Lymphangioma (cystic hygroma) is benign congenital malformation of the lymphatic system commonly present in the neonate or in early infancy. The cysts are generally filled with clear lymph and the commonest site is neck. We present a case of unusual giant lymphangioma of the breast in an adult female. The relevant literature is briefly revived.
BACKGROUND Acute pancreatitis is a common condition with variable clinical course. Imaging studies play an important role in diagnosis a nd management of acute pancreatitis. Computed Tomography (CT) is undertaken to determine the role of CT in acute pancreatitis, to differentiate between oedematous and necrotising pancreatitis and to evaluate the complications and severity using Modified Computed Tomography Severity Index (MCTSI). MATERIALS AND METHODS This is a prospective observational study. Sixty patients with clinical suspicion of acute pancreatitis underwent contrast enhanced CT during two years period. MCTSI score for acute pancreatitis was calculated which includes assessment of pancreatic inflammation, necrosis and extrapancreatic complications. RESULTS Peripancreatic fat stranding was the common feature seen in 90% patients. Extrapancreatic complications were noted in 32 (53%) patients and pancreatic necrosis in 20 (33%) patients. CONCLUSION CECT of abdomen in acute pancreatitis helps in differentiating between oedematous and necrotising pancreatitis. The MCTSI helps in evaluating the percentage of pancreatic necrosis and to predict the possibility of developing local and systemic complications. Depending upon the MCTSI grading, the treatment plan can be implemented more effectively and accurately.
Audit of surgical mortality provides an overview of the leading causes of death in patients who require surgical care thus identifying system or process error and trends in deciency of care and it helps develop strategies to reduce deaths in the surgical arena. The basic aim of any surgical therapy is to cause reduction in morbidity and mortality rates. It is done by comparing the inuence on adverse outcome. The overall goals of the study were to determine the incidence of postoperative mortality at the tertiary care hospital and to identify risk factors for postoperative mortality. In effect this means collecting data on all patients treated including details of adverse outcomes such as deaths and complications. Evaluation of the data of postoperative surgical deaths in 144 patients from August 2018 to September 2020 is done. Study group with multiple comorbidities and undergoing major operations with more intraoperative and postoperative complications are prone for higher mortality
<p class="abstract"><strong>Background:</strong> Human physiology is altered during pregnancy and adds further stress to systems that are already modified. Mother and foetus are placed at increased risk by burns injury, which is often associated with a high rate of both fetal and maternal mortality and morbidity.</p><p class="abstract"><strong>Methods: </strong>All pregnant patients with burns injuries admitted at our tertiary hospital under department of general surgery from June 2017 to May 2019. This study included 20 pregnant patients with burns injury.</p><p class="abstract"><strong>Results: </strong>Of the total 20 cases, the percentage of TBSA varied from 5% to 100%. There were 19 cases of accidental burns and one case of homicidal burns. There were 11 preterm deliveries of which two stillbirths and nine spontaneous abortions occurred. In all, ten out of twenty mothers died after severe burns amounting to total maternal mortality at 50%.</p><p class="abstract"><strong>Conclusions: </strong>Burns during pregnancy demands special management and requires early and adequate resuscitation with the use of a limited choice of antibiotics and local antibacterial agents. Early surgical intervention and a special obstetric protocol are required in the management of these patients to improve maternal outcome.</p>
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