Bilateral Prehilar Branching Of Renal Arteries

Background: Variation in renal arteries are very common but bilateral variation is rare and is clinically importantfor urologist especially during the renal transplantation. Generally main renal artery divides into anterior andposterior branches just before entering the hilum of kidney, but sometimes two or more polar arteries; prehilarbranching and segmental arteries arise from main renal artery .Renal artery variations are often seen and aregenerally categorized into presence of accessory or aberrant renal arteries, polar arteries and prehilar branches.Prehilar multiple branching of main renal artery variation is frequently seen.Materials and Method: The present study was conducted in 80 kidneys from 40 cadavers during the routinedissection in the Department of Anatomy Maharishi Markandeshwar Medical College and Muzaffarnagar MedicalCollege .Out of 80 kidneys studied bilateral prehilar branching of renal arteries from the main renal artery wereobserved in 5 kidneys (6.5%).Conclusion: Different arterial branching patterns was observed in five cases in which prehilar branches originateddirectly from main renal artery, entering the upper pole of kidney. Knowledge of such variation is important forradiologists, anatomists and urologists while performing renal transplantation, laparoscopic renal surgeries,nephrectomies, and other renal surgeries and diagnosis.

Study Of Morphological Variations In Human Cadaveric Livers

Background: Liver is a large gland which occupies a substantial (large) portion of the abdominal cavity of humanbody .It is situated below the right side of diaphragm and mainly occupies the right hypochondrium, epigastriumand part of left hypochondrium. Anatomically it has left and right lobes which are divided by falciparm ligament,fissure for ligamentamvenousm and fissure for ligamentamteres. It has caudate and quardate lobes as the partsof right anatomical lobe Anatomical variations in cadaveric livers are present in form of lingular process ofleft lobe, accessory lobe,hypoplastic lobe, accessory fissure and diaphargmatic groove on superior surface ofliver.The knowledge of morphological variations of liver may be useful to surgeon during transplantationphysicians to rule out the liver diseases and radiologist for correct diagnosis.Materials and Methods: The knowledge of morphological variations was observed in 50 livers during the routinedissection and specimen present in department of anatomy.In 50 livers we observed 23 were present withmorphological variation this shows that 46% of liver were abnormal.Conclusion: In the present study it is observed that accessory lobe, hypo plastic lobe, accessory fissure anddiapharmatic grove on superior surface of liver are more common morphological variations .The morphologicalvariations remains asymptomatic but can lead to misinterpretations during surgical and radiological procedure.Thus the present study is useful for radiologists and surgeons to plan the surgical procedures.

Periodontitis and diabetes: A bidirectional, cyclical relationship - A brief review

Diabetes mellitus and periodontitis have been said to have a bidirectional cyclical relationship, with diabetes leading to oral disease, and periodontitis, in turn, exacerbating hyperglycemia. Periodontitis is recognized as the sixth major complication of diabetes, having increased prevalence and severity in patients with diabetes. Early diagnosis of diabetes in patients with periodontitis can lead to the prevention of major morbidity and mortality associated with the disease. Therapy for diabetes may also lead to the improvement of periodontitis. In this review, we are presenting the current knowledge of the interplay and interaction between these two entities and the available data regarding treatment of the two entities together.

Accessory Spleen A Rare Finding: A Cadaveric Study.

The accessory spleen is rarely present in the human body. If present it is present in the gestrosplenic ligament or in the tail of pancreas. Mostly it is reported by radiologists, through MRI or ultrasonography. Accessory spleen has no clinical consequence unless a patient suffers from a haematological disease like idiopathic thrombocytopenic purpura. In some haematological diseases in which the spleen is to be removed but after removal of spleen the sign and symptomsre occur. This recurrence is due to the presence of accessory spleen. In the present study the accessory spleen was found while doing routine the dissection of abdomen. In the present study 20 human cadavers were dissected which were embalmed with 10% formalin and fixed. The aim of our study is highlight the presence of accessory spleen in the body and importance in the human body and to compare the study with studies done by other authors. This study will be helpful for the surgeons and physicians in their diagnosis and treatment.

A rare cause of bleeding gastric ulcer: multiple myeloma.

The causes of GI bleed are many and varied with peptic ulcers accounting for about 50% cases. Multiple myeloma is the most common lymphoid neoplasm in older adults and accounts for approximately 10% of all hematologic malignancies. Extraosseous manifestations are said to be present in less than 5% of patients with Multiple Myeloma with GI ulcers only being described rarely. In this report we describe a case of a 58 year old lady presenting with weakness, palpitations, gum bleeding with recent onset melena. She had severe anaemia with thrombocytopenia and markedly elevated ESR. An UGI endoscopy revealed a 1x0.5 cm ulcer infiltrated by lymphoplasmacytic cells and histiocytes with a few neutrophils. Serum globulin fraction was markedly high and Serum protein electrophoresis revealed it to be a case of multiple myeloma with Igʎ secreting monoclonal cells. Bone marrow aspirate revealed 40 % plasma cells with some binucleate and trinucleate forms. The patient was diagnosed as stage III multiple myeloma (International staging system) and treated with dexamethasone, zoledronic acid and thalidomide. Our case highlights a very atypical presentation of multiple myeloma and alerts the clinician to keep an eye of suspicion in dealing with peptic ulcer cases especially in the elderly.