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Search Results: 1 - 10 of 1267 matches for " Afzal Sheikh "
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PROGNOSIS OF SURGICAL NEONATES
Afzal Sheikh
Journal of Neonatal Surgery , 2012,
Abstract: Surgical neonates are a subclass of patients having wide differences in physiology, anatomy, diseases, immunity and response to the stress, as compared to older patients. Previously, dealt by the general surgeons, the prognosis and outcome of many surgical conditions of neonates were poor as many of them were considered mortal at that time. Even the congenital malformations that have excellent outcome today had poor outcome at that time. The outcome started improving with the development of pediatric surgery specialty that utilized new procedures, modify previous approaches and provided adequate postoperative care to pediatric patients and neonates. The outcome and prognosis varies disease to disease. Generally speaking many neonatal surgical disorders have now good outcome especially anorectal malformations, hirschsprung’s disease etc.
An Unusual Case of Gastroschisis
Bilal Mirza,Afzal Sheikh
APSP Journal of Case Reports , 2010,
Abstract: Gastroschisis is an abdominal wall defect through which intestine and rarely other organs eviscerate. It is less frequently associated with anorectal malformations. Abnormal size and shape of the defect is rarely identified in these patients. We report a case of gastroschisis with an unusual abdominal wall defect, imperforate anus and an ectopically placed vestibule. The defect was extended from right side of umbilicus to the perineum. There was evisceration of entire gastrointestinal tract (GIT), liver, gallbladder and urinary bladder. The defect was not manageable with a spring loaded silo and a sterilized blood bag was used to cover the defect. The unusual defect, associated anomalies and evisceration of unusual viscera are the main reasons for reporting the index case.
Open Safety Pin Ingestion Presenting as Incarcerated Umbilical Hernia
Bilal Mirza,Afzal Sheikh
APSP Journal of Case Reports , 2011,
Abstract: Foreign body ingestion is common in children. Sharp foreign bodies are potentially harmful and can result various complications. An 8-month-old infant presented with incarcerated umbilical hernia. With a suspicion of strangulation, operation was performed that revealed a loop of ileum being stuck in the umbilical defect. The loop of ileum was freed from the umbilicus which demonstrated open ends of safety pin piercing out of bowel lumen. The enterotomy followed by removal of safety pin was performed.
Gastric Duplication Cyst Presenting as Acute Abdomen: A Case Report
Kanchan Kayastha,Afzal Sheikh
APSP Journal of Case Reports , 2010,
Abstract: Gastric duplication cysts are rare variety of gastrointestinal duplications. Sometimes they may present with complications like hemorrhage, infection, perforation, volvulus, intussusception and rarely neoplastic changes in the gastric duplication cyst. We present one and half year old male child who developed sudden abdominal distension with pain and fever for two days. Ultrasound revealed a cystic mass in the hypochondrium and epigastric regions. On exploration an infected and perforated gastric duplication cyst was found. Surgical excision of most part of cyst wall with mucosal stripping of the rest was performed. Histopathology confirmed the diagnosis of gastric duplication cyst. Early surgical intervention can result in good outcome.
Overlapping Features of Caudal Regression Syndrome and VACTERL Complex in a Neonate
Lubna Ijaz,Afzal Sheikh
APSP Journal of Case Reports , 2010,
Abstract: Caudal regression syndrome (CRS) is characterized by a group of heterogeneous anomalies involving the distal spinal cord and vertebral column, genitourinary system, hind gut and limbs. The malformation may range from minor anomalies of spine and spinal cord to the extreme, the sirenomelia. Various authors pointed out an overlap of spectrum of anomalies in CRS and VACTERL (vertebral, anorectal, cardiac, tracheo-esophageal, renal and limb anomalies) complex.
Mortality in a Case of Crystal Gel Ball Ingestion: An Alert for Parents
Bilal Mirza,Afzal Sheikh
APSP Journal of Case Reports , 2012,
Abstract: Decorative crystal gel balls are used for decoration purpose. Due to their attractive appearance they may be ingested by children. This may result in grave complications. A case of decorative crystal ball ingestion is being reported in a 6 months old infant who presented with sub acute intestinal obstruction and was operated. Crystal gel balls were causing obstruction of jejunum. Enterotomy and removal of the mass of jelly balls was done with primary closure. The patient was re-operated for anastomotic disruption on 6th postoperative day. Baby developed septicemia, and succumbed after 2 days of second operation.
Congenital Midline Cervical Skin Bridge
Bilal Mirza,Afzal Sheikh
APSP Journal of Case Reports , 2011,
Abstract: Congenital Midline Cervical Skin Bridge
Acute Gastric Volvulus Secondary to Malrotation of Gut in a Child with Cerebral Palsy
Kanchan Kayastha,Afzal Sheikh
APSP Journal of Case Reports , 2011,
Abstract: Acute gastric volvulus secondary to malrotation of gut is a rare surgical emergency. We report a case of an eight years old cerebral palsy (CP) child who presented to us with sudden upper abdominal distension and non productive retching. X-ray abdomen revealed a huge gas shadow on left side of abdomen with paucity of distal gas shadows. On exploration organoaxial gastric volvulus with gastric ischemia, secondary to malrotation of gut, was found. Volvulus derotated and Ladd’s procedure was done. Gastropexy and fundoplication was not done due to gastric ischemia. Early diagnosis and surgical management can save the patient from fatal complications of gastric perforation due to gastric ischemia.
EVENTRATION OF DIAPHRAGM WITH HIATAL HERNIA: A CASE REPORT
Bilal Mirza,Afzal Sheikh
Journal of Neonatal Surgery , 2012,
Abstract: A 25-day-old female baby having eventration of diaphragm associated with a big hiatal hernia is being reported here. This is the second report describing the rare association.
MULTIPLE ASSOCIATED ANOMALIES IN PATIENTS OF DUODENAL ATRESIA: A CASE SERIES
Bilal Mirza,Afzal Sheikh
Journal of Neonatal Surgery , 2012,
Abstract: Duodenal atresia has been reported in association with various malformations and syndromes common being Down syndrome, malrotation, and annular pancreas. Its association with multiple anomalies is rare and scarcely reported in literature. Herein 3 cases of duodenal atresia associated with multiple congenital anomalies are being reported.
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