Prevalence, instigating factors and help seeking behavior of physical domestic violence among married women of Hyderabad, Sindh

Domestic violence against women is highly prevalent but under reported issue having social, legal, health and economic implications. It needs to be identified and addressed in order to decrease the sufferings of women. Our objective was to find out prevalence, instigating factors and help seeking behavior of physical domestic violence against married women. A total of 378 married women who were attending Department of Obstetrics and Gynaecology, Liaquat University Hospital from January 1, 2013 to March 31, 2013 for different obstetrical and gynaecological problems were randomly selected and interviewed. After informed consent, required information was collected on predesigned performa including demographic details, prevalence, instigating factors, help seeking behavior for physical domestic violence. About 31%[120] of women reported lifetime physical domestic violence. Husbands and in-laws were perpetrators in 70% [84] and 30% [36] cases respectively. Wives being disobedient and making arguments were the most common instigating factors for violence followed by husband's drug addiction, extra marital relationship and infertility. It was severe enough to require medical care in 24%[29] cases. Only 2% [2] women sought social and legal aid. Domestic violence was quite common among married women, however help seeking was minimal. There is need to identify and address this menace effectively

Our experience of bleomycin sclerotherapy for peripheral lymphangioma in children and review of the literature

To assess the efficacy of intralesional bleomycin in peripheral lymphangioma in children. This prospective study was conducted at the Department of Pediatric Surgery at Liaquat University of Medical and Health Sciences Jamshoro/Hyderabad from January 2005 to December 2009 .Patients included in this study were only with peripheral lymphngioma, while those with visceral lesions or previously operated for lymphangiomas were excluded. Diagnostic tools for lymphangioma were physical examination and ultrasound. All patients had aspiration of lesion with 20-24 gauge needle and intralesional injection therapy with bleomycin with dosage of 0.5mg/kg body weight diluted in normal saline. The procedure was performed as out patients. Patients were followed up at four weeks interval for up to six months. Personal data, procedure, complications and follow up were recorded on pre-designed proforma. Total number of patients included in this study was 20, with13 males and 7 females. Reduction in size was noted in 75%. Excellent response was seen in 9 [45%] patients who had cystic lymphangioma, while 6[30%] patients showed good response and 5[25%] had poor response. Common site was neck [65%].Transient increase in size of lesion and cellulitis were observed in three patients and treated conservatively. Intralesional bleomycin is excellent in cystic lymphangioma, while it had good response in mixed lymphangioma. We suggest bleomycin as a primary therapy in all varieties of lymphangiomas

Congenital soft tissue Ewing's sarcoma

A 15 days old female baby presented with a 6 x 7 cm reddish lump with irregular margins on her right scapular region, since birth. Histopathology and immunohistochemistry of excised tissue revealed it to be soft tissue Ewing's sarcoma. Postoperatively, she received only one dose of chemotherapy but could not survive and expired at the age of one month

Obstructed Bochdaleck diaphragmatic hernia in a child girl

A five-year-old female child presented with intestinal obstruction. X-ray abdomen and chest showed multiple air-fluid levels in abdomen and a single gas shadow with air-fluid level in left hemithorax. Ultrasound confirmed the presence of gut loop in left side of chest. Laparotomy was carried out with repositioning of intestinal loops in abdominal cavity and closure of posterolateral diaphragmatic defect with non-absorbable suture. Patient recovery was uneventful. As soon as diagnosis of diaphragmatic hernia is made, surgical intervention should be made to prevent fatal complications

Umbilical perforation: a rare complication of entriculoperitoneal shunt

A female baby of one-and-a-half-year old presented with extrusion of ventriculoperitoneal [VP] shunt through umbilicus. On exploration, the urachal remnant was found perforated by VP shunt and the tube exteriorized through umbilicus. Child was managed successfully with excision of urachal remnant, removal of VP shunt, antibiotic treatment and re-insertion of shunt

Small bowel haemangioma: a rare cause of intestinal obstruction in infant

Haemangiomas of small bowel are rare benign tumors. They present diversely, with intestinal obstruction being rare. We describe a two years old female baby with intestinal obstruction. Exploration revealed a diffusely infiltrating haemangioma of middle one third of ileum. Resection of affected segment and end to end bowel anastomosis was made. Post- operative recovery was un- eventful. Histopathological report was consistent with capillary haemangioma of small intestine