Fallopian tube neoplasms are rare. We report a rare case of fallopian tube papilloma discovered incidentally in a 45 year old female, operated for procidentia. Right tube was dilated at the infundibular region, with friable grey white tissue in the lumen. Microscopy showed delicate branching papillae lined by a single layer of epithelium resembling tubal lining. There were no features to suggest a reactive hyperplasia in response to inflammation or of aggressive behaviour. KEY WORDSEpithelial lesions, fallopian tube papilloma, metaplastic papillary tumor, proliferative
To study the incidence of MSL, mode of delivery and foetal outcome in women with MSL in labour. MATERIALS AND METHODS A retrospective study was conducted from January 2014 to December 2015 on patients admitted in labour room of Dr. B. R. Ambedkar Medical College and Hospital and assessed for MSL, mode of delivery and foetal outcome. RESULTS Out of the 1661 deliveries 195 (11.73 %) were complicated with MSL. Chi square test was applied to analyse Grades of meconium and APGAR score at 95 % confidence and p value of < 0.05 was obtained which was statistically significant. CONCLUSION MSL alone is not an indication for Caesarean Section and is not associated with adverse neonatal outcome. Increase in the grades of MSL is associated with more adverse outcome.
BACKGROUND Adolescents constitute about 21 % of Indian population. Adolescence is a period of major physiological change along with psychological and socio-behavioural changes. Issues in adolescent age group are not only different but are increasing over the years and need special consideration. Hence, as health care providers, we need to focus on young people as investing in their health today will reap rich rewards tomorrow. Our study focusses on the incidence of adolescents attending gynaecology outpatient department (OPD) and the different gynaecological profiles in adolescents attending OPD. METHODS 351 adolescent girls in the age group of 10 - 19 years attending gynaecological OPD of Dr. BRAMC, Bengaluru, from February’ 19 to January’ 20 were included in the study. All the adolescents presenting with various gynaecological profiles were evaluated by detailed history taking and thorough clinical examination after taking an informed consent. RESULTS There were 351 adolescent girls (5.37 %) attending the gynaecology OPD during the study period. Teenage pregnancy (38.4 %) was the commonest indication for OPD consultation among adolescent girls followed by irregular cycle (17.9 %). Pain abdomen, anaemia, white discharge per vagina (WDPV), urinary tract infections (UTI), polycystic ovarian syndrome (PCOS), heavy menstrual bleeding, breast pain, breast enlargement were few other complaints encountered during this study. CONCLUSIONS Teenage pregnancy and menstrual abnormalities are the most common issues seen in adolescents. Adolescent gynaecology needs increased awareness and greater attention. This can perhaps best be done by setting up specialised adolescent clinics and it is the need of the hour to protect and promote the health of teenagers. KEYWORDS Adolescents, Teenage Pregnancy, Menstrual Irregularities, Gynaecological Problems, Gynaecological Profile, Adolescent Issues
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