Retained foreign bodies after surgery is a rare condition which can have medico-legal consequences. Foreign bodies forgotten in the abdomen include towels, artery forceps, pieces of broken instruments or irrigation sets, and rubber tubes. The most common surgically retained foreign body is the laparotomy sponge. Such materials cause foreign body reaction in the surrounding tissue. The complications caused by these foreign bodies are well known, but cases are rarely published because of medico-legal implications. We report a case of 41-year-old female admitted with features of intestinal obstruction and had a previous history of hysterectomy performed 2 months back at another hospital. Pathologists must be aware of this entity and its proper reporting as the cases are liable to go to court. Surgeons must recognize the risk factors that lead to a gossypiboma and take measures to prevent it.
Several epidemiologic studies have shown elevated uric acid levels to predict increased risk of cardiovascular events. Few studies have addressed the value of this biomarker across the whole spectrum of patients with ACS (Acute Coronary Syndrome) especially in Indian settings. Thus, the aim of this study was investigate whether there is an association between serum uric acid level with CAD (Coronary Artery Disease) risk factors its and severity in ACS patients. Material and methods: This cross -sectional study included 100 consecutive patients admitted with acute coronary syndrome in the cardiology and medicine department of the institution. The presence and severity of CAD was determined by the following clinical vessel score; Absent: no coronary lesions, 1 vessel, 2 vessel and 3 vessel -disease based on the number of coronary arteries involved. The correlation of serum uric acid levels with CAD risk factors and the severity of CAD in the ACS patients was analysed statistically. Results: There was a significant association between uric acid and the coronary angiographic findings (P<0.001). The patients in the hyperuricemia group had more number of coronary vessels involved than the other group.
Conclusion:The serum uric acid level is correlated with the presence and severity of CAD by coronary angiographic findings (P<0.001) in the acute coronary syndrome patients. Uric acid being an inexpensive and easily available biochemical marker, it will be of much use in settings with limited resources. Serum uric acid may be used to predict the severity of CAD.
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