A rare case of pancreato-pleural fistula with left sided massive pleural effusion

Pancreaticopleuralfistula is a very rare complication of acute and chronic pancreatitis. High index of suspicion is needed to diagnose in patients with alcohol induced pancreatitis, presenting with recurrent or persistent pleural effusion. Patient typically presented with pulmonary symptoms, rather than abdominal complaints, leading to delay in the diagnosis. Here we present a case of a known chronic pancreatitis who presented to us with massive left sided pleural effusion. Blood coloured pleural fluid analysis showed lipase and amylase levels in hundred thousand and ten thousand ranges. Diagnosis was made by CECT abdomen and confirmed with MRCP. Patient was treated with first line medical management of thoracocentesis and ERCP with pancreatic duct stenting.

Prevalence of anaemia and its associated factors among adolescent girls: a community based study

Background: Anemia is a major nutritional problem in adolescent girls in many developing countries. Anaemia prior to pregnancy is likely to affect fetal health and survival and therefore it is necessary to evaluate the nutritional needs in this vulnerable group. To know the prevalence of anaemia and its associated factors among adolescent girls residing in the urban field practice area of S. Nijalingappa Medical College, Bagalkot. Methods: A community based cross sectional study. A field practice areas of the urban health training centers, Department of Community Medicine, S. Nijalingappa Medical College in Bagalkot. 400 unmarried adolescent girls were participants. Systematic random sampling. Data was tabulated in Microsoft Excel 2010 and analyzed by using Open Epi software. Data was collected through predesigned, semi-structured questionnaire through house to house visits. Haemoglobin estimation was done by Sahli’s method and anaemia was classified based on WHO criteria. Results: The prevalence of anaemia was 63.3%. Factors associated with anemia were age, mother’s literacy, SES, type of family, environmental sanitation and tea consumption. Conclusions: Prevalence of anaemia is high and is a major public health problem in this area. Health education and periodical haemoglobin estimation followed by supplementation of iron would help in reduction and prevention of anaemia.

Epidemiology and outcome of burn injuries.

Burn injury is a serious public health problem in developing countries. The causes vary in different communities and so this study was done to know the epidemiology and outcome of burn injuries. A one year cross sectional study was done of all the burn injury patients admitted during April 1st, 2004 to March 31st, 2005. Data was collected using a pre designed and pre tested proforma from the patients themselves or their relatives and analyzed using chi square test and percentages. A total of 76 burn injury patients were admitted. Majority were females (52.63%) and sustained burn injuries at home (p=0.000). Maximum number of females were wearing synthetic clothes (p=0.000) and suffered from flame injuries (0.006).The case fatality rate was 31.58%.Burn injuries can be reduced by bringing about regulations to develop safer cooking appliances, promoting less inflammable fabrics to be worn at home and educating the community especially women.

Double-barrel common bile duct: a rare cause of extrahepatic biliary obstruction.

Double-barrel common bile duct is rare. We report a 50-year-old woman with defective canalization of the common bile duct, presenting with extrahepatic biliary obstruction due to stones in one compartment. CT scan highlighted this anomaly. After failed attempts at stone extraction at ERCP, she was successfully operated on.

Multiple tubular and cystic intestinal duplications.

Duodenal and colonic duplication presenting as mass in a neonate is rare. We report a 52-cm-long tubular, total colonic and 5-cm-long cystic duodenal duplication in a two-day-old neonate. Both the duplications could be excised without resection of the normal bowel.

Disseminated spina ventosa.

Spina Ventosa is a rare condition. A rare case of disseminated tuberculosis of bones and skin without primary foci is presented. Gross sclerosis of the short bones of hand and leg were noted.