Atretic encephalocele with dural venous sinus malformation – A case report

Atretic encephalocele with dural venous sinus malformation – A case report

S132 Abstracts / Journal of the Anatomical Society of India 65S (2016) S98–S142 upward migration of a kidney. The kidney lies cranial to its normal ...

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S132

Abstracts / Journal of the Anatomical Society of India 65S (2016) S98–S142

upward migration of a kidney. The kidney lies cranial to its normal position known as transthoracic kidney, which is a rare type of kidney ectopia. A 2-year-old male child presented with chief complaints of on and off cough for 6 months. Cough was nonproductive, more at night times associated with fever. X-ray chest revealed raised left dome of the diaphragm with a round opacity in left paravertebral area. Right lung was normal. Further imaging with CT chest and abdomen revealed a partial elevated left dome of diaphragm with superiorly migrated left kidney and colon into thorax. Stomach noted in normal position. The renal parenchyma and the pelvicalyceal system of the left kidney were normal. The resulting weakness in the hemidiaphragm causes abdominal contents to herniate into the chest. Conflicts of interest The author has none to declare. http://dx.doi.org/10.1016/j.jasi.2016.08.432 126 A case of anencephaly K. Shemitra Rajkumari Regional Institute of Medical Sciences, Imphal, Manipur, India The present study is to report a case of anencephaly found in RIMS Hospital. An abnormal male fetus with anencephaly was collected from the Obstetrics and Gynaecology Department, RIMS, after taking permission from the concerned authorities and parent. The fetus was observed externally and was dissected for further observation. The fetus had absence of calvaria and eyes were protruded. On dissection, the brain was malformed and cerebral hemispheres were absent. Anencephaly is the most common and severe anomaly of the central nervous system with an incidence of 1 per 1000 births. It is associated with high mortality and risk of recurrence is present in subsequent pregnancy. The severity of the condition requires Medical Termination of Pregnancy. It can be easily diagnosed by ultrasonography in early pregnancy, therefore, further prenatal management can planned. Conflicts of interest The author has none to declare. http://dx.doi.org/10.1016/j.jasi.2016.08.433 127 A rare case of thorachoschisis with gastroschisis – A case report A. Prasad Andaman and Nicobar Islands Institute of Medical Sciences, Port Blair, India Body wall defects are usually associated with evisceration of organs outside the body. Gastroschisis is most common type of defect. A defect of only the ribs results in lateral thorachoschisis which is a very rare congenital anomaly. Study was done to identify the type of developmental defect in the body wall and also to understand its cause.

Fetal autopsy was performed after taking the full consent in the Department of Anatomy, GMC&H, Chandigarh. A case of lateral thoracic wall defect with omphalocele was reported in a fetus. The external examination showed a 3 cm × 2 cm defect in the right lateral thoracic wall through which parts of organs were protruding. A small defect in the abdominal wall noted through which loops of small intestine loops was present. On internal examination the thoracic wall defect was found to be between the 8th and 9th ribs with parts of liver and right lung were present. There was a small defect in the diaphragm through on right side through which gall bladder was pushed into thorax. The heart did not show any defect. The anal opening and genital opening were normal. Usually body wall defects presents as a continuous defect like thoraco-abdomino-schisis. This case was found with 2 separate defects in two different regions of the body. The aetiology and incidence of the case will be discussed in the light of available literature. Conflicts of interest The author has none to declare. http://dx.doi.org/10.1016/j.jasi.2016.08.434 128 Atretic encephalocele with dural venous sinus malformation – A case report N. Vinay Kumar Chennai Medical College Hospital and Research Centre, Trichy, Tamilnadu, India Midline scalp lesions in a child may be due to diverse reasons. Atretic encephalocele that was reported by James and Lassmann for the first time in 1972 as meningocele manqué is one such lesion. It was defined as a degenerative form of encephalocele. Its prognosis varies and depends on a number of factors, including the nature of the tissues contained within the lesion, the presence or not of other concomitant anomalies, the site of development, and the presence or not of an embryonal straight sinus. A one-year female child was brought to the hospital with complaints of a swelling in the midline of the scalp in parietal region. On examination the child had normal milestones. The swelling is soft palpable and no bruit heard over it. No discolouration over the swelling. The child was investigated as a case of dermoid cyst. An investigatory MRI showed the following features: subgaleal soft tissue mass with intracranial extension via sharply demarcated calvarial defect (cranium bifidum), CSF tract and absence of straight sinus was noted. Persistence of embryonic venous pattern was seen along with focal fenestration of superior sagittal sinus was seen at the atretic parietal cephalocele. Midline structures were normal in structure and position. The development of atretic cephalocele has not been clearly elucidated. Atretic cephaloceles probably represent a manifestation of defects in closure of part of the neural tube. There is a wide range of clinical presentations of patients with atretic cephaloceles. The prognosis of atretic cephalocele is generally good with proper surgical management. This case is reported for its rarity. Conflicts of interest The author has none to declare. http://dx.doi.org/10.1016/j.jasi.2016.08.435