“Peritonitis fibrosa incapsulata”, first described in 1907, is a condition characterized by encasement of the bowel with a thick fibrous membrane. This condition was renamed as “abdominal cocoon” in 1978. It presents as small bowel obstruction clinically. 35 cases of abdominal cocoon have been reported in the literature over the last three decades. Abdominal cocoon is more common in adolescent girls from tropical countries. Various etiologies have been described, including tubercular. It is treated surgically by releasing the entrapped bowel. We report a laparoscopic experience of tubercular abdominal cocoon and review the literature.
Background: Chest trauma is one of the most serious injuries leading to significant disability and mortality. Chest injury directly accounts to 20%-25% of all traumas related deaths in developed countries. Methods: This was a prospective observational study involving chest injury patients admitted in civil hospital, Solapur over the period of September 2013 to June 2015. Results: A total of 150 chest injury patients were studied out of 864 patients of chest injury during the said period. Males outnumbered females by a ratio of 5:1. Their ages ranged from 10 to 80 years (mean = 37.27 years). Majority of the patients (94.67%) sustained blunt injuries. RTA was the common mechanism of blunt injury affecting 59.86% of patients. Rib fracture was the commonest type of chest injury followed by pneumothorax, 88% and 62% respectively. Head injury was the commonest associated injury seen in 56% of patients. Majority of patients 66.67% were treated successfully with tube thoracostomy. The mean hospital stay was 8.97days with SD of 4.89 days. Mortality rate was 11.97%. Conclusions: Chest injury resulting from RTA remains a major mechanism of chest injury. A preventive measure, educating people about traffic rules and regulations and strictly implementing them is necessary to reduce incidence of chest injuries.
The term varicose vein refers to abnormally dilated, tortuous, elongated, friable superficial veins, usually of lower limbs. These varicose veins have permanently lost their valvular efficiency. 1 Varicose veins are a major health problem in the western countries, being more common in females. In India, incidence is comparatively low, more common in males and presents late with associated complications. AIMS of the study was to study clinical profile, complications and different modalities utilized in our institute and to assess and study final outcome in patients included in our study. METHODS The study was a prospective observational and analytical study of 100 patients which was conducted in our institute. Patients within age group of 10 to 70 years and patients with varicose vein complications were included in our study whereas patients with age less than 10 years or more than 70 years, patients with deep vein thrombosis, chronic debilitated and immunecompromised patients were excluded.
24 years female patient was referred from gynaecology department as a case of mass in pelvis. She was initially investigated for primary infertility in same department. Ultrasonography of abdomen was suggestive of teratoma. Contrast enhanced CT scan of abdomen and pelvis was suggestive of anterior sacral meningocele with scimitar sacral deformity. CT scan findings were confirmed by MRI. Patient underwent excision of anterior meningocele via posterior trans-sacral approach. Intraoperatively, we found huge dermoid cyst within meningocele. Findings latter on confirmed by histopathology. Postoperatively patient recovered without any complications and was discharged on day 10.
Pediatric patient, operated case of enucleation of hydatid cyst of lung associated with splenic hydatid disease treated with partial splenectomy with preservation of splenic function is reported and the literature reviewed briefly.
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