Juvenile fibroadenoma comprises about 4% of the total fibroadenomas. The incidence of giant juvenile fibroadenomas is merely 0.5% of all the fibroadenomas. Bilateral giant juvenile fibroadenomas are extremely rare. We are presenting a case of giant juvenile fibroadenomas in an 11-year-old pre-pubertal girl. The diagnosis was made on fine-needle aspiration cytology which was confirmed on histopathology. As these tumors are mostly benign, breast-conserving surgery is done so that patient can lead a normal life without psychological trauma.

No abstract

No abstract

Background: Valproate is widely prescribed medication for the control of seizures in pediatric population. It has been reported to be an important implication for drug induced pancreatitis. A case of valproate induced acute pancreatitis operated as surgical abdomen has been reported here. Case Report: A 13-year-old child presented to the emergency department with severe pain and abdominal distension associated with vomiting and constipation for four days. The patient’s care givers did not disclose any medication history. Based on clinical examination and ultrasonography that revealed mild free fluid, provisional diagnosis of pyoperitoneum with peritonitis was made. An emergency exploratory laparotomy was undertaken during which acute pancreatitis was diagnosed intra-operatively. On further enquiry the caregiver revealed the history of valproate intake for last six months for generalized tonic‑clonic seizures. Valproate was discontinued and there was complete resolution of symptoms. Conclusion: Both clinicians as well as care givers of paediatric patients receiving valproate should be watchful regarding this possible life-threatening complication to avoid delay in diagnosis and appropriate management

Background: Acute pancreatitis is a disease for which patients are in large numbers, etiology, clinical presentation and examinations are varied. Disease may be mild or severe, may lead to multi organ failures and death. Most common cause is biliary tract diseases. Other causes are alcohol consumption, post ERCP, trauma, idiopathic and drugs, viral infections, genetic mutations and connective tissue disorders.Methods: This is a prospective observational study conducted at SGT medical college, Budhera, Gurugram, Haryana, from January 2017 to June 2019 in 100 consecutive patients. Data collection included detailed recording of demography of patient, clinical presentation, any history of biliary tract disease, alcohol consumption, trauma, ERCP, comorbidities. Data was also collected about investigations done, treatment, recovery, complications and any intervention. Results: Most of the patients were from age group 41-55 years. Female patients were more than male patients. Etiology was mostly gall stone, alcohol, idiopathic, post ERCP and trauma. Pain, distention abdomen, vomiting, fever and jaundice were presenting features. Serum amylase, serum lipase, USG abdomen and CECT abdomen were diagnostic investigations. Complications included local and systemic. Mortality was 7%.  Conclusions: Acute pancreatitis is mild in most of the cases and recovery is good. Severe cases should be meticulously treated as mortality rates are higher. They should be treated in ICU under the guidance of intensivist. Our study results show that patients with severe diseases should be meticulously monitored clinically, biochemically, haemodynamically and radiologically.