Phlegmasia cerulea dolens is a rare form of massive proximal (e.g., iliofemoral) venous thrombosis of the lower extremities associated with a high degree of morbidity, presenting with sudden severe lower extremity pain with edema and cyanosis. Venous gangrene, venous congestion with massive fluid
The novel virus SARS-CoV2 responsible for ongoing pandemic of COVID-19 since March 2020 has not only been found to cause pneumonia but also involves multiple symptoms such as Gastroinstestinal system, central nervous system, cardiovascular system as a part of multi inflammatory syndrome, which has been increasingly recognized as a part of disease spectrum. COVID-19 associated coagulopathy has emerged as a major cause of high morbidity and mortality, one of which is result being ischemic bowel disease. So herein, we are going to present the first case of probable case of COVID-19 associated ischemic bowel disease in our institute.
Background: Commonest complaints for which patients seek hospital care are upper gastrointestinal (UGI) symptoms. Prevalence of these symptoms range from 8-54%. Most common cause is Helicobacter pylori. The objective of this study was to investigate incidence of Helicobacter pylori in patients with UGI symptoms.Methods: Hospital-based study was carried out among 200 cases with esophageal disorders, gastric disorders, duodenal disorders, gastro duodenitis. Predesigned and pretested questionnaire was used to record information. Gastric and duodenal biopsy was taken. Rapid antigen test kit was used to identify for Helicobacter pylori. Results: Incidence of Helicobacter pylori was 80%. Most common disorders associated with UGI symptoms were gastritis (29%), gastritis with duodenal ulcer (21%) and esophagitis (21%). They were more common in males except esophageal varices. Gastritis and esophagitis were significantly more in 21-40 years (46.55%) (p<0.05). Most common age of UGI symptoms was 21-40 years (34.5%). H. pylori infection was more among males (62.50%). Most common indication for endoscopy was dyspepsia in 48 (24%).Conclusions: Incidence of H. pylori was 80%. Upper GI diseases are more common in men (65.5%) compared to females (34.5%) with the most affected age group between 21-60 years (68%). H. pylori was the commonest cause of chronic gastroduodenitis in this study.
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