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Papers by shahaji deshmukh

Journal of Pediatric Surgery Case Reports

International Surgery Journal

Nutcracker syndrome is a rare diagnosis which presents with hematuria, abdominal pain and is caus... more Nutcracker syndrome is a rare diagnosis which presents with hematuria, abdominal pain and is caused by left renal vein entrapment in between abdominal aorta and superior mesenteric artery. Symptomatic presentation of rotational abnormalities of gut are rare in adults though it can present with abdominal pain. Simultaneous presence of nonrotation with nutcracker syndrome was very rarely reported in literature. The authors reported a 38 year old female who presented with chronic pain in left side of abdomen and was diagnosed as nutcracker syndrome with nonrotation of gut. Patient underwent Ladd’s procedure with left renal vein transposition. Patient was asymptomatic on follow up. Search of literature showed only two previous cases being reported making it a very rare presentation.

Pediatric Urology Case Reports, Mar 14, 2022

The horseshoe kidney is the most prevalent renal fusion abnormality. A horseshoe kidney with only... more The horseshoe kidney is the most prevalent renal fusion abnormality. A horseshoe kidney with only one ureter is a rare malformation. Choledochal cyst is cystic dilatation of bile duct. Horseshoe kidney with a single ureter and other associations have been reported in literature, however none of these cases have been associated with choledochal cyst. Surgeons must proceed cautiously when dealing with a Horseshoe kidney patient.

Journal of Neonatal Surgery

We report a case of retroperitoneal mature cystic teratoma in a 2-day-old neonate. Diagnostic and... more We report a case of retroperitoneal mature cystic teratoma in a 2-day-old neonate. Diagnostic and surgical procedure including its complexity and relevant literature review has been discussed.

Journal of Pediatric Surgery Case Reports

International Surgery Journal, Mar 28, 2022

Fetus in fetu is a rare congenital anomaly in which a malformed fetus grows within the body of it... more Fetus in fetu is a rare congenital anomaly in which a malformed fetus grows within the body of its twin. It is detected as an abdominal mass in infancy. It is a heterophagus parasite of a diamniotic, monozygotic twin. It should be differentiated from teratoma which has no axial arrangement and has got malignant potential. Although fetus in fetu is a rare condition, diagnosis using imaging can be made before surgery. It should be considered as a differential diagnosis for lump abdomen in infants. Complete excision is the treatment of choice. We present a case of a 9 years old female with fetus in fetu who was successfully managed by surgical excision.

International Journal of Biomedical and Advance Research, 2017

Congenital epulis also known as Neumanns tumor, is a rare lesion of newborn. It is usually benign... more Congenital epulis also known as Neumanns tumor, is a rare lesion of newborn. It is usually benign in nature. A newborn baby girl weighing 2100 gram was found to have a solid mass arising from the anterior ridge of the maxilla. This caused difficulty in feeding. The mass was excised under general anaesthesia and histopathology was suggestive of granular cell tumor.

Pediatric Urology Case Reports, 2021

Exstrophy-epispadias complex encompasses a spectrum of pathologies ranging from isolated epispadi... more Exstrophy-epispadias complex encompasses a spectrum of pathologies ranging from isolated epispadias to classical bladder exstrophy to cloacal exstrophy as the most severe and the rarest variant, are quite uncommon and constitute about 8% of all the cases. The treating surgeon should be aware of all the variants, their diagnosis and modalities of treatment for the same. We present two such unique variants and successful surgical management of the same.

Scholars Journal of Applied Medical Sciences, 2020

Case Report Abdominal tuberculosis (ATB) in children poses a diagnostic challenge because of its ... more Case Report Abdominal tuberculosis (ATB) in children poses a diagnostic challenge because of its nonspecific clinical features, often delaying the diagnosis. The annual incidence of tuberculosis (TB) is nearly 10.1 million, including around 1 million children [1]. It is estimated that worldwide, 239 000 children younger than 15 years die from TB in a year [2]. TB being endemic in India accounts for about a quarter of the global TB cases, the highest in the world [3]. We hereby report a case of intestinal obstruction in a 6 month old child secondary to abdominal koch's. The child underwent jejunostomy for severe bowel adhesions, frozen pelvis and cocoon formation. Histopathology of omentum and mesenteric lymphnodes confirmed it to be abdominal tuberculosis. With parenteral nutrition and injectable antitubercular drugs(second line) for 7 weeks before stoma closure and 2 weeks later patient could be managed successfully and discharged on oral ATT(Anti tubercular treatment).We could successfully manage abdominal tuberculosis with jejunostomy(high output fistula) with second line injectable ATT and total parenteral nutrition.

International Journal of Biomedical Engineering and Clinical Science, 2017

Ectopic anus is an atypical uncommon variant of broad spectrum of anorectal malformation. We pres... more Ectopic anus is an atypical uncommon variant of broad spectrum of anorectal malformation. We present a case of a 22 day old neonate with anus placed within scrotum. After surgical intervention a neoanus was created within sphincter complex and good functional result was achieved. Patient had urethral injury intraoperatively which was managed by urethrostomy. Subcoronal hypospadias and urethrostomy was corrected in second setting.

Pediatric Urology Case Reports, 2020

During circumcision, glans amputation is a rare but potentially devastating complication. Causati... more During circumcision, glans amputation is a rare but potentially devastating complication. Causative factors are varied. External genital injury can be categorized as accidental in origin including during circumcision and as other traumatic origins including animal bite, gunshots, or self-mutilation. We report a case of a 4 year child undergoing circumcision with glans injury. He presented to us with bleeding from glans and the partially amputated glans brought together in normal saline. Child underwent immediate glans reimplantation. On one month follow up there was complete glans uptake.

Journal of Clinical Neonatology, 2019

Intussusception is a rare entity in neonates, and its' symptomatology is almost exactly simil... more Intussusception is a rare entity in neonates, and its' symptomatology is almost exactly similar to necrotizing enterocolitis (NEC). A 30-week preterm newborn was initially suspected to have to NEC based on clinical conditions and radiological findings, which turned out to be jejunojejunal intussusception with bowel gangrene on exploratory laparotomy. An initial diagnosis of NEC was made, and the neonate was treated with nonsurgical management. This led to difficulty in the diagnosis of intussusception. The patient died of sepsis in postoperative period. In preterm newborns, conditions other than NEC can have similar pathological abdominal findings, and hence suspicion is needed for timely diagnosis and urgent surgical management.

Journal of Minimal Access Surgery, 2019

Spigelian hernia is very rare in the paediatric age group. We present the case of an 11-month-old... more Spigelian hernia is very rare in the paediatric age group. We present the case of an 11-month-old male child who presented with left Spigelian hernia with the left undescended testis in its sac. Hernia repair with orchidopexy was done using total laparoscopic approach. It is the first reported case of total laparoscopic repair of Spigelian hernia with undescended testis in the paediatric age group.

Pediatric Urology Case Reports, 2016

Congenital midureteric obstruction is a rare entity which can be caused by either ureteric valves... more Congenital midureteric obstruction is a rare entity which can be caused by either ureteric valves, strictures or an adynamic segment. When encountered, it is generally misdiagnosed as megaureter or ureteropelvic junction obstruction. A high index of suspicion is required to make a correct pre-operative diagnosis. Antegrade or retrograde urography would clinch the diagnosis. Our patient presented with a history of left loin pain. Investigations suggested mid-ureteric stricture. Resection of stricture segment and primary ureteroureteric anastomosis was done which relieved the symptoms. Histopathological examination showed muscle fibrosis.

International Journal of Surgery Case Reports, 2015

Lithopedion is a rare event that occurs in 0.0054% of all gestations. 1 According to one report t... more Lithopedion is a rare event that occurs in 0.0054% of all gestations. 1 According to one report there are only about 330 known cases of stone baby in the world (Gang sung, Min Lee et al., 2010). About 1.5-1.8% of the abdominal babies develop into lithopedion. We report a 60-year-old female with pain and lump in lower abdomen since 2 months. Possibility of tumour was on evaluation. Eventually a mass containing foetal skeleton was found in her abdomen which was traced to her pregnancy 36 years back.

Pediatric Urology Case Reports, 2016

Nutcracker syndrome is caused by a compression of the left renal vein between the aorta and the s... more Nutcracker syndrome is caused by a compression of the left renal vein between the aorta and the superior mesenteric artery. It results in left renal venous hypertension, and the subsequent development of venous varicosities of the renal pelvis, ureter, and gonadal vein. We report a rare case in an 8-year-old boy who presented with a history of intermittent episodes of hematuria leading to anemia and left flank pain. Ultrasound examination of abdomen revealed bulky left kidney and features of subacute medical renal disease. Computed tomography of abdomen showed compressed left renal vein between aorta and superior mesenteric artery. Authors report the successful operative management of this rare syndrome in a pediatric patient.