Journal of Pediatric and Adolescent Surgery <p> <img src="" alt="Journal of Pediatric and Adolescent Surgery" width="400" height="577" /></p> <p><strong>Journal of Pediatric and Adolescent Surgery</strong> (<a title="Journal of Pediatric and Adolescent Surgery" href=""></a>) a peer-reviewed and open access hybrid medium journal published both as an electronic and print version. The journal publishes original research articles, Systematic reviews, Meta-analysis, Narrative reviews, Evidence-based reports, Short communications, Case reports, Letter to the editor, Clinical images, Radiology quiz, etc. Detail of these publication types can be seen in <a title="Download" href="" target="_blank" rel="noopener">Instruction to Authors</a>. Every manuscript will be peer-reviewed before reaching any decision. Please see the Peer review policy of the journal.</p> The Association of Paediatric Surgeons of Pakistan (APSP) en-US Journal of Pediatric and Adolescent Surgery 2708-6488 <h3>You are free to:</h3> <ul class="license-properties"> <li class="license share"><strong>Share</strong> — copy and redistribute the material in any medium or format</li> <li class="license remix"><strong>Adapt</strong> — remix, transform, and build upon the material for any purpose, even commercially.</li> </ul> <p><strong>Terms:</strong></p> <ul> <li><strong>Attribution</strong> — You must give <a id="appropriate_credit_popup" class="helpLink" style="background-color: #ffffff;" tabindex="0" title="" href="" data-original-title="">appropriate credit</a>, provide a link to the license, and <a id="indicate_changes_popup" class="helpLink" style="background-color: #ffffff;" tabindex="0" title="" href="" data-original-title="">indicate if changes were made</a>. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.</li> <li><span id="by-more-container"></span><strong>No additional restrictions</strong> — You may not apply legal terms or <a id="technological_measures_popup" class="helpLink" tabindex="0" title="" href="" data-original-title="">technological measures</a> that legally restrict others from doing anything the license permits.</li> </ul> <div id="deed-conditions" class="row"> </div> <div class="row"> </div> Rectal duplication cyst mimicking rectal prolapse: A case report <p><strong>Background:</strong> Gastrointestinal tract duplications are rare congenital malformations that are benign, presenting usually in childhood. Most common sites include the distal ileum and esophagus. Rectal presentation is quite uncommon and is usually cystic.</p> <p><strong>Case Presentation:</strong> This is a case of a 3-year-old boy who came with rectal prolapse. On further examination and imaging investigations, a presacral cyst was located and a diagnosis of rectal duplication was made. The cyst was completely excised by a posterior sagittal approach.</p> <p><strong>Conclusion:</strong> Rectal duplication is a rare entity that may simulate a rectal prolapse.</p> Asrar Ahmad Eelaf Karar Irum saleem Nisar Ahmad Copyright (c) 2021 Asrar Ahmad, Eelaf Karar, Irum saleem, Nisar Ahmad 2021-01-14 2021-01-14 1 2 10.46831/jpas.v1i2.14 A newborn with anterolateral diaphragmatic defect: An unusual anomaly? <p><strong>Background:</strong> Anterolateral defect of diaphragm is unusual and has been reported less than 5 times in literature.</p> <p><strong>Case Presentation:</strong> We are reporting a case with typical initial presentation of a congenital diaphragmatic hernia. A chest x-ray raised suspicion of a cystic lesion or diaphragmatic eventration which was excluded by chest ultrasound. At operation he was found to have a localised and large anterolateral defect with a very thick sac which was plicated to bridge the diaphragmatic defect.</p> <p><strong>Conclusion: </strong>A rare variant and should be differentiated from other variants using imaging.</p> A. Mohamed Shankar S Abid Qazi Copyright (c) 2021 A. Mohamed, Shankar S, Abid Qazi 2021-01-21 2021-01-21 1 2 10.46831/jpas.v1i2.48 Percutaneous cystolithotripsy in the reconstructed bladder of cloacal exstrophy: A case report <p>Background: Bladder stones are common after bladder augmentation. The management of bladder stones is challenging, especially in patients who underwent complex urinary tract reconstruction.</p> <p>Case Presentation: We report our experience of percutaneous cystolithotripsy after bladder neck closure, creation of a catheterizable channel, and ileal bladder augmentation in a girl with cloacal exstrophy.</p> <p>Conclusion: Percutaneous cystolithotripsy is a safe, effective, and minimally invasive treatment option for bladder stones after bladder neck closure and the creation of a continent catheterizable channel.</p> Eiji Hisamatsu Kanae Koyama Kaoru Yoshino Copyright (c) 2021 Eiji Hisamatsu, Kanae Koyama, Kaoru Yoshino 2021-01-19 2021-01-19 1 2 10.46831/jpas.v1i2.34 Postoperative gastric Outlet Obstruction following hiatal hernia repair in an infant: A case report <p>Background: Infantile hypertrophic pyloric stenosis (IHPS) is an exceedingly rare cause of postoperative emesis in a case of hiatal hernia. Occasionally it may simulate other etiology of gastric outlet obstruction.</p> <p>Case Presentation: A 32-day-old male baby presented with respiratory distress and vomiting since birth. Diagnosis of eventration of left hemi diaphragm was made on CT Chest. At surgery, hiatal hernia with an intrathoracic stomach was found, which was repaired. On 5th postoperative day, the baby developed vomiting after feeding which gradually turned to be projectile in nature over a week. Contrast meal performed showed malpositioned stomach with delayed emptying. At re-operation, a well-formed olive of pylorus was encountered; Ramstedt pyloromyotomy was done. Postoperative course remained uneventful.</p> <p>Conclusion: IHPS is a rarely described association with hiatal hernia. Pyloric stenosis should be considered in differential diagnoses of postoperative emesis in infants with hiatal hernia.</p> Dr Muhammad Jawad Afzal Shabbir Ahmad Farrakh Mehmood Satar Sajid Iqbal Nayyer Muhammad Bilal Mirza Nabila Talat Copyright (c) 2021 Dr Muhammad Jawad Afzal, Shabbir Ahmad, Farrakh Mehmood Satar, Sajid Iqbal Nayyer, Muhammad Bilal Mirza, Nabila Talat 2021-01-20 2021-01-20 1 2 10.46831/jpas.v1i2.39 Congenital laryngeal cyst causing repeated airway obstruction in a six-year-old girl Abdolhamid Amooee Farzan Safi Dahaj Shokouh Taghipour zahir Arezoo Alamdar yazdi Copyright (c) 2021 Dr. Abdolhamid Amooee, Dr. Farzan Safi Dahaj, Prof. Shokouh Taghipour zahir, Dr. Arezoo Alamdar yazdi 2021-01-18 2021-01-18 1 2 10.46831/jpas.v1i2.51