A report of two unsuspected cases of cervical tuberculosis.

Tuberculosis of the uterine cervix is an uncommon disease. Two cases of unsuspected cervical tuberculosis are reported. In Case 1, the patient presented with primary infertility. In Case 2, the patient had procidentia with decubitus ulcer and purulent vaginal discharge. In both the cases, the patients had secondary amenorrhoea. The differential diagnoses and role of other diagnostic aids are discussed.

Wilms' tumour in adults: a report of three cases.

Wilms' tumour is the most common pediatric renal neoplasm. Its occurrence in adults is rare, less than 1% of all nephroblastomas have been reported after the age of 15 years of age. We report 3 cases of Wilms' tumour in adults, their clinico-pathological profile and review the literature including the cases reported from India. Patients were young adults, their age ranging from 25 to 32 years. The largest tumour dimension was between 11 cm to 17 cm. Two cases were blastema predominant while the third case had typical triphasic histology. All cases were stage II (National Wilms' Tumour Study), favourable histology. Although Wilms' tumour in adults is morphologically similar to its childhood counterpart, it often responds poorly to the combination chemotherapy. The criteria for its diagnosis are strict and should be adhered to for its correct identification.

Reappraisal of abdominal tuberculosis.

Tuberculosis, including abdominal tuberculosis, is a common disease responsible for considerable mortality and morbidity. The diagnosis of abdominal tuberculosis requires a high index of suspicion due to its vague symptomatology. This retrospective study (of 3 years duration) was conducted on 84 operated cases in whom a diagnosis of abdominal tuberculosis (excluding genito-urinary) was made on histopathology. These constituted 5.4% of all the surgical material related to gastro-intestinal tract. The mean age of the patient was 23.5 years, with the youngest patient being only 7 months old. No sex predilection was noted (41 males, 43 females). Eighteen patients (21.4%) belonged to the paediatric age group (0-15 years). Majority of patients (92.8%) presented with features of intestinal obstruction. Sixteen patients were already receiving anti-tuberculous treatment. Terminal ileum (49 cases) was the most common site of involvement followed by appendix (9), jejunum (5), anal canal (4), caecum (3) and colon (2). One case of duodenal tuberculosis was also confirmed. The important features noted in this study were high paediatric patient involvement (21.4%), significantly higher incidence of intestinal perforation (69%) and rarity of gastroduodenal tuberculosis (1.2%). Concomitant infections like typhoid and worm infestations were also seen.