Dr C S Singh, Paediatric Surgeon.

09/06/2026

Huge Rare Mesenteric Cyst in a 7 years old boy operated successfully.

A mesenteric cyst is an extremely rare, typically benign tumor that develops within the mesentery, the tissue that attaches the intestine to the abdominal wall. They are believed to form due to congenital malformations of the lymphatic system, which causes trapped lymphatic fluid to pool and form a cyst. They are usually formed in the mesentery of the small intestine and very rarely seen to arise from the mesentery of the sigmoid colon (part of large intestine). The presenting symptoms are usually vague abdominal pain, a feeling of fullness, or a palpable, sometimes movable mass in the abdomen. Large cysts can press on nearby organs, leading to nausea, vomiting, constipation, or acute bowel obstruction.

Our patient was a 7 years old boy with history of pain abdomen and abdominal distention for 8 months. On examination, the child’s abdomen was hugely distended with presence of fluid thrill. CT scan of the abdomen showed presence of a large cystic mass occupying the entire abdomen and compressing all other organs. The child was prepared and taken for surgery, intraoperatively the cyst was found to be arising from the mesentery of the sigmoid colon, which is a very rare location for the origin of a mesenteric cyst. The cyst was very meticulously dissected preserving all the blood vessels supplying the sigmoid colon and was successfully removed completely.

Postoperative recovery was uneventful and the child was discharged on 4th postoperative day.

Dr. C. S. Singh (MBBS, MS. MCH, F.MAS)
Consultant Paediatric Surgeon

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. He has done his MCh in Paediatric Surgery from the prestigious King Georges' Medical University, Lucknow.

26/05/2026

A Rare Case of Congenital Duodenal Web Operated Successfully.

Congenital duodenal web is a rare condition with an incidence of roughly 1 in 10,000 to 1 in 40,000 live births. It occurs due to the incomplete recanalization of the duodenum during the 6th to 8th weeks of gestation.

It is a congenital membrane inside the duodenum (the initial part of the small intestine) that causes partial or complete bowel obstruction. Because the web frequently features a small central hole, its severity varies; this can lead to symptoms manifesting soon after birth or sometimes later in childhood. It is actually a type of duodenal atresia (Type I). The most common symptoms are recurrent vomiting, dehydration and failure to thrive.

Our patient was a 3 days old female child presented with feed intolerance and non-bilious vomiting since birth. Plain X-Ray of abdomen showed grossly dilated stomach suggestive of duodenal obstruction, so upper GI contrast study was done which showed partial obstruction at the junction of first and second parts of duodenum.

The baby was prepared and taken up for surgery, intraoperatively there was a duodenal web with central fenestration at the junction of first and second part of the duodenum which was excised and the longitudinal duodenotomy was closed transversely.

The baby recovered uneventfully and was discharged on 7th postoperative day.

Dr. C. S. Singh. (MBBS, MS, MCH, F.MAS)
Consultant Paediatric Surgeon.

For more information, please visit

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.

13/04/2026

Meningomyelocele with Congenital Hydrocephalus.

Myelomeningocele is the most severe form of spina bifida, a birth defect where the backbone and spinal canal do not close properly, allowing the spinal cord and meninges to protrude through the back in a fluid-filled sac. This neural tube defect causes varying degrees of nerve damage, often resulting in paralysis, mobility issues, bowel/bladder incontinence, and potential cognitive impairments.

Congenital hydrocephalus occurs in 80–90% of infants born with myelomeningocele. It is characterized by the buildup of cerebrospinal fluid (CSF) in the brain's ventricles. While sometimes present at birth, it often develops or worsens following the surgical repair of the spinal defect.

This child was operated for lumbar meningomyelocele when she was just 4 days old and subsequently for congenital hydrocephalus at 5 months of age. She is 1 year 8 months now and having almost normal neurological milestones.

Early intervention with meticulous dissection and preservation of nerves give excellent outcomes in these cases and when associated with congenital hydrocephalus, Ventriculoperitoneal shunt procedure is also done.

For more details please visit www.drcssingh.com

16/02/2026

A Rare case of Duodenojejunal Obstruction due to “Fixation Anomaly” in a 5 days old child operated successfully at I Q City Hospital, Durgapur.

Duodenal obstruction in neonates are uncommon disorders that present with bilious vomiting soon after birth and are usually due to malrotation, duodenal atresia or annular pancreas. But another very rare group of disorders called “fixation anomalies” can also cause obstruction at the duodenojejunal flexure due to narrow and high attachment of ligament of Treitz.

Our patient was a 5 days old male child with recurrent bilious vomiting since day 3 of life. Clinically, a diagnosis of malrotation of gut was made and an upper GI contrast study was done. Upper GI contrast study showed complete obstruction at duodenojejunal junction with gross dilatation of the stomach and the duodenum. Patient was subsequently taken for surgery, intraoperatively there was no malrotation, but the obstruction at the duodenojejunal junction was being caused by abnormally narrow and high ligament of Treitz, which was divided and the duodenojejunal junction was freed. Due to the pressure from the ligament of Treitz there was an area of impending perforation at the duodenojejunal junction, so the entire junction was resected and an end-to-end duodenojejunal anastomosis was done.

The child tolerated the procedure well, oral feeds were started on postoperative day 5 and patient was discharged on day 7.

At I Q City Hospital, we are providing the best possible paediatric surgical care in the entire region with even the rarest cases being managed successfully.

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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.

05/02/2026

Hypospadias Surgery at I Q City Hospital, Durgapur.

Hypospadias is a congenital anomaly of p***s in which the urethral meatus (urinary opening) fails to reach the tip of p***s and opens on its under surface. It may also be associated with curvature of the p***s. Its prevalence is about one per 300 males.

Hypospadias is surgically a difficult condition to treat due to frequent failures of the surgical procedure and occurrence of urethrocutaneous fistula. More than 300 surgical procedures have been described for hypospadias as any single type of surgery cannot treat all varieties of hypospadias. Surgery can be performed at any time after 6 months of age but is usually done after 2 years of age.

At I Q City Hospital, Durgapur, we are doing hypospadias surgeries in large numbers and have mastered the art to provide the best possible functional and cosmetic outcomes. With vast experience we have made subtle changes to our surgical procedures to suit the patients of this region, further improving the results. We have been operating for more than 10 years now, with more than 150 cases done in last 3 years. We are also providing good outcomes in already elsewhere operated but failed cases.

For more information, please visit www.drcssingh.com

22/08/2025

Urgent Surgery Saves Life of a 3 Months Old child at I Q City Hospital, Durgapur - Malrotation of Gut with Midgut Volvulus.

Malrotation of the gut, or intestinal malrotation, is a congenital condition where the intestines fail to rotate properly during fetal development. This can lead to various complications, including bowel obstruction and midgut volvulus (twisting of the intestine). While often diagnosed in infancy, it can also present in older children and adults. The incidence of symptomatic malrotation is about 1 per 6000 live births. These children usually present with intermittent bilious vomiting. If there is associated midgut volvulus (intestinal twisting), there is a risk of gangrene of a large portion of intestine so the surgical procedure has to be done on urgent basis.

Our patient was a 3 months old male child, presenting with intermittent bilious vomiting since 1 month of age which had increased since last 2 days. A plain X-ray of abdomen showed gasless abdomen which was suggestive of midgut volvulus. An upper GI contrast study was done which was suggestive of Malrotation of gut with complete duodenal obstruction further confirming the diagnosis of midgut volvulus. Patient was urgently taken for surgery. Intraoperatively the twisting of intestines was present which was untwisted and blood flow to the intestines was restored. Fortunately, there was no permanent damage to the intestines due to our rapid intervention, Ladd’s procedure (surgery for the correction of malrotation) was also done simultaneously. The child recovered uneventfully and was discharged on 5th postoperative day.

At I Q City Hospital, Durgapur, paediatric surgery services are available round the clock and we are providing the best possible outcomes in our cases.

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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.

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.