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IN THE NAME OF ALLAH
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This Book is dedicated to the children of our nation
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PREFACE TO SECOND EDITION
The first edition was very basic and unplanned as to number, quality, and arrangement of figures. In this
edition I have tried to add many new images with good quality. The images with poor quality are removed
from the atlas. The current edition is still not arranged in categories as suggested by Professor Jamshed
Akhtar, but as the contributions from various sources increase then this would be done in the future editions
Once the atlas gain a mass of many hundred pictures then a print version would be published. I hope the
readers from various pediatric surgical units will contribute for this atlas.
Regards
Dr. M. Bilal Mirza
22-05-2011
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PREFACE TO FIRST EDITION
It gave me an immense pleasure to edit the first edition of this atlas. This was an effort from my side to
contribute in the development of pediatric surgery in this country. It took a period of more than a year to
accomplish the job, from conceiving the idea to the publishing of the first edition. I requested many peers of
the field to contribute in this edition. I am very thankful of them for their considerations for me and the atlas.
This edition is published online. The print version will be considered when it gathers a remarkable mass. It
contains many new images and some best images from the previous pool, published in the gallery section of
the website www.babysurgeon.com.
I request all the pediatric surgeons and residents to send the high quality images for the second edition of the
atlas. Once again thank you very much for your cooperation.
Regards
Dr. M. Bilal Mirza
18-01-2010
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ACKNOWLEDGEMENT
I am very thankful to my teachers Professor Dr. Muhammad Afzal Sheikh, Professor Jamshed Akhtar, and
Prof Dr. Muhammad Saleem for supporting me in achieving such milestones. This moment looked an acme
of my life to feel thanks to Allah and The Prophet (PBUH), for showing me the enlightened path.
The acknowledgement is not complete without mentioning about Dr. Yousuf Aziz Khan, who always
supported me and provided good quality images for the Atlas. I am also grateful to my family for their
unforgettable support in this regard. Many thanks to all the staff of department of pediatric surgery of my
hospital for providing support and technical facilities to complete the event.
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Table of Contents
1. Plate 1 Intestinal Atresia2. Plate 2 Atresia with Meckels Diverticulum3. Plate 3 Hirschsprungs Disease4. Plate 4 Acute Appendicitis5. Plate 5 Bathing Trunk Nevus6. Plate 6 Intussusceptions7. Plate 7 Multiple Intussusception8. Plate 8 Biliary Atresia9. Plate 9 Omphalocele10.Plate 10 Mesenteric Lipoma11.Plate 11 Dermoid Cyst Over Tongue12.Plate 12 Cystic Hygroma13.Plate 13 Duplication Cyst14.Plate 14 Mesenteric Cyst15.Plate 15 Ethmoidal Encephalocele16.Plate 16 Huge Encephalocele17.Plate 17 Empyema Necessitatis18.Plate 18 Meatal Stone19.Plate 19 Spring Stuck in the Teeth20.Plate 20 Ectopic Pancreatic Tissue21.Plate 21 Duodenal Web22.Plate 22 Air Vesicogram
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INTESTINAL ATRESIA Plate 1
Image 1: Type III-a Jejuno-ileal Atresia Image 2: Type III-b Apple peal Atresia
Image 3: Atresia of 4th
part of duodenum Image 4: Type I Terminal Ileal Atresia
Image 5: Ascending Colon Atresia Image 6: Hepatic Flexure Colonic Atresia
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ATRESIA WITH MECKELS DIVERTICULUM Plate 2
Image 7: Type I Mid Ileal Atresia
Image 8: Meckels Diverticulum in the same patient
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HIRSCHSPRUNGS DISEASE Plate 3
Image 9: Plain radiograph Image 10: Barium enema
Image 11: Transition Zone Image 12: Transition Zone
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ACUTE APPENDICITIS Plate 4
Image 13: Acute Gangrenous Appendicitis Image 14: Fecalith
Image 15: Acute Appendicitis Image 16: Acute Appendicitis
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BATHING TRUNK NEVUS Plate 5
Image 17: Back View
Image 18: Front View
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INTUSSUSCEPTIONS Plate 6
Image 19: Multiple Intussusceptions with Meckels Diverticulum Image 20: Ileocolic Intussusception
Image 21: Chronic Intussusception Image 22: Ileocolic Intussusception
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MULTIPLE INTUSSUSCEPTIONS Plate 7
Image 23: CT Scan of a Patient with Multiple Intussusceptions Image 24: CT Scan with Contrast (Same Patient)
Image 25: Multiple Intussusceptions (Same Patient) Image 26: Same Patient
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BILIARY ATRESIA Plate 8
Image 27: Operative view of Biliary atresia
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OMPHALOCELE Plate 9
Image 28: Omphalocele Minor
Image 29: Omphalocele Major
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MESENTERIC LIPOMA Plate 10
Image 30: Operative view of Fatty mass of mesentery which was proved to be lipoma on histopathology
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DERMOID CYST OVER TONGUE Plate 11
Image 31: Dermoid Cyst Over Tongue
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CYSTIC HYGROMA Plate 12
Image 32: Huge infected cystic hygroma necessitating tracheostomy
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DUPLICATION CYST Plate 13
Image 33: Duplication cyst of ileum
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MESENTERIC CYST Plate 14
Image 41: Mesenteric cyst of colonic mesentery
Image 42: Mesenteric cyst of colonic mesentery
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ETHMOIDAL ENCEPHALOCELE Plate 15
Image 35: Ethmoidal encephalocele
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HUGE ENCEPHALOCELE Plate 16
Image 38: Huge encephalocele
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EMPYEMA NECESSITATIS Plate 17
Image 36: Empyema Necessitatis
Image 37: Chest Radiograph of the same patient
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MEATAL STONE Plate 18
Image 39: Stone stuck at the meatus
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SPRING STUCK IN THE TEETH Plate 19
Image 40: Spring stuck in the teeth
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ECTOPIC PANCREATIC TISSUE Plate 20
Image 34: Ectopic pancreatic tissue
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DUODENAL WEB Plate 21
Image 43: Contrast meal study showing duodenal obstruction
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AIR VESICOGRAM Plate 22
Image 44: Air vesicogram in a patient of imperforate anus
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