A compartment syndrome is an orthopaedic emergency which can result from a variety of causes, the most common being trauma. Rarely, it can develop spontaneously and several aetiologies for spontaneous compartment syndrome have been described. We describe a patient with diabetes who developed a spontaneous compartment syndrome. The diagnosis was delayed because of the atypical presentation.
Background:Cancer of uterine cervix is one of the common carcinoma among females. India accounts for about 20% of cervical cancers. Prevention of cervical cancer, whether primary or secondary requires active participation of the community. For this they need knowledge about the disease & its prevention. Hence a study to assess the knowledge, attitude and practice regarding cervical cancer and its prevention was undertaken. Methods:A cross-sectional observational study was conducted in a panchayat area of Kanyakumari district, South Tamilnadu. A sample of 100 women aged 25-50 years was taken by multistage random sampling. Results:Only 68 women were aware of the existence of cervical cancer & Health workers were the most common source of information (41.2%). Those who were employed had more awareness though the differences were not statistically significant. Only 8 women (11.76%) knew that there is a vaccine to prevent cancer cervix. Among those who were aware of cervical cancer, only 47 (69.1%) knew about the existence of a screening test to detect cancer cervix. Only 8 women had undergone PAP smear. Among those willing to reveal the reason for not undergoing PAP smear, lack of time (15.38%), embarrassment (10.26%) and no facility (2.8%) were the reasons. Women who were employed were more likely to be aware about screening for cervical cancer (75%). Conclusions: The existence of cervical cancer has reached the awareness of majority of the women in our area. But specific knowledge about cervical cancer & its prevention is still lacking.
Fournier’s gangrene is a rare, rapidly progressive, fulminant form of necrotizing fasciitis of the genital, perianal and perineal regions extending to the abdominal wall between the fascial planes. It is secondary to polymicrobial infection by aerobic and anaerobic bacteria with a synergistic action. A 42 year old male who is an alcoholic and diabetic on irregular treatment presented with scrotal swelling and pain for 5 days following a trauma. On examination, patient was febrile, tachypneic and had tachycardia. His scrotum was edematous and erythematous on right side with crepitus. Abdomen was warm on right side till umbilicus and had crepitus. He was in sepsis and had diabetic ketoacidosis, prerenal azotemia and mild impairment of liver function. A diagnosis of extensive Fournier gangrene with retroperitoneal involvement was made. Patient underwent scrotal exploration and aggressive debridement serially. Testis was spared. As patient improved with good wound care and glycemic control, wound was closed. Though our patient had retroperitoneal involvement without peritonitis, he was deferred laparotomy which significantly reduced the morbidity and mortality. It is one of the few reported case in the literature with retroperitoneal involvement.
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