominal pain. Her lips had the stigma of melanosis. Previously, she had received a diagnosis of Peutz-Jeghers syndrome, although no polyps had been detected in small and large bowel barium studies performed approximately 8 years before. Clinically, the patient had mild deep lower abdominal tenderness, and a mass was palpable in the suprapubic region. Urgent ultrasound showed ileoileal intussusception and small polyps in the lumen of the small bowel. At laparotomy, ileoileal intussusception was confirmed. It was not possible to reduce it because of nonviable small bowel, so 20 cm of the ileum, including the intussusception, was excised. After this, intraoperative enteroscopy was performed, showing further polyps in the small bowel distal and proximal to the intussusception, which were excised locally. Only a few reports in the literature describe ultrasound used to diagnose to condition. Intraoperative enteroscopy has been recommended as the treatment of choice because it allows identification of polyps that previously would have been missed.

Successful replantation of a traumatically amputated penis in a neonate.

This is a report of a case of traumatic amputation of the penis in a 10-day-old neonate. The amputation was performed accidentally under far from sterile conditions in a village by an untrained barber, trying to do a circumcision. Replantation was successfully performed.

Polyorchidism: case report and review of the literature.

A case of polyorchidism in an 8-year-old boy is described. This is the first reported case from Iraq and the fifth reported case in the world literature where complete duplication of the testis, epididymis, and the spermatic cord has occurred.

Xanthogranulomatous pyelonephritis in childhood.

Two cases of xanthogranulomatous pyelonephritis are reported in Arabs. Reviewing the literature, these cases were similar to previously reported cases. Although there are no pathognomonic clinical features, this disease should be considered in the differential diagnosis of a renal mass.