Pericardial effusion and heart block caused by lymphoma. A case report

A 28-year-old woman with cardiac failure, heart block, and both pleural and pericardial effusions is described. Despite numerous investigations, the diagnosis of a non-Hodgkin's lymphoma was not made until after the patient's death. Cardiac involvement by lymphoma is reviewed.     

Congenital radio-humeral synostosis. A case report

In a 7-month-old male infant with congenital radiohumeral synostosis and associated absent first metacarpal, floating thumb, and hypoplasia of the humerus, the synostosis was resected. Elbow motion was obtained and one year postoperatively there was no recurrence of the synostosis.     

Congenital soft-part chondroma. A case report

A soft-part chondroma was found in the back of a new-born infant. The tumor was located in the soft tissue between the spinous processes of T12 and L1 and grew larger. It was successfully removed operatively at the age of two years. It was a completely encapsulated hyaline cartilagelike tumor, and the skeleton. Histologically, it consisted of a cartilaginous tissue with a lobular pattern, and nuclear atypia was found in some areas.     

Congenital choledochal cyst. A case report

A congenital choledochal cyst presented as an upper abdominal mass in a non-jaundiced woman; at laparotomy total cystectomy was performed and biliary enteric continuity re-established by a hepaticojejunostomy Roux-en-Y anastomosis.     

Ultrasound diagnosis of situs inversus in utero. A case report

A case of situs inversus diagnosed prenatally by ultrasonography is presented. The diagnosis was confirmed on ultrasound examination and radiography in the immediate postnatal period. Subsequent investigations and management are reported, and the incidence, aetiology and clinical features of situs inversus are briefly reviewed.     

Congenital urethrocele in children. A case report]

Congenital urethrocele is a fairly rare disease in children. The authors report the case of a 9-year-old child presenting with a penoscrotal mass. Pressure on the mass produced urine. The diagnosis of urethrocele was established by ultrasonography and cystourethrography. Urethroplasty was successfully performed.     

Congenital true pancreatic cyst detected prenatally in neonate: a case report

True congenital epithelium-lined cysts of the pancreas are rare, and the prenatal diagnosis of a true pancreatic cyst has been reported only rarely. In this article, the authors report a 3-day-old girl with histologically proven true pancreatic cyst that was detected by prenatal ultrasonography. The cystic mass was located in the left upper side of the abdomen, and total cystectomy was performed without complication.     

Congenital pseudarthrosis of radius. A case report

We report a case of a 9 year old female child with congenital pseudarthrosis of the radius. She had a history of fractures of both bones of the left forearm after trivial trauma at the age of 7 years (2003) and 8 years (2004). On each occasion she was treated conservatively in a POP cast 4 weeks. She reported to us in January 2005 complaining of a gradually increasing deformity of the left forearm. Radiologically, it was an apex anterior deformity of the distal aspect of the left radius. Clinically she had multiple café au lait spots over her body. Neurological and ophthalmological examinations were normal. The fibrous tissue and the fracture ends were excised. The fracture was stabilized with a 6-hole DCP with iliac crest graft to bridge the gap along with cortico-cancellous chips. The fracture united uneventfully at 3 months post-operatively. At 17 months post-operatively there is no evidence of recurrence of pseudarthrosis with a near normal range of movements. Congenital pseudarthrosis of the radius is an extremely rare condition with only 10 cases seems to have been reported. Dual onlay bone graft, vascularised fibular graft has been the treatment options the latter being the preferred one. But the disease being extremely rare not much has been documented about the treatment options. We treated this case by excision of the sclerotic bone ends along with a cuff of periosteum and internal fixation with DCP along with iliac strut graft to restore the length. Successful union was achieved in 3 months and the patient has satisfactory follow-up at 17 months.     

Congenital carpal tunnel syndrome. A case report

A boy with bilateral idiopathic congenital carpal tunnel syndrome was first seen at the age 4 years 6 months. He presented with triggering of the finger flexors at the wrist, abnormal posturing of the fingers and inability to pinch on one side. The triggering was relieved by transection of the transverse retinaculum. Pinch was restored by a tendon transfer. There have been no previous reports of idiopathic carpal tunnel syndrome present since birth. The literature and case are reviewed.