56-year-old man presented to us with progressive weakness of upper and lower limbs. He had gradually progressive neurological deterioration in the form of quadriparesis. MRI was suggestive of cervical cord SOL. The clinical, radiological, and surgical findings are discussed together with a brief critical review of the literature. The patient had no other associated anomalies. The intradural extramedullary component of cyst was removed totally with debulking of intramedullary part with good neurological recovery. The clinical presentation was rather atypical for neurenteric cyst. Neurenteric cyst should be considered in the differential diagnosis of an intradural mass lesion regardless of the age, clinical presentation or location of the lesion.
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Gastro – intestinal duplications are usually detected in children before 2 years of age due symptoms/complications associated with the condition or during surgery in the child for some unrelated condition. In adults colonic duplication is of rare occurrence and often diagnosed during surgery. However, it may be diagnosed pre operatively due to symptoms of obstruction, volvulus or rarely due to perforation. We present an adult having tubular duplication of ascending colon, that presented with perforation. The duplication had a blind end and did not have distal communication. In addition, it had its own blood supply. The management of the case is discussed. Aetiogenesis of the anomaly is enumerated and literature reviewed.
For ascending colon duplication similar meaning word accessory ascending colon has also been used in the manuscript.
males and 95 (36.8%) were females. These 258 patients were divided into 2 groups, namely AKI group which had 69 (26.7%) patients and the non AKI group which had 189 (73.3%) patients. Association between Leptospirosis associated AKI and various risk factors were analyzed using Pearson chi square test which showed significant association of AKI with diabetes(p value-0.
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