Pituitary tumours are the most common sellar masses, frequently presenting with visual impairment and endocrine abnormalities. Two cases of pituitary tumour presenting with ptosis are reported.
Gallstones presenting as cholecystoduodenal, cholecystocholedochal and cholecysto-gastric fistulae causing gastric outlet obstruction (Bouveret’s syndrome) or the classical gallstone ileus are well documented. Gallstones penetrating the gastric wall but not the gastric mucosa, and lying in an isolated subserosal, intramural portion of the stomach wall, have not been reported and therein lay the uniqueness of this case.
Due to the early diagnosis and effective treatment options for gastroesophageal reflux (GER), reflux strictures in children are no longer commonly encountered. We report on two cases of reflux oesophageal strictures occurring in children, both having the rare genetic disorder, Cornelia de Lange syndrome, and discuss their management.
Duplications of the alimentary tract are uncommon congenital anomalies that usually present during infancy and early childhood. The case of an adolescent presenting with small bowel obstruction secondary to a duplication cyst is presented and the challenges in the management described.
Spontaneous oesophageal rupture (Boerhaave’s syndrome) is extremely rare in children. Presentation is usually in middle aged men as a result of vomiting following heavy food or alcohol consumption. We describe an unusual case of a 12-year old boy without significant past medical history presenting with acute chest pain following gastroenteritis.