Lithobezoar: a case report

We present a unique case of a colonic lithobezoar in a relatively healthy, young male with no history of psychological or psychiatric disorders. Furthermore, unlike previously reported cases, this patient had no history of gastric surgery. The mode of presentation and the rariety of disease pose difficulties in diagnosis of lithobezoar. The different modalities of treatment, both surgical and nonsurgical, were thought of and discussed. The diagnosis of a lithobezoar in a healthy patient requires a high index of suspicion, as it presents with nonspecific symptoms. The standard treatment for bezoars is discussed but lithobezoar needs special mention due to its rariety and no specific surgery guidelines.

Liver Abscess: A Retrospective Analysis

Liver abscess (LA) is defined as a collection of purulent material in the liver parenchyma which can be due to bacterial, parasitic, fungal, or mixed infection. Here, we report a retrospective analysis with an aim to evaluate the clinical presentation, etiology, manifestations, comorbidities, and different treatment options in patients with LA. This retrospective study was conducted to collect and analyze information from patients diagnosed with LA who were admitted to a tertiary care academic hospital.

Breast Hamartoma: An Underrecognized Entity

Hamartoma is a rare benign tumor of the breast. Pathologically, hamartomas are also labeled as lipofibroadenoma, fibroadenolipoma, or adenolipoma. This is due to a benign proliferation of the fibrous, glandular, and fatty component of the breast tissue surrounded by connective tissue capsule. Here, we report the case of a 60-year-old female patient who presented with a lump in the left breast for 4 months. Fine-needle aspiration cytology suggested the entity to be a benign cystic lesion. Lumpectomy was done and the cut surface showed cystic and solid areas. Histopathological examination revealed several irregular tissue fragments showing mammary glandular tissue with a prominent lobular arrangement, fibrous stroma, and fibroadipose tissue with the presence of papillary metaplasia at few places and confirmed it to be the hamartoma of the left breast

Segmental Lateral Internal Sphincterotomy: A New Technique for Treatment of Chronic Anal Fissure - Clinical Outcome and Review of Literature.

Introduction: Lateral internal sphincterotomy is an effective treatment for fissure in ano but carries a definite risk of incontinence. In trail to avoid this complication and to study the clinical outcomes such as the symptomatic relief, early postoperative wound healing, safety, and efficacy after segmental internal sphincterotomy, it was used to treat chronic anal fissure. Materials and Methods: This is hospital-based, cohort study was conducted at the NKP Salve Institute of Medical Sciences and Research Centre, Nagpur, Maharashtra, India. This study was undertaken on 62 patients (35 male and 27 female, with mean age 38 years) with chronic fissure in ano from March 2012 to March 2015. Surgical intervention, i.e., lateral internal segmental sphincterotomy done in two segments under direct vision under spinal anesthesia. Post-operative course with early and long-term result was recorded. Mean follow-up was 32 weeks (ranging from 2 to 48 weeks). Results and Discussion: In all patients, the technique was done under spinal anesthesia. The fissure and anal wound were healed within 4 weeks. The pain was reduced at postoperative day 1 in all patients. There were no early complications; one male patient had an infection at anal wound site at the 4th post-operative week which was managed conservatively. No transient or any persistent degree of incontinence occurred in these patients group. Conclusion: Segmental lateral internal sphincterotomy is a safe, easy, and effective procedure and not associated with risk of incontinence for the treatment of chronic anal fissure.