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Spontaneous biliary perforation is a rare condition, predominantly observed in infants, characterized by the leakage of bile into the peritoneal cavity without any apparent cause. This case report discusses a 3-month-old female infant who presented with symptoms of jaundice and abdominal distension. The successful management of this case with a combination of ultrasound-guided percutaneous drainage and laparoscopic cholecystostomy is detailed, highlighting the importance of minimally invasive techniques in treating this condition. Keywords: Cholecystostomy, infant, jaundice, laparoscopy, spontaneous biliary perforation, Author(s): Tarun Gupta [1]; Ankur Mandelia (corresponding author) [1]; Rajanikant R. Yadav [2]; Tarun Kumar [1]; Nishant Agarwal [1]; Pujana Kanneganti [1]; Anju Verma [1]; Biju Nair [1]; Amit Buan [...]

Aims: This study aims to review our experience of treating ovarian masses in children with an emphasis on clinical presentation, diagnosis, treatment, and outcome. Methods: We retrospectively reviewed the electronic medical records of all patients below 18 years of age who underwent surgical treatment for ovarian masses at our institute between 2009 and 2023. Study variables included demography, clinical presentation, physical findings, tumor markers, radiologic features, operative details, histopathology, follow-up status, and overall survival. Results: During the study period, 30 patients with a mean age of 10.07 years (range: 15 days-18 years) underwent surgical treatment for ovarian masses. Nonneoplastic ovarian masses were seen in 5 (16.7) patients, whereas 25 (83.3) patients had benign (10 [33.3], borderline 3 [10], or malignant 12 [40]) ovarian neoplasms. The most common clinical presentation in the benign group was abdominal pain (n = 6), whereas painless abdominal mass (n = 6) was the predominant complaint in children with malignant tumors. A functional ovarian mass presenting with precocious puberty or virilization was seen in 5 (16.7) patients. On imaging, nonneoplastic and benign lesions had a mean size of 4.33 (range: 3.1-6) cm and 12.63 (range: 2.8-28) cm, respectively, whereas borderline and malignant masses had a mean tumor size of 22.5 (range: 6.5-32) cm and 12.55 (range: 3.5-18.7) cm, respectively (P < 0.05). The cystic component was identified in all nonneoplastic and benign tumors, whereas the solid component was present in all borderline and malignant lesions (P < 0.05). Tumor markers such as serum alpha-fetoprotein and beta-human chorionic gonadotropin were raised in 8 (66.67) of malignant tumors, whereas markers were normal in all benign lesions and borderline malignant lesions and 4 (33.33) of malignant tumors. Lactate dehydrogenase (LDH) was also raised in all malignant masses (n = 12), whereas it was normal in all benign and borderline malignant masses (n = 18). In 6 (20) patients with nonneoplastic and benign masses with maximum tumor size Conclusions: Preoperative imaging characteristics (tumor size and solid component) and raised tumor markers may help us to differentiate between benign and malignant ovarian pathologies. The overall prognosis of pediatric ovarian tumors seems to be favorable. Keywords: Cancer, germ cell, mass, ovarian, pediatric, teratoma, tumor, Author(s): Rohit Kapoor [1]; Ankur Mandelia (corresponding author) [1]; Basant Kumar [1]; Vijai Datta Upadhyaya [1]; Anju Verma [1]; Pujana Kanneganti [1]; Tarun Kumar [1]; Nishant Agarwal [1]; Rahul Goel [...]

Enteric duplication cysts and reversed intestinal rotation (RIR) are rare congenital anomalies, with their coexistence being exceptionally uncommon. We report a 4-year-old girl who presented with chronic anemia and intermittent abdominal symptoms since infancy. Detailed workup for medical causes of anemia was inconclusive. Computed tomography of the abdomen revealed intestinal malrotation with a grossly dilated small bowel loop. Intraoperative findings revealed a long duodenojejunal tubular duplication with a separate mesentery (Type 1a) and RIR. The patient underwent a Ladd's procedure, resection of the duplication cyst, and end-to-end anastomosis. This case underscores the anatomical rarity, varied clinical presentation, and challenges in making an accurate and timely diagnosis in such a case. Keywords: Enteric duplication cyst, reverse intestinal rotation, malrotation, anemia, Author(s): Priya Mathew [1]; Ankur Mandelia (corresponding author) [1]; Amit Buan [1]; Biju Nair [1]; Moinak Sen Sarma [2]; Pooja Prajapati [1]; Rahul Goel [1] INTRODUCTION Intestinal malrotation involves the [...]

ABSTRACT Congenital diaphragmatic malformations include congenital diaphragmatic hernia (CDH) and eventration of the diaphragm. The clinical presentation is variable, and the prognosis depends on multiple factors. The coexistence of CDH and diaphragmatic eventration in the same patient is extremely unusual and has not been reported previously in the literature. We report this rare association in a 3-month-old male infant who was managed successfully by minimally invasive approach. Keywords: Congenital diaphragmatic hernia, diaphragmatic eventration, mixed anomaly, sac, thoracoscopy, Author(s): Tarun Gupta [1]; Ankur Mandelia (corresponding author) [1]; Rahul Goel [1]; Pooja Prajapati [1] INTRODUCTION Congenital diaphragmatic malformations include congenital diaphragmatic hernia (CDH) and congenital diaphragmatic eventration (CDE).[sup.[1]] The [...]

Author(s): Ankur Mandelia (corresponding author) [1]; Tarun Kumar [1]; Richa Mishra [2]; Akanksha Verma [3] Dear Sir, We read with great interest the recent article by Shah et al. in [...]

Byline: Neeta. Singh, Ankur. Mandelia, Neha. Nigam, Sangeeta. Yadav, Mandakini. Pradhan Context: Klippel-Trenaunay-Weber syndrome (KTWS) is a rare disease characterized by a triad of venous malformations, vascular skin nevus and [...]

Byline: Anita. Singh, Ankur. Mandelia, Apurva. Kawdiya, Kirti. Naranje, Neha. Nigam Bronchogenic cyst is one of the rare developmental lung conditions. Depending on the location, it can cause significant compression [...]

Byline: Rohit. Kapoor, Amit. Gupta, Partap. Yadav, Ankur. Mandelia Aim: Posterior cloacal malformations (PCMs) are distinguished from classical cloacal malformations by the posterior location of the common opening in the [...]

Byline: Rohit. Kapoor, Ankur. Mandelia, Nayab. Farzana, Neha. Nigam, Preeti. Dabadghao, Shyamendra. Sharma, Pujana. Kanneganti, Shantanu. Pande Bronchial carcinoid is the most common primary malignant lung tumor in children; however, [...]

Byline: Ankur. Mandelia, Anita. Singh A male neonate with an antenatal diagnosis of congenital pulmonary airway malformation (CPAM) of the left upper lobe developed respiratory distress soon after birth. A [...]

Byline: Ankur. Mandelia, Moinak. Sharma, Ashwani. Mishra, Yousuf. Siddiqui Sir, We read with a keen interest the recent article published in JIAPS by Anand et al .,[1] in which they [...]

Byline: Anita. Singh, Ankur. Mandelia, Prabha. Verma, Kirti. Naranje, Girish. Gupta Pulmonary sequestration (PS) is a rare congenital lung malformation. We present a case of newborn with antenatally diagnosed case [...]

Byline: Ravi. Manogaran, Ankur. Mandelia, Govind. Bhuskute, Arulalan. Mathialagan Objectives: The aim of this study was to review the clinical profile, management, and outcome of solid tumors in the head-and-neck [...]

Byline: Ankur. Mandelia, Moinak. Sharma, Yousuf. Siddiqui, Ashwani. Mishra Sir, We read with keen interest the recent article published in JIAPS by Senthamizhselvan et al .,[1] in which the authors [...]

Byline: Ankur. Mandelia, Nijagal. Mutt, Richa. Lal, Raghunandan. Prasad Gastric yolk sac tumors (YSTs) are very rare. Only seven cases of pure YST of the stomach, with a median age [...]