Enterolithiasis: A Rare Finding in Intestinal Tuberculosis

Though intestinal tuberculosis is relatively a common ailment in India and other developing countries; enterolithiasis is a rarely encountered clinical and radiological entity found in this disease. Enteroliths are formed due to stasis caused by stricture formation in intestinal tuberculosis. We report a case of enterolithiasis secondary to intestinal tuberculosis.

Effect of cataract extraction on intraocular pressure in patients with pseudoexfoliation

To evaluate the Intraocular Pressure lowering effect of cataract extraction in eyes with pseudoexfoliation in patients attending ophthalmology department Combined Military hospital Hyderabad. This interventional study of 06 months [from May to Oct 2009] in Eye department Combined Military Hospital Kharian and Hyderabad. A total of 60 patients were included. Preoperative IOP was recorded for every patient using Goldmann Applanation Tonometer with Fluorescein. Cataract extraction was performed under topical or local anesthesia with posterior chamber intraocular lens implantation after aspiration of lens matter. Postoperative IOP on 7[th], 14[th] and 28[th] postoperative days were recorded for every patient. 28[th] post operative day IOP of cases [13.96 +/- 2.74] was significantly [p<0.05] less than pre operative IOP [17.5 +/- 2.75]. Frequency of cases with >3 mm Hg drop was 50 [83.33%] Cataract extraction results in clinically significant lowering of IOP levels in cases of PXS

Efficacy of needle aspiration as primary treatment of amoebic liver abscess

To describe the efficacy of needle aspiration of amoebic liver abscess and to assess its morbidity and mortality rates. A descriptive case series is designed. This study was conducted on 46 patients admitted to surgical ward 5 of Civil Hospital Karachi during a period of 2 years from December 2004 to November 2006. The success rate of percutaneous needle aspiraion was found to be 98%. Only one case came with recurrence. Four cases did not respond and were treated through laparotomic drainage. Reason of failure was found to be the more posterior location of the abscess. Treatment of amoebic liver abscess by aspiration with a wide bore needle is a very satisfactory method. It is accompanied by very low morbidity and mortality. In developing countries like Pakistan needle aspiration should be recommended as a standard procedure to treat amoebic liver abscess