May-Thurner syndrome (MTS) is a venous compression syndrome in which the left common iliac vein (LCIV) is compressed between the lower lumbar spine and the right common iliac artery (RCIA). Variations are known where in the right lower limb can be affected. While most of the cases are asymptomatic, it can cause severe morbidity in symptomatic individuals, most commonly deep vein thrombosis and post thrombotic sequelae. In this article, we review the key clinical features, multimodality imaging findings and treatment options of this disorder. Our goal is to raise awareness of this underdiagnosed condition among clinicians in order to promote early detection and recognition to enhance positive and expedited outcomes.

AbstrAct:Oral lichen planus is an immunologically based, chronic, inflammatory, mucocutaneous disorder of undetermined etiology. It is a relatively common disorder affecting stratified squamous epithelia. It is of special importance due to its malignant potential and can be a source of morbidity. The management of oral lichen planus should therefore address both the transformation rate as well as the patient symptoms. Care and management of such patients challenges even the most experienced clinician. There is currently no cure for OLP. Treatment is aimed primarily at reducing the length and severity of symptomatic outbreaks. The review critically analyses the various options in the literature and discusses the practical management from the Indian perspective.

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BACKGROUND: "Population ageing" was one of the most distinctive demographic events of the twentieth century. Growth in the elderly population has led to an increase in age related diseases and mainly depression affecting quality of life. Depression in old age is an emerging public health problem leading to morbidity and disability worldwide. In India there is acute scarcity of adequately trained mental health professionals. In this context, there is need to study the level of depression in old age and an effective screening tool which can be used to detect and treat depression. OBJECTIVES: 1) To assess the prevalence of depression in elderly using the Geriatric Depression Scale (GDS). 2) To examine the socio-demographic factors associated with depression among elderly people. MATERIALS AND METHODS: A cross-sectional, community based study was conducted in Shivanagi village of Bijapur District, Karnataka. A random sample of 388 elderly people was taken for the study. GDS was used to assess depression. Those with any psychiatric morbidity and without consent were excluded. Data was analyzed using Chi Square test of association, tests of difference between mean, and standard deviation with SPSS software. RESULTS: The magnitude of mild or severe depression was 34 percent on GDS scale. The prevalence of depression was found to be more among women, and it was statistically significantly positively associated with increasing age, illiteracy, a low socio-economic status, those who were living alone, those who were economically partially dependent and those who were totally dependent for the activities of daily living. CONCLUSION: These findings could guide community-based program managers to devise and implement effective and timely mental health interventions for older adults in order to prevent geriatric depression and develop comprehensive strategy for its early diagnosis.

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Posttraumatic intradiploic leptomeningeal cyst is an exceedingly uncommon complication of skull fracture in childhood with only about twenty-one cases described in literature till now. We report 2 such cases of intradiploic leptomeningeal cyst of occipital bone in two 17- and 21-year-old males presenting with headache with history of occipital bone fracture in childhood and briefly discuss its pathogenesis and differential diagnosis.

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Aim:To study the effect of nonclosure of rectourethral (RU) fistula and to do a comparative analysis of the complications with and without nonclosure of RU fistula during posterior sagittal anorectoplasty (PSARP) in anorectal malformation cases (ARM).Materials and Methods:A total of 68 cases of ARM were included in the study group, of which 34 cases were those in whom RU fistula was not closed (group A) during PSARP. Another 34 successive cases were included in study group B in whom the RU fistula was closed as is conventionally done by using interrupted sutures.Results:Comparatively, group A had none or minimum urological complications as compared to Group B.Conclusion:RU fistula closure is not mandatory during PSARP and nonclosure avoids urological complications. It especially avoids urethral complications, which are 100% preventable.