Success Story
Success stories of our patient with rare diseases
Chylous Ascites :-
A rare case, 9 months child with unresolving chylous ascites, presented with massively distended abdomen, causing difficulty in sitting and breathing. Child underwent laparoscopic surgery and sealing of the chylous leak was done. (Figure 1 pre-operative chylous ascites, Figure 2: Postoperative after 2 years)
This was the first laparoscopic surgery in India for chylous ascites.
Chylous ascites is a very rare abnormality. 80% is cured by conservative management. A very few requires surgery. This case has been reported and published in Journal of Minimal Invasive Surgery.
Subglottic Stenosis :-
Narrowing of air passage ( trachea) is known as stenosis which can occur either due to congenital causes or can be acquired. This child has subglottic stenosis secondary to foreign body inhalation causing chemical injury and requiring recurrent intubations. Initially a tracheostomy ( by pass procedure) was done, later tracheal dilatations were done and trachesotomy tube removed.
Oesophageal Atresia (Gastric pull up) :-
Oesophageal atresia is a condition in which food pipe is not developed completely and sometimes is connected to wind pipe (Trachea). Some children in whom primary repair of food pipe is not feasible initially, later require gastric pull up (oesophageal substitute) surgery in which food pipe is made utilising tissues like stomach.
Parents are very apprehensive about the outcome of such children. There is lot of stigma and myth related to such children about their quality of life.
Corrosive Oesophageal stricture :-
Sometimes children accidently swallow corrosives like acid or akali which can damage the oesophagus (food pipe) or stomach. This chid had long narrowing (stricture) and scarred oesophagus. Child underwent Gastric pull up surgery and food pipe was made from the tissues of stomach.
Figure :- Child with corrosive narrowing of oesophagus, 2 years after the surgery.
Pyriform Nasal Aperture Stenosis :-
A very rare condition causing partial obstruction (difficulty) to the breathing due to nasal obstruction as nasal aperture is very small. Very rare and difficult to diagnose. Child presented with difficulty in breathing and feeding. Child was operated and aperture widened.
Figure :- Child with nasal aperture stenosis breathing comfortably (post-surgery)
Nasal aperture stenosis is a very rare cause of nasal obstruction leading to airway problem and breathing difficulty. More common causes are Choanal atresia .
Bronchoscopy :-
Bronchoscopy is a technique in which windpipe (Trachea/ Bronchus) are assessed by either a flexible or rigid bronchoscope. This procedure can be done as a diagnostic (to diagnose a problem) and/or Therapeutic (to remove foreign body , mucus plug, dilatation etc). Children usually have tendency to put everything in mouth. Incidentally they may inhale any such object like peanut, gram, pencap, chiku seeds, spring, stone gravels etc) into their windpipe and this can lead to respiratory problems (breathing difficulty). This condition is referred to as “Foreign body bronchus”. It requires Bronchoscopy to remove the foreign body stuck in the windpipe. We have done large number of bronchoscopies and foreign body removals.
(Figure :- Different kinds of foreign bodies removed from the windpipe of kids)
