A rare occurrence of an omphalomesenteric duct cyst in an exomphalos minor sac is reported herein. The noteworthy points in this case were an unusual presentation of the rarest variety of umbilical cord cyst. The tapering intra-abdominal end of the cyst was found to be attached to the ileal mesentry, thereby simulating a herniating mesenteric cyst till the histolopathological report resolved the issue.

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The surgical management of the abdominal wall defect has generated much discussion among paediatric surgeons. Attitudes range from primary closure whenever possible to serial closure with prosthetic material because of the hazards of tight primary closure. During the study period between Jan 2012 to June 2015, five patients of gastroschisis presented in institute (n=5). Out of five, four were inborn undergone primary repair within one hour of birth. Repair of one out born neonate was done 24hr. after birth because of late presentation. Infants undergoing primary closure were more quickly established on full enteral feeding and discharged home significantly earlier than those either treated by primary closure under anaesthesia or by staged repair.

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Background: The aim of the study was the admission pattern of elective and emergency patients admitted in the paediatric surgery department to highlight the importance of paediatric surgery super speciality in the rural regions. Materials and Methods: The study was a retrospective cross-sectional study over a period of 1 year from 1st March 2021 to 28th February 2022. All the complete records of patients admitted in paediatric surgery (age ≤15 years) from 1st March 2021 to 28th February 2022 were included in the study. The collected data were analysed using the Statistical Package for the Social Sciences (IBM SPSS 26.0, Armonk, NY, USA: IBM Corp.). Descriptive and analytical methods were utilised. P < 0.05 was considered statistically significant with 95% confidence interval. Results: A total of 155 patients were admitted, the mean age was 6.5 (standard deviation ± 4.7) years and male-to-female ratio was 2.5:1. n = 96 were elective admissions while n = 59 were emergency admissions. Most common elective surgery performed was hernias (17%) while most common emergency surgery performed was appendicectomy (9%). Trauma represents 11% admissions. The most common cause of non-operative admission was non-specific abdominal pain abdomen (8.4%). Mean pre-operative stay and total hospital stay for elective surgeries compared to emergency surgeries were statistically significant (P < 0.05). No surgical site infection observed among emergency and elective cases. Conclusions: In our study, the most common causes of admissions were hernia, appendicitis, trauma and non-specific abdominal pain requiring super speciality services in the rural regions.