Browsing by Author "Kumar, V"
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Publication Amyand’s hernia in infant: A rare entity(Kathmandu University, 2009) Upadhyaya, VD; Kumar, V; Srivastava, P; Gangopadhyaya, ANAbstract The chance of vermiform appendix lying with in a hernial sac is 1% or less and is known as Amyand’s hernia and it is very rare in infant and neonate. Till date, only twenty cases had been reported in English literature. We are reporting a rare case of Amyand’s hernia where appendix was present in right inguinal sac of non-obstructed inguinal hernia in a seven month old male infant during operation. The appendectomy was done along with right inguinal herniotomy. In most of the reported cases, appendix was inflamed6, 10, 11, 12, 13 or perforated, expect in one case where appendix was not inflamed but patient presented with inguinal hernia. This case is reported because of the rarity of Amyand’s hernia in infant, the appendix was not inflamed, hernia was not obstructed, and whether in such types of cases appendix should be preserved or not. Key words: Amyand’s hernia, infant, appendectomyPublication Sturge – Weber syndrome(Kathmandu University, 2004) Kumar, V; Prasad, BKSturge – Weber syndrome (SWS) is a rare disorder that occur with a frequency of approximately 1 per 50,0001 . It is a neurocutaneous syndrome, characterized by a facial vascular birthmark and neurological abnormalities. The hallmark is intracranial vascular angioma, most often involving the occipital and posterior parietal lobes, but it can also affect the other cortical regions2. An ipsilateral facial cutaneous vascular malformation (port wine nevus) usually affects the upper face3 . Other clinical findings associated with SWS are seizures, glaucoma, hemiparesis, mental retardation and delayed developmental milestones4,5 . This article reports a case of 8 years old boy who presented with weakness of right half of body since birth, mental retardation and delayed developmental milestones. Clinical examination revealed deep purple nevus on left lower face, and less power of left upper & lower limbs. X-ray skull showed calcification. C.T. Scan of brain revealed curvilinear calcification with focal atrophy. Key words:- Port wine Nevus, Hemiparesis, curvilinear calcification.