Minimally Invasive Retroperitoneal Pancreatic Necrosectomy via Percutaneous Drainage Tract: A Case Report.

Open necrosectomy is the gold standard for treatment of infective pancreatic necrosis but has a very high mortality rate. Th ere are percutaneous methods, but these do not help in removing the necrosis adequately. Minimal invasive retroperitoneal pancreatic necrosectomy drainage is a relatively easy technique with acceptable morbidity and mortality. We report here a 35-year-old male patient who presented with necrotizing pancreatitis and fl uid collection in the retroperitoneal space which was successfully treated with minimally invasive retroperitoneal pancreatic necrosectomy using the percutaneous pigtail drainage tract as a guide. Th is approach reduced the risk of multiple organ failure and respiratory complications.

Gas Gangrene after an Intramuscular Injection: A Case Report.

Gas gangrene is a necrotic infection of soft tissue associated with a high mortality, often necessitating amputation to control the infection. It is mainly caused by Clostridium perfringens which is a Gram-positive, anaerobic, spore-bearing bacillus widely found in nature, particularly in soil and feces. Incubation time for gas gangrene is short, usually <24 h, and the physical finding of crepitus is characteristic in the setting of soft tissue infection. Herein, we present a case of gas gangrene of the gluteal region and thigh following an intramuscular injection where the patient was treated with multiple debridements, antibiotics, and hyperbaric oxygen therapy; a review of the literature is presented here.

Tubercular ileal perforation - atypical, acute presentation in a renal transplant recipient - a case report.

Summary: Extrapulmonary tuberculosis (TB) is more common than pulmonary TB in immuno-suppressed renal transplant recipients. Atypical presentation of TB and disseminated TB is known in transplant recipients. Usually intestinal TB presents with pain abdomen, intermittent subacute intestinal obstruction, diarrhoea and/or constitutional symptoms like fever and weight loss. Here we report a case of renal allograft recipient on regular hospital follow up, presented with acute abdomen with no previous symptoms of fever, weight loss or abdominal symptoms and was diagnosed to have tubercular ileal perforation on exploratory laporatomy and confirmed by histopathological examination. This patient succumbed to the illness due to sepsis despite timely surgery, broad spectrum antibiotics and antitubercular therapy.

Primary signet ring cell carcinoma of the breast: a rare pathologic entity

Primary signet ring cell carcinoma [SRCC] of the breast is a rare and aggressive variant of lobular carcinoma. We present a case of advanced stage primary SRCC of the breast in 71 year old female treated with palliative mastectomy and axillary lymph node dissection. Clinicopathologic features of this rare and aggressive tumor and its unique morphologic features are discussed

Epidemiological of oral squamous cell carcinoma and salivary gland tumors using international classification of diseases for oncology (a cross-sectional study in Baghdad during the period 1999-2006)

Oral cancer is one of the most debilitating and disfiguring of all malignancies, it is the sixth most frequently occurring cancer, with 274,000 new cases in 2002 worldwide. Two - thirds of them occurring in men. a descriptive cross-sectional study was executed on a sample of 877 of oral squamous cell carcinoma and salivary gland tumors. The data was collected from the medical records of 5 centers in Baghdad [College of Dentistry, University of Baghdad, Department of Oral Pathology, Specialized Surgical Teaching Hospital; Teaching Laboratories; Al-Wasity Hospital and the Nuclear Medicine and Radiation Hospital]. The diagnosis of individual tumor was based on the World Health Organization latest version of International Classification of Diseases for Oncology [10[th] revision]. The selected tumors were analyzed according to patient's identifying information [age, gender, occupation, address, cancer family history and smoking habit] and tumor site. A total of 877 cases were analyzed [479 male and 398 female with male to female ratio 1.2:1]. The tongue was the most commonly affected site [27.6%], followed by salivary glands [17.1%] and buccal mucosa of cheek [14.7%], The peak onset of selected tumors seen in age group between 40-64 years old [54.3%]. The male was affected more than female and the tongue was the most commonly affected site