Dr C S Singh, Paediatric Surgeon.

27/06/2025

An extremely rare case of Gastric Volvulus in a one-month-old child operated successfully at I Q City Hospital, Durgapur.

A one-month-old male child presented with multiple episodes of non-bilious vomiting since 1 week. The parents came with a USG report done elsewhere, which was suggestive of hypertrophic pyloric stenosis. But, as the clinical findings were not consistent with hypertrophic pyloric stenosis, an upper GI contrast study was done which was clearly suggestive of gastric volvulus.

The patient was subsequently taken up for surgery, intraoperatively there was an organoaxial type of gastric volvulus, which was derotated and gastropexy was done. The child was started on oral feeds on second post operative day and was subsequently discharged on fourth postoperative day.

Gastric volvulus in children is an extremely rare condition where the stomach rotates more than 180 degrees on itself, potentially leading to obstruction and other life-threatening complications. Early diagnosis and treatment, usually surgical, are crucial for a positive outcome.

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Dr. C. S. Singh (MBBS, MS, MCh, F.MAS) is the leading Paediatric Surgeon of Durgapur, currently based in I Q City Medical College and Hospital.

30/05/2025

Ureterocele – A rare congenital anomaly of urinary tract.

A ureterocele is a birth defect where a swelling, or ballooning, occurs in the ureter which is the tube that carries urine from the kidney to the bladder. This swelling can block the flow of urine and can affect kidney function if left untreated. A ureterocele occurs in about 1 in 5,000 to 1 in 12,000 children and is more common in females.

Our patient was a ten days old female child with prenatal USG showing gross right sided hydroureteronephrosis. Postnatal USG confirmed the findings and was also suggestive of right sided ureterocele. CT scan was done to confirm the diagnosis and surgical intervention was planned. Cystoscopic incision of the ureterocele was performed under GA at I Q City Hospital, Durgapur and the patient was discharged after 48 hours. Repeat USG KUB was done after 3 weeks which showed significant resolution of the hydroureteronephrosis.

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Dr. C. S. Singh (MBBS, MS, MCh, F.MAS) is the leading Paediatric Surgeon of Durgapur, currently based in I Q City Medical College and Hospital.

21/06/2024

Successful Surgery of Severe Hypospadias in Twins at I Q City Hospital, Durgapur.

Two young twin boys aged 7 years were brought to our OPD with history of difficulty in passing urine. On examination, they were found to have severe variety of hypospadias which is a disease where the urethra (the tube that is supposed to discharge urine outside) fails to develop properly. One child was having the scrotal variety of hypospadias and the other one was having the peno-scrotal variety, both of which are considered to be the most severe form of the disease.

After proper workup and evaluation both the patients were operated successfully at I Q City Hospital, Durgapur. The twin with scrotal variety was operated in two stages whereas the twin with penoscrotal variety was operated in a single stage.

Hypospadias is an uncommon congenital malformation with incidence of about 6 per 10,000 live births. The incidence of hypospadias in monochorionic twins is estimated to be about 4%.

Over the last few years, I Q City Hospital, Durgapur has become a high-volume centre for hypospadias surgeries, dealing with all varieties of the disease with excellent outcomes.

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Dr. C. S. Singh (MBBS, MS, MCh, F.MAS) is the leading Paediatric Surgeon of Durgapur, currently based in I Q City Medical College and Hospital.

12/03/2024

A Rare Case of Gastocolic Fistula Due to Ingested Magnets.

A 3 year old male child presented with history of ingestion of 3 magnetic foreign bodies about 10 days back and had undergone upper GI endoscopy 3 days back elsewhere, where only one magnetic foreign body could be retrieved from the lumen of stomach and rest of the foreign bodies could not be visualized. Patient was symptomatic and was having pain abdomen so the child was referred to I Q City Hospital. At presentation X-ray of the abdomen showed 2 oval radio-opaque foreign bodies in the left hypochondrium. Patient was taken up for exploratory laparotomy. During surgery, one foreign body was present in the lumen of large intestine at splenic flexure, which was milked out and removed per a**s. But the second foreign body was not palpable either in the lumen of the large intestine or the stomach. The splenic flexure was completely mobilized. The wall of the large intestine was found to be grossly adherent to the wall of the stomach near the greater curvature. The second foreign body was palpable in the fistulous connection between the stomach and large intestine. The Gastrocolic fistula was completely delineated and opened to extract the foreign body, the stomach wall was repaired primarily, but the colonic wall around the fistula was unhealthy with leakage of frankly feculent material. Colonic wall was also repaired with creation of diversion ileostomy. Patient did well after the surgery and was discharged on 6th postoperative day.

Magnetic foreign bodies should never be neglected when ingested more than one in number. They migrate to different parts of GI tract and when in proximity they stick to each other trapping between them, walls of two different parts of intestine leading to internal fistulization over time if not removed urgently.

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03/10/2023

Large AV Malformation

A large AV malformation (arterio-venous malformation) in a 12 years old child, which was present since birth, was removed successfully at I Q City hospital after an eight-hour long surgery. The surgery was done free of cost to the patient under the Swasthsathi scheme.

Arteriovenous malformations happen when a group of blood vessels in the body forms incorrectly. In these malformations, arteries and veins are unusually tangled and form direct connections, bypassing normal tissues. This usually happens during development before birth or shortly after. As the child grows the amount of vascular tissue in the lesion increase leading to increase in the size of the swelling.

Surgery for these malformations is very tricky and risky as the entire mass is made up of varying sizes of blood vessels and there are high chances of massive bleeding during these surgical procedures. Each feeding vessel has to be identified and ligated sequentially before the entire mass can be removed.

For more information please visit : www.drcssingh.com

Dr. C. S. Singh (MBBS, MS, MCh, F.MAS) is the leading Paediatric Surgeon of Durgapur, currently based in I Q City Medical College and Hospital.

22/06/2023

Feminizing genitoplasty done successfully at I Q City Hospital, Durgapur.

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29/04/2023

A Rare Case of Intestinal Duplication Cyst Operated Successfully.

Enteric or intestinal duplication cysts are rare developmental anomalies, originating anywhere along the intestinal tract. The reported incidence is 1 per 5000 live births. They pose a diagnostic dilemma and therapeutic challenge, as the presenting symptoms are non-specific and variable which are closely related to the type, size and location of the cyst.

Our patient was a 10 days old male child, weighing 2.5 kg, presented with bilious vomiting since day 5 of life. USG of the abdomen showed presence of a cystic lesion in the upper abdomen. Further evaluation with CT scan of the abdomen was done, which showed the presence of a cystic lesion at duodeno-jejunal flexure (initial part of small intestine) causing compression and narrowing of that part of intestine.

Patient was taken up for surgery, entire duodeno-jejunal flexure was mobilized along with the cyst, and it was excised along with a part of distal duodenum and proximal jejunum followed by end-to-end duodeno-jejunal anastomosis.

Postoperative period was uneventful and the child was discharged on 8th postoperative day.

For more information, please visit www.drcssingh.com

Dr. C. S. Singh (MBBS, MS, MCh, F.MAS) is the leading Paediatric Surgeon of Durgapur, currently based in I Q City Medical College and Hospital.

07/03/2023

Successful Surgery of a Rare Case of Giant Encephalocele at
I Q City Hospital, Durgapur.

Encephalocele is a protrusion of the brain and the membranes that cover it through an opening in the skull. Encephalocele happens when the neural tube does not close completely during pregnancy. These children are usually born with a swelling at the back of the head. This is a rare disease with incidence of about 1 per 10000 live births, and the outcome even after timely intervention is poor.

This child was delivered by caesarean section at Aashirvaad Nurshing Home, Barakar. The child had a very large swelling at the back of the head at the time of delivery, so the child was referred to I Q City Hospital, Durgapur. CT scan of the child was done which confirmed the diagnosis of encephalocele and showed a defect in the skull through which the brain tissue and brain fluid along with its covering layers were protruding outside.

After proper stabilization, the child was taken for surgery at day 4 of life. The surgery lasted for about 3 hours and the swelling was removed completely from the head of the child with proper reconstruction. There were no post-operative complications and the child was removed from the ventilatory support very next day after surgery. Presently the child is neurologically normal and gaining weight.

This very rare congenital anomaly was treated successfully with the team effort of Paediatric surgeon, Paediatric anaesthetists, Paediatricians and the highly trained OT and NICU staff at I Q City Hospital, Durgapur.

For more information please visit : www.drcssingh.com

03/02/2023

An unusual case of gross pyonephrosis in a Horseshoe kidney in a 2-year-old child, treated successfully at I Q City Hospital, Durgapur.

Horseshoe kidney is a condition in which the kidneys fuse (bind) together at the lower part, forming a “U” shape or horseshoe shape. Children who have horseshoe kidney have one “fused” kidney instead of 2 separate kidneys. Horseshoe kidney occurs in about 1 in 500 children. It occurs during fetal development as the kidneys develop and move into their normal position.

Patients with horseshoe kidneys are at increased risk for PUJ obstructions, nephrolithiasis, vesicoureteral reflux, urinary tract infections and renal malignancies. Most cases are discovered serendipitously during imaging for unrelated problems, usually with ultrasound.

Our patient is a two years old male child, presented with high grade fever with a large lump in the right and central part of abdomen since 10 days. CT scan showed presence of horseshoe kidney with gross pyonephrosis of the right renal moiety.

Initially, a nephrostomy tube was placed under USG guidance which drained about 250 ml of thick pus. As the fever subsided, DTPA scan was done with confirmed non-functioning of the right renal moiety of the horse shoe kidney probably due to PUJ obstruction.

Patient was then planned for definitive surgery. A detailed Renal CT angio with 3D reconstruction was done to visualize all the vessels supplying the right renal moiety, as horseshoe kidneys as known to have atypical and aberrant vascularity.

Patient was then taken up for definitive surgery and nephrectomy of the right renal moiety of the horseshoe kidney was done. Patient was discharged uneventfully on 5th postoperative day.

For more information please visit – www.drcssingh.com

Dr. C. S. Singh (MBBS, MS, MCh, F.MAS) is the leading Paediatric Surgeon of Durgapur, currently based in I Q City Medical College and Hospital.

14/11/2022

Syndactyly release.

Syndactyly is a congenital condition of having some or all of the fingers or toes wholly or partly united.

This is a case of complete syndactyly in the right hand involving the middle and the ring fingers in a 10 years old boy. Release of the syndactyly was done with z plasty along with full thickness skin grafting.

For more details please visit : www.drcssingh.com

08/07/2022

Duplex Renal system operated successfully at I Q City Medical College and Hospital, Durgapur.

Duplex system refers to presence of two ureters draining urine from a kidney, instead of one. If both the ureters open into the bladder without any problem, no treatment is required, but if there is obstruction to the flow of urine or reflux of urine in any of the ureters, then surgical treatment is required.

Our patient was a 2 years old female child with bilateral complete duplex system, with severe hydroureteronephrosis of the right upper moiety (part) caused due to reflux of urine in the right upper moiety ureter which was opening at the bladder neck.

After proper workup the child was taken for surgery, preoperative cystoscopy was done to confirm the location of the openings of all the ureters. The right upper moiety ureteric or***ce was found to be grossly dilated and refluxing and was present right at the bladder neck. Bladder neck is a dangerous area for dissection as it can lead to incontinence of urine, so a different approach for surgery was adopted. The refluxing right upper moiety ureter was transected close to the bladder and the distal end closed. While the proximal end was anastomosed end to side to the normal right lower pole moiety ureter, thus taking care of reflux as well as providing drainage to the right upper moiety. (The procedure is called ureterouretrostomy)

The child was discharged uneventfully on 5th postoperative day. The surgery was done free of cost to the patient under Swasthsathi scheme of the govt.

Duplex renal systems can be present in up to 0.7% of the population but usually go unnoticed, presenting only if there is obstruction or reflux of urine leading to urinary tract infections.

For more information please visit : www.drcssingh.com

Dr. C. S. Singh (MBBS, MS, MCh, F.MAS) is the leading Paediatric Surgeon of Durgapur, currently based in I Q City Medical College and Hospital.

10/05/2022

Giant choledochal cyst in a 2 year old child operated successfully at I Q City Hospital, Durgapur.

A 2 years old female child presented with recurrent pain abdomen and abdominal distention since 6 months. On examination, a huge mass was palpable occupying almost the entire abdomen. CT scan of the abdomen revealed it to be a giant choledochal cyst (the common bile duct becomes hugely dilated to become a cystic swelling). After thorough preoperative preparation, the patient was taken up for surgery.

Intraoperatively, the cyst was found to be adherent and displacing all the structures in the abdomen due to its huge size. Slowly all the structures were separated from the cyst wall, along with the hepatic artery and portal vein posteriorly. The entire cyst was removed along with the gall bladder and biliary reconstruction was done by Roux-en-Y hepaticojejunostomy. The entire surgical procedure took about 6 hours to complete and the patient was uneventfully discharged on 8th postoperative day.

A choledochal cyst is a rare congenital anomaly of the duct (tube) that transports bile from the liver to the gall bladder and small intestine. The liver produces bile to help digest food. When a child has a choledochal cyst, a swelling of that duct, the flow of bile may be obstructed. This can cause jaundice, liver problems or inflammation of the pancreas (pancreatitis). Children with choledochal cysts have a higher rate of cancer of the bile duct in adulthood. Early treatment can reduce these risks.

Choledochal cysts are rare but it is extremely rare to encounter such a huge choledochal cyst (this one measured 18cm X 16cm) in our practice. The successful outcome of this case highlights the highest level of paediatric surgical care that we are providing at I Q City Hospital, Durgapur. Moreover, the entire treatment was done free to the patient under the Swasthsathi scheme.

For more information please visit – www.drcssingh.com

Dr. C. S. Singh (MBBS, MS, MCh, F.MAS) is the leading Paediatric Surgeon of Durgapur, currently based in I Q City Medical College and Hospital.