Duodenal obstruction: A rare complication of langerhans cell histiocytosis Vaishnavi Sreenivasan, Anmol Aatli, Saahiti Andhavaram, Apoorva Sharma, Rashmi Dandriyal, Shyam S. Meena, Nidhi Sugandhi, Sumit Mehndiratta, Nidhi Chopra, Amitabh Singh Pediatric Hematology Oncology Journal, 2024 Langerhans cell histiocytosis (LCH) has a highly variable presentation, of which gastrointestinal involvement is extremely rare. Gastrointestinal involvement portends a poor prognosis in LCH. Herein, we describe the presentation, progression, management, and outcome of an 11-month-old female infant with LCH. The patient presented with severe acute malnutrition, hepatosplenomegaly, and gastrointestinal involvement in the form of persistent vomiting. She was managed with chemotherapy initially and subsequently developed complete duodenal narrowing. She underwent Kimura's duodenojejunostomy and was improving after that. Hence, chemotherapy was restarted. Two months later, she developed features of intestinal obstruction with intraoperative findings of ileal gangrene requiring adhesiolysis, ileal resection, and ileostomy. Subsequently, she succumbed to sepsis. This case report aims to highlight the atypical gastrointestinal manifestations of LCH and the challenges faced in managing such cases.
Cervicofacial Rhabdomyosarcoma ‑ Success of a Free Fibular Graft Varsha M. Totadri, Viji Geetha, Samir Kant Acharya, Prasanth J. Narayanan, Shafeek M. Palakundan, Nidhi Sugandhi, Anjana Sreedharan Journal of Indian Association of Pediatric Surgeons, 2024 Cervicofacial rhabdomyosarcoma (RMS) presents surgical complexities in children due to its aggressive nature. This study presents a successful case of oral RMS treatment with a free fibular graft in a 7-year-old patient. Despite follow-up challenges, the efficacy of the approach is evident.
Aortoesophageal fistula in a child Sandeep Agarwala, SushilKumar Kabra, AbdusSami Bhat, Rakesh Lodha, Prashant Joshi, AkshayKumar Bisoi, Arundeep Arora, ArunKumar Gupta, ShasankaShekhar Panda, Ruma Ray, Nidhi Sugandhi Journal of Indian Association of Pediatric Surgeons, 2013
Conventional Surgical Techniques for Breast Cancer with special reference to important anatomical landmarks Journal International Medical Sciences Academy, 2006
