Clinical profile and management of head injury at tertiary health care center in rural area, India.

Background: Trauma is a major public health issue and head injury is a frequent cause of morbidity and mortality worldwide. Head injury is the injury on head with alteration in the level of consciousness with or without vomiting. Alcohol is the major contributing factor causing majority of cases. Methods: This study analyzes the increasing occurrence of head injury in the developing rural area in India. Because of increasing trend of head injury, a total of 100 cases were studied from a period of March 2012 to July 2015. Results: Most of the cases were due to road traffic accident, assault and fall from height with maximum cases in young age group. In our study CT scan was decisive in 43% cases which were operated. The role of paramedical staff taking care at the site of accident and on the way up to hospital causing reduction in the death and disability. For the improvement of outcome there should be easily recognition and prevention of secondary insults and for this CT scan has a decisive and important role. Conclusions: By studying the common causes of head injury, identifying the preventable factors causing mortality and morbidity and explaining the important role of pre hospital management, we would like to conclude how we can prevent the morbidity and mortality and improving the overall outcome of head injury from road traffic accident by early treatment in the tertiary hospital.

“Giant breast lipoma” an unusual presentation: a rare case report.

Lipomas are most common benign tumour derived from adipose tissue. Lipoma breast is somewhat difficult to diagnose clinically because of fatty consistency of breast. So preoperative diagnostic work up like FNAC, USG, mammography are important to confirm the diagnosis. Lipoma breast measuring more than 10cm in diameter or weighining more than 1kg is called giant lipoma of breast are tumour infrequently observed. Because of rarity, size & location we presented a case report of giant breast lipoma including USG, mammographic FNAC and intraoperative finding with review of literature.

Giant cell tumor of right thumb: a rare case report.

Giant cell tumour of soft tissue (GCT-ST) resembling osseous giant cell tumour is a distinct and uncommon entity. Here we present a 58 year old woman with a 1 year history of swelling located on the base of right thumb diagnosed on histology as giant cell tumour of soft tissue. The surgeon should keep a differential diagnosis as GCT-ST for any swelling of the finger.

Comparison between rapid urease test and carbon 14 urea breath test in the diagnosis of Helicobacter pylori infection.

Background: The most common human infection of upper gastrointestinal region is Helicobacter pylori. Most individuals remain asymptomatic due to misuse of antibiotic and proton pump inhibitors. Methods: 50 patients admitted or on outpatient department basis were selected based on the upper gastrointestinal symptoms and whether they were 18 years and above. Results: The Rapid Urease Test (RUT) had 84% sensitivity and 91% specificity, with an overall accuracy of 88%. The results of the Urea breath Test (UBT) showed 88% sensitivity and 83% specificity, and an overall accuracy of 85%. Conclusions: The invasive procedure OGD scopy need not be done in patients for the sole purpose of diagnosing HP infection as the diagnostic efficacies of RUT & UBT tests are similar.

Bilateral total duplication of clavicle: First reported case.

A very rare first case of bilateral duplication of the clavicle is presented here. Duplication of the clavicle has been described in only six reports based on a search of the world literature, with single case of bilateral duplication (incomplete) of clavicle being reported. The detection of anatomic anomalies are increasing with the advancement of technology in medicine field. This case is more of academic interest as it is the first case of total bilateral duplication of clavicle.

rare case of Bochdalek diaphragmatic hernia with concomitant partial situs inversus.

Congenital diaphragmatic hernias clinically presenting in adulthood are exceedingly rare lesions, mainly left-sided defect (Bochdalek). Bochdalek hernias most commonly manifest during the patient’s first few weeks of life. Diagnosis beyond the first 8 weeks of life is estimated to represent 5-25% of all Bochdalek hernias. Here we have a 32 year old female patient who presented with 10x10 cm diaphragmatic hernia with dextrocardia who was asymptomatic for years.

A complication of coronary angiography: rare presentation of pseudo aneurysm with groin swelling.

Pseudo aneurysm (PSA) is one of the most common vascular complications of cardiac and peripheral angiographic procedures. In this case we had an old man presenting with a large hard immobile pseudo pulsatile, severe painful swelling in groin region post21 days of coronary angiography.