APSP Journal of Case Reports http://www.apspjcaserep.com/ojs1/index.php/ajcr <p>APSP Journal of Case Reports is owned and published by The Association of Paediatric Surgeons of Pakistan (Registered). APSP J Case Rep is an open access, peer reviewed electronic journal. Our primary mission is to provide a portal for residents in training and junior consultants to get their research published. The journal also provides an open access forum for research scholars to publish high quality case reports that in turn would serve to disseminate manuscripts of clinical value without any barriers of subscription. Case Reports from all across the globe are accepted and published after rigorous peer review. This shall be a learning opportunity as well. It will also help in developing research culture.&nbsp;<br>All articles appearing in this publication, including editorials, letters etc represent the opinions of the authors and do not necessarily reflect the official policy or opinions of the APSP. Acceptance of any and all articles and advertisement in this publication or any other material published by APSP Journal of Case Reports does not imply endorsement by the publisher or APSP.&nbsp;APSP J Case Rep disclaims any liability to any party for the accuracy, completeness, or availability of any and all publications and other material, or for any damages arising out of the use or nonuse of this publication, and any and all publications (and other material), and any information&nbsp; (and other material), and any information contained therein.</p> Association of Pediatric Surgeons of Pakistan (APSP) en-US APSP Journal of Case Reports 2218-8185 <p>This publication</p> <ol type="a"> <li class="show">Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a&nbsp;<a href="http://creativecommons.org/licenses/by-nc-sa/4.0" target="_blank" rel="noopener">Creative Commons Attribution, Non commercial, Share alike License 4.0&nbsp;</a>that allows others to share the work with an acknowledgement of the work's authorship and &nbsp;journal.</li> <li class="show">Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) after publication as it can lead to productive exchanges, as well as earlier and greater citation of published work (See&nbsp;<a href="http://opcit.eprints.org/oacitation-biblio.html" target="_new">The Effect of Open Access</a>).</li> <li class="show">Authors also confirmed that they have taken permission/consent for publication of this manuscript and of copyrighted material (if it is used in the manuscript).</li> </ol> What I Would Like to be Remembered for! http://www.apspjcaserep.com/ojs1/index.php/ajcr/article/view/55 <p>Please see fulltext</p> Chaudhry Aqeel Safdar ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-sa/4.0 2018-10-14 2018-10-14 9 3 21 21 10.21699/ajcr.v9i3.55 Multiple Jejunoileal Atresia and Stenosis with Duplication Cyst in a Newborn http://www.apspjcaserep.com/ojs1/index.php/ajcr/article/view/13 <p>Jejunoileal atresia is a congenital anomaly that is characterized clinically by bilious vomiting and abdominal dis-tension. It has been associated with various other anomalies but its association with mesenteric cyst is rare. We are presenting a patient with antenatally diagnosed duplication cyst with multiple jejunoileal atresia and stenosis with possible etiology behind such an association.</p> Aditya Pratap Singh Rajlaxmi Pardeshi Ramesh Tanger Maryem Ansari Arun Kumar Gupta ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-sa/4.0 2018-09-26 2018-09-26 9 3 19 19 10.21699/ajcr.v9i3.13 Anorectal Laceration due to Crush Injury: A Case of Rarity http://www.apspjcaserep.com/ojs1/index.php/ajcr/article/view/25 <p>Please see fulltext</p> Serpil Sancar Esra Özçakır Mete Kaya ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-sa/4.0 2018-09-26 2018-09-26 9 3 22 22 10.21699/ajcr.v9i3.25 Congenital Umbilical Appendix Misdiagnosed as Umbilical Granuloma: Report of 2 Cases http://www.apspjcaserep.com/ojs1/index.php/ajcr/article/view/45 <p>Background: Umbilical cord hernia is an uncommon umbilical anomaly which develops during 10th to 12th weeks of gestational age owing to failure of complete bowel return into coelomic cavity. In extremely rare cases appendix is the only trapped organ in hernia sac which may erode the overlying membrane and simulate umbili-cal granuloma.</p> <p>Case Report: Two infants presented with delayed umbilical cord separation with a reddish mass at umbilicus which was initially diagnosed as umbilical granuloma. Surgical exploration on failure of conservative measures revealed it as vermiform appendix. Appendectomy was done in both cases.</p> <p>Conclusion: Vermiform appendix at umbilicus is a rare congenital anomaly and may simulate other pathologies at umbilicus.</p> Javad Ghoroubi Leily Mohajerzadeh Saran Lotfollahzadeh Khashayar Atqiaee ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-sa/4.0 2018-09-25 2018-09-25 9 3 17 17 10.21699/ajcr.v9i3.45 Antenatally Diagnosed Suprarenal Mature Cystic Teratoma with Down Syndrome http://www.apspjcaserep.com/ojs1/index.php/ajcr/article/view/44 <p>Background: Teratoma is a germ cell tumor (GCT) arising from totipotent stem cells that differentiate into the tissues that are foreign to the anatomic site. Teratoma at the suprarenal location is extremely rare. The associa-tion with the Down syndrome also makes it unusual.</p> <p>Case Report: We are presenting here a case of one-year-old female infant with Down syndrome who had an antenatal diagnosis of right suprarenal mass. Laparotomy revealed a large cystic mass in the right suprarenal location which was completely excised. Right adrenal gland could not be seen separately from the mass. The histological diagnosis was a mature cystic teratoma.</p> <p>Conclusion: Adrenal teratoma is rare and may be considered in the differential diagnosis of antenatally diag-nosed suprarenal lesion. Its association with Down syndrome is rare finding.</p> Aditya Pratap Singh Ramesh Tanger Maryem Ansari Arun Kumar Gupta Dinesh Kumar Barolia ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-sa/4.0 2018-09-23 2018-09-23 9 3 15 15 10.21699/ajcr.v9i3.44