Abdominal pain with bilious emesis is an ominous clinical presentation with many possible causes. We describe a previously healthy 4-year-old boy who presented with these symptoms and ultrasound findings of fluid throughout most of the abdominal cavity. Computed tomography imaging revealed a large cystic mass (21-by-13 cm) associated with a small bowel obstruction due to volvulus. A laparoscopi...

When approaching a case with a situs abnormality, using the proper terminology, making a specific diagnosis, and understanding the other often associated abnormalities that need to be excluded are of great importance. We present a case of situs ambiguous in the presence of intestinal nonrotation and an obstructing duodenal web. Our patient initially presented at two days old with bilious emesis...

A 34-year-old female presented with right hypochondrial pain of 6 months following an uneventful open cholecystectomy about 5 years ago. A firm intra abdominal lump was felt in the right hypochondrium. Ultrasonography and computed tomography of the abdomen showed a large cystic lesion in relation to the porta hepatis. On exploration, a large cystic mass was found in relation to the undersurface...

The newborn with intestinal obstruction can elicit unease in many radiologists and neonatologists. The clinical presentation may be nonspecific, with bilious or nonbilious vomiting, abdominal distension, and often failure to pass meconium evident. The etiology of neonatal intestinal obstruction could lie anywhere from esophagus to anus. Some disorders, such as malrotation with midgut volvulus, ...

A 4-year old boy presented with pain abdomen, bilious vomiting and constipation for three days. On examination, abdomen was distended and tender. X-ray abdomen revealed multiple air-fluid levels suggestive of intestinal obstruction. Ultrasonography abdomen revealed dilated bowel loops with minimal free fluid in peritoneal cavity. On exploration, there was a band causing obstruction of terminal ...

Gastrotracheal fistula following open transhiatal esophagectomy (Orringer's technique) for esophageal cancer is an unusual but lethal complication. Surgical intervention with resection of the fistula tract and primary interrupted suturing of gastric and tracheal orifices using a muscle flap interposition has proved to be a successful method. We report the case of a 73-year-old male with an aden...

Case: A six week old, full term male infant presents to the hospital with a history of several days of projectile, non-bilious vomiting. The child was diagnosed with Pierre Robin sequence shortly after birth based on severe micrognathia and associated large, midline cleft palate. He has required prone sleeping and feeding to maintain his airway but no invasive airway management. He has also a d...

Cases of neonatal gastrointestinal system (GIS) obstruction are quite complex for pediatric surgery clinics. A rare cause of intestinal obstruction is the duplication cyst (DC). A three-day-old male patient presented at our clinic with a history of abdominal distension and bilious vomiting on the second day following birth. Although pathology had not yet been determined from observation and exa...

Group A streptococcal (GAS) invasive disease has become increasingly common in recent years but meningitis caused by GAS is still relatively uncommon(1). Recently, severe and fulminant cases of Group A streptococcal meningitis have been reported(2) but it is rather an uncommon organism causing meningitis beyond neonatal period(3). We report a 10-year-old child with bilateral otitis media leadin...

Acute appendicitis is a common occurrence in childhood, but this diagnosis is considered rarely in differential diagnosis of acute abdomen in the neonatal period because its occurrence is very rare in neonates. We report a 20-day- old afghan female baby that was admitted to neonatal intensive care unit, because of irritability and abdominal distension. Complete ultrasound of abdomen and pelvis ...