Abstract Introduction Renal artery aneurysm is a rare complication after renal trauma. Most patients are managed with minimally invasive techniques. However, in case of risk of expansion or rupture, surgical exploration may be warranted. Here we present a case of a 10 year old girl who presented with renal artery aneurysm after blunt trauma. Case report A 10 year old girl presented in ER with sudden onset abdominal pain after history of fall. Fast scan showed free fluid in abdomen and right kidney injury. CT scan of abdomen showed grade V kidney injury and right renal artery aneurysm compressing inferior vena cava anteriorly and ascending colon laterally. CT angiogram was done which confirmed a ruptured renal artery aneurysm. Patient was initially being managed conservatively and angiography was planned. She, however, became vitally unstable and her haemoglobin level dropped. Patient was taken to operation theatre urgently. Per- operatively, a ruptured right renal artery aneurysm was found, 2cm from aorta, causing a large hematoma compressing surrounding structures and dilated renal vein. Right nephrectomy was done. Patient remained stable and was discharged with an uneventful recovery. Discussion Renal artery aneurysm is an extremely rare complication following blunt trauma in paediatric population. Diagnosis is difficult, hence requires high level of clinical suspicion. Angiography is the standard tool for diagnosis and management. However, in case of hemodynamic instability, operative management may be warranted. Conclusion Despite its rarity, renal artery aneurysm may occur in children after blunt trauma. Hence, high suspicion should be kept by the clinicians in these cases.
Pressure colostogram is an important investigation in patients of anorectal malformations with colostomy.It provides information about the type of anorectal malformation and the location of fistula, if any, thus helping in planning for a surgery.High-pressure distal colostogram-related perforations are extremely uncommon but may be fatal.We describe a case of an infant who experienced this potentially fatal complication and was managed conservatively.
Extragonadal teratomas are not common in children and constitute 4% of primary teratomas. Among them adrenal teratoma are even rare and few cases have been reported yet. We hereby report a rare case of adrenal teratoma in a 7-year-old female child presenting with mass abdomen. Complete surgical excision was possible in this case and she is doing well with 1 year follow up.
Duplication cysts of gastrointestinal tract are rare congenital abnormalities found in 0.2% of children. We report a rare case of a ruptured duplication cyst of transverse colon in a 7-year-old female child who presented with abdominal pain and mass in the right iliac fossa. We assumed it as an appendicular mass; however, it turned out to be a ruptured duplication cyst of transverse colon. Only two cases of duplication cyst of transverse colon have been reported yet in the literature.
Surgical field fire is a very rare intraoperative complication and has potentially serious consequences.Cases of surgical field fire have been reported in literature.Usually, surgical field fire involves airway, but it can also occur in surgical field.We, hereby report a case of surgical field fire while operating on a 4-week baby for jejunal atresia.In this case report, we review causes and preventive measures for surgical field fire.
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