A case of 66-year-old South Indian post menopausal woman presenting a giant ovarian serous cyst adenoma weighing 23 kg is reported here. A 66-year-old woman was referred to our clinic from a local medical center. When she was seen first at our outpatient clinic, she had gross abdominal distension since 2 years and she was unable to walk. On abdominal ultrasound, a giant cyst was found which encompassed the whole abdomen. At laparotomy, a giant, totally cystic, vascularized and smooth mass attached to the right ovary was encountered. Staging laparotomy was performed. On the postoperative tenth day, she was discharged without any problem. Her pathology report disclosed a 60×47×30 cm serous cyst adenoma weighing 23 kg. This is the largest ovarian cyst that ever reported from our hospital and one of the largest among the reported cases in the literature.
Pyometra is the accumulation of purulent material in the uterine cavity. Its reported incidence is 0.01e0.5% in gynecologic patients; however, as far as elderly patients are concerned, its incidence is 13.6%. 1 We report an original case report of an unusual presentation of carcinoma cervix presenting as acute peritonitis. Spontaneous rupture of carcinoma cervix associated pyometra resulting in peritonitis is an extremely rare complication with only 7 cases reported till date including the present case is reviewed.
Population dynamics of sucking pests of sesame viz. thrips, whitefly, leaf hoppers and aphids were studied. Correlation between the pest population and weather parameters was analyzed and regression equations were developed. Incidence of aphids, leaf hoppers and thrips on sesame crop during kharif season has started on 25 th SMW. Thrips (7.3/ plant) attained peak in the 30 st SMW, whereas, whitefly population reached peak during 27 th SMW with population of 1.7/ plant, whereas, leaf hopper (2.8/plant) and aphid population (12.1/plant) reached the peak in the 31 st SMW. Thrips population exhibited significant positive correlation with mean temperature (r=0.501) and non-significant negative correlation with mean relative humidity(r=-0.312) and rainfall (r=-0.498). Whitefly population showed non-significant positive correlation with mean atmosphere temperature(r = 0.285) and mean relative humidity(r = 0.028) and nonsignificant negative correlative with rainfall (r = -0.452). Leaf hopper exhibited significant positive correlation with mean temperature (r = 0.667) while, non-significant negative correlation with mean relative humidity(r = -0.325) and rainfall(r = -0.296). Aphid population showed significant positive correlation with mean atmosphere temperature(r = 0.667) and non-significant negative correlative with mean relative humidity(r = -0.236) and rainfall (r = -0.444). Incidence of thrips, whitefly, leaf hoppers and aphids on sesame crop during rabi-summer season has started on3 rd SMW. Thrips (3.22/plant), white flies (2.48/plant) leaf hoppers (10.1 /plant) and aphids (12.8/plant) reached the peak in the 10 th SMW. The correlation between weather parameters and sucking pest population followed the pattern similar to kharif season. Regression analysis data of revealed that the multiple non-linear regression equations are sufficient to predict the pest population with prevailing weather parameters.
We present two cases of retained intrauterine contraceptive devices (IUCDs). The first presented with perimenopausal bleeding and dysmenorrhoea and the symptoms were resolved following the removal of an IUCD. The second presented with postmenopausal bleeding and had a Lippes loop in the uterine cavity. The symptoms resolved after the removal of the device.
The nature of the medical curriculum demands a lot of tasks burden on medical students. This seeks for guidance in the current era of active student learning in teaching and learning methodology. Based on these principles, a workshop on effective learning strategies (ELS) was developed by the candidates of MSc MedEdu.
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