Dr. Shweta Pediatric and Neonatal Surgeon

18/02/2026

MESENTERIC CYST:
VERY RARE CLINICAL CONDITION IN KIDS 1 in 2 lakhs Pediatric admission in exclusive Pediatric centres worldwide.

Index case
11 year boy with history of pain right lower abdomen for 2 years with dragging sensation , occasional vomiting. Increase in intensity of abdominal complaint for past 1.5 months to the extent of missing school.
🔑 SALIENT FEATURES
Benign intra-abdominal tumors often arising from developmental abnormalities, with roughly one-third occurring in children under 10 years old.
PRESENTATION:
1.Antenatally diagnosed during fetal scan
2.Asymptomatic
3.Older kids commonly present with vague nausea, vomiting, abdominal pain, distension, Constipation ( DUE to mass effect) or an incidental finding on Ultrasound.
4.Palpable mass in abdomen.
5. Frequently misdiagnosed as acute appendicitis or obstruction, as common location is ileum mesentery (60-70 percent )in close proximity to ileo- caecal junction.
DIAGNOSIS
1. ULTRASOUND
2. CECT ABDOMEN
3 TREATMENT
Complete surgical excision : LAPAROSCOPIC / OPEN is the preferred curative treatment, with excellent outcomes.

Potential Complications if Untreated:
Intestinal obstruction (volvulus)
Rupture or infection
Hemorrhage into the cyst

Prognosis: The prognosis is generally excellent following complete surgical excision.

09/02/2026

NECROTIZING ENTEROCOLITIS
6 days baby with Neonatal sepsis
Refusal to feed, abdominal distension and bilious Nasogastric aspirate.
X- ray abdomen on follow up showed progressive air fluid level.
Blood culture positive for Klebsiella.
Exploration done in view of Necrotizing enterocolitis.
Finding
1. Slimy feel on entering the peritoneal cavity and bowel Exploration
2. MULTIPLE patchy necrotic segments of small bowel 55cm , 80 cm and 150 cm from duodenojejunal junction.
3. Multiple resection and anastomosis done with fashioning of DOUBLE BARREL ILEOSTOMY around 140 cm from DJ and 40 cm proximal to ileocaecal junction.
4. Extubation smooth, baby progressed well postoperatively
5. Stoma started functioning from postoperative day 3
6. Feed started and escalated gradually
7. The unique finding was in Histopathology of necrosed ileal segment which was positive for MUCORMYCOSIS and antifungal Amphotericin B started.
8. Baby discharged on postoperative day 7
Now 1 month doing well, catching up weight . Plan stoma closure by 3 months.

Necrotizing Enterocolitis is one of the deadly condition as a consequence of neonatal sepsis. Term babies are vulnerable too and multiple NEC carries a very high risk of mortality and consequences like short bowel syndrome, prolonged hospital stay, need for TPN.

The baby required two resection anastomosis and a distal stoma which proved life saving.
Proactive scrutiny of progressive NEC in newborns for apt timing for surgical decision and formulating a good surgical plan is the key to success , nonetheless most important is the robust support from the Pediatrician.
My thanks goes to my Pediatrician for being my backbone , my anaesthetist for managing perioperative events so well and my dedicated NICU team for such a wonderful outcome in the moribund baby, making everything fall in place.
GRATITUDE 🙏

05/02/2026

INTERESTING AND RARE CASE OF INTUSSUCEPTION
11 months baby with 1 day history of excessive irritability , vomiting which was progressive with small amount of bilious vomiting.
No history of fever, gastroenteritis, bleeding or mucus per re**um.
Short and sudden onset.
On examination:
Sick looking baby in agony. VITALS STABLE, BLOOD WORK UP NORMAL, MILDLY RAISED CRP 10
The first x- ray was non - specific and Ultrasound showed ileo- colic Intussuception with preserved mural vascularity.
Per abdomen
Soft, fullness present, a small lump in right subcoastal region felt.

Diagnosis was clear cut
ILEOCOLIC INTUSSUCEPTION AS PER ULTRASOUND

Counselling done and
Planning was made for Ultrasound guide hydrostatic reduction.

Sharing the successive interval X- ray.

Remarkable change with complete cut off of distal bowel gas .
2 episodes of fever.

Ultrasound guided Hydrostatic reduction tried and failed after following RULE OF 3.

And so a Laparotomy was done.

ABDOMEN IS A PANDORA 📦 🪄 ✨

THIS WAS SECONDARY INTUSSUCEPTION DUE TO MECKELS DIVERTICULUM AS PATHOLOGICAL LEAD POINT.

Unusual presentation in a 11 month.
Pathological Intussuception usually present after 3-5 years of age.

Failure of Ultrasound guided hydrostatic reduction explained as THE INTUSSUCEPTION DUE TO PATHOLOGICAL MECKELS IS ILEO- Ileal which does not respond to Usg guided reduction.
Has Ultrasound precisely located the site of Intussuception—- HYDROSTATIC E***A REDUCTION SHOULD NOT BE AN OPTION IN THIS SCENARIOS: A Learning!!
Case HIGHLIGHTS:
1. Ileo - Ileal Intussuception comprises 4-5 percent of all Intussuception
2. ⁠Mostly ileo -Ileal Intussuception occurs due to pathological lead points - like MECKELS DIVERTICULUM, Hematoma in kids with HENOCH SCHONLEIN PURPURA, INTESTINAL POLYP IN POLYPOSIS SYNDROME and they need surgical intervention fast as risk of ischaemia is high.
3. ⁠ PLANNING for Ultrasound guided hydrostatic/ pneumatic reduction of Intussuception is subject to Ileo- colic Intussuception , so a precise site of Intussuception is mandatory prior to planning this procedure.
ILEO- Ileal location rules out the possibility.
4. Most of Intussuception below 3 years are Primary due to hypertrophic payers patches .
5. ⁠Secondary Intussuception due to pathological lead point is commonly seen after 3 years of age.
Surgical planning is subject to clinical progression.

Dr Shweta Sharma
Pediatric Neonatal Surgeon and Pediatric Urologist
Sarvodaya Hospital
Faridabad

03/02/2026

INGUINAL HERNIA/ HYDROCELE
2 month baby with swelling in the groin which was noticed a week back , progressive , initially mild but gradually caused increased irritability in the baby followed by vomiting and tight bulge in the groin extending to the sc***um.

This is the classical presentation of INGUINAL HERNIA which got incarcerated during the crying episode converting it to a surgical emergency ‼️.
Hernia which is obstructed if not corrected on time can lead to catastrophic cascade like loss of blood supply to intestine, te**is , increased risk of infection , all adding to discomfort and risk to baby’s life.
Seek timely help.
Any abnormal bulge in the groin or private part of kid is alarming.

Consult your pediatric surgeon for optimal advice as this condition is treatable through surgery as a Day care surgery with very smooth recovery.

Complication means obstruction in hernia which can be life threatening and painful .
Timely consultation helps you to understand the process and take timely action making a happy course.
# NEWBORN HERNIA # INGUINAL HERNIA # PEDIATRIC SURGEON

29/01/2026

Pediatric dermoid cysts are benign, congenital, slow-growing, skin-lined sacs filled with keratin, hair, or oil that form during fetal development. Often appearing as firm, painless, subcutaneous lumps, they are commonly found on the head and neck, especially near the eyes (orbital/periocular), between the eyebrows ( Nasion)
Although present at birth, many are diagnosed within the first five years as they are slow growing innocuous swelling .Treatment is usually complete surgical excision after evaluation with the expert to remove the entire capsule, on planned basis as there is risk of infection and scarring.
Most of the swelling are subcutaneous and can be dealt as a Day care procedure.
# Pediatric DERMOID CYST # SOFT TISSUE SWELLING FACE # PEDIATRIC SURGEON # PRECISION

26/01/2026

03/01/2026

Hemangioma Forehead
5 months baby
Progressive
# Vascular tumor # Pharmacotherapy # Pediatric Surgeon

01/01/2026

https://www.instagram.com/reel/DS2Nz0iDHjS/?igsh=a2Q4aHlrM25oZXM5

29/12/2025

National PEDIATRIC SURGERY DAY
29 DECEMBER
PEDIATRIC SURGEONS FOR SURGICAL NEEDS IN NEWBORNS, BABIES, KIDS, CHILDREN, ADOLESCENCE.
# Role of PEDIATRIC Surgeon
# Improving Infant Mortality Rate
# Surgeon for little lives
# Antenatal Counselling for birth defects

27/12/2025

NATIONAL PEDIATRIC SURGERY DAY 29th December
1. Pediatric Surgeons for surgical needs of your babies.
2. Pediatric surgeon for Antenatal counselling for detected anomaly on ultrasound anomaly scan.
3. Pediatric surgeon for optimal follow up to decide the correct timing of surgical intervention for you newborn babies.
# PEDIATRIC SURGEON # Surgeon for little lives # Pediatric Urologist

26/12/2025

Pediatric Surgeon are Surgeons especially trained for the surgical needs of your babies at different stages of life right in the womb to the just born, to infancy, childhood and adolescence.
Most of the surgical needs arise due to defective development ,when the baby is taking shape in the mother's womb and the learning of this intricate process makes Pediatric surgeon your go to ally for the surgical care of your babies.
Secondly the handling of kids whether before surgery , during surgery and after surgery demands special training which is why it is a boon to choose your Pediatric surgeon rightly for a smooth outcome.
The Counselling helps you in making right decision and eases your anxiety.
# PEDIATRIC SURGEON # SURGEON FOR LITTLE LIVES # ANTENATAL COUNSELLING # BIRTH DEFECT CORRECTION

13/12/2025

# Retrograde Pyelogram # PELVIURETERIC JUNCTION OBSTRUCTION SURGEON and Pediatric Urologist