An obstructed epigastric hernia containing gall bladder is a very rare entity and there are only few cases described in literature previously. A 69 year old woman presented at the emergency department at 1.00 a.m. with complains of pain and swelling in upper abdomen and having recurrent vomiting. As patient was sick and there was no imaging facility available at that time, patient was taken to OT in view of obstructed epigastric hernia. When abdomen was opened hernia sac containing gall bladder was seen. Then cholecystectomy and repair of the abdominal wall defect were performed. The patient recovered very well and was discharged on day 7.
Background: Diabetes is a chronic disease. Diabetes the global epidemic is rapidly increasing at an alarming rate. Developing countries like India will harbour majority of diabetic people by the year 2030. Diabetic foot are complex, chronic wounds, which have a major long-term impact on the morbidity, mortality and quality of patients’ lives.Methods: Hospital based prospective study. From August 2015 to July 2016. 50 patients reporting to the General Surgery department within study duration and eligible as per inclusion criteria will be included in the study.Results: In present study, maximum 52% patients belonged to age group was 51-70 years followed by 13 (26%) in 31-50 age group. In present study most common complication of diabetes was cellulitis (32%) and least common complication was abscess (18%). In this study, most common lesion was right dorsum of foot 11 (22%) followed by left toe 7 (14%). Maximum 30% patients were treated through debridement of diabetic foot whereas 20% patients received slough excision, dressing and skin graft and toe amputation as treatment modality. 18% patients were treated by I and D. Amputation was the least used treatment modality.Conclusions: Diabetes mellitus is a lifelong disease and diabetic foot complications can be life threatening, physically incapacitating, costly to treat and result in extensive morbidity.
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