Frequency of incidental fatty liver on ultrasound and its association with diabetes mellitus and hypertension

Objective: To see the frequency of incidental fatty liver on ultrasound and its association with diabetes mellitus and hypertension

Methods: A cross sectional study was conducted from January 2016 to June 2016 in the department of Surgery and Radiology at Hamdard University Hospital. Patients of both genders and all ages were selected by non purposive convenience sampling. Critically ill, trauma cases and all those patients who had a history of chronic liver disease, alcohol intake and expected pregnancy were excluded. Blood pressure and random blood sugar were recorded

Results: Six hundred patients were included in the study with mean age of 44.65+/-18.8 years. 240 patients [40 percent] had incidental finding of fatty liver on ultrasound. Out of 240 with fatty liver patients 117 were males [48.8 percent] and 123 were females [51.3 percent]. Total 141 patients were diagnosed with hypertension, out of which 81[57.44 percent, p< 0.001] had fatty liver on ultrasound. Diabetes mellitus was diagnosed in 84 patients, in which 57 patients [67.8 percent, p<0.001] had fatty liver

Conclusion: Fatty liver is a frequently found incidental finding on ultrasound. There is a significant association of fatty liver with diabetes mellitus and hypertension

Abdominal wall complications of missed gall stones in laparoscopic cholecystectomy

Port site complications due to lost gall stones in anterior abdominal wall are recently reported complications of laparoscopic cholecystectomy. Two cases are hereby reported who had underwent laparoscopic cholecystectomy and later on one presented with discharging sinus and the other with anterior abdominal wall mass. On exploration both the problems were found related to stones lodged in the anterior abdominal wall

Tuberculous injection abscess

A two years old girl, presented with one month history of swelling in the centre of her left buttock. She was alright two months back when she developed fever for two days, for which her mother took her to a dispensary in her village. She was given an injection on her left buttock and some syrup. After about a month, she developed swelling at the site of injection with pain and fever. She was given a topical application by the same medical practitioner with no improvement. Then her mother took her to a hospital where diagnosis of injection abscess was made and incision and drainage performed. The wound of incision and drainage did not heal in four weeks and another abscess developed five centimeters lateral to the primary wound. She was investigated and operated again. At incision and drainage, pus with some cheesy material came out. Tissue was taken from the abscess wall which showed tuberculous infection. She was started on anti-tuberculous treatment and both wounds healed in next month The child was vaccinated with BCG; there was no family history of tuberculosis