RESUMEN
Background: Constipation is a common condition in elderly in India. High resolution anorectal manometry (HRAM) is an essential tool in the evaluation. In this context, studies from south India are sparse regarding the motility data of elderly patients with functional constipation. We aimed at studying anorectal pressure patterns in this population of this part of the country. Methods: Manometric data of 50 elderly patients (?60 year), who underwent the procedure for chronic constipation (Rome IV), was retrospectively collected. Manometric parameters were compiled and observations tabulated. Results: Among 50 patients, 35 were (70%) males and 15 (30%) females with mean age of 66.5±3.2 years. In HRAM study, the mean resting pressure was 90.2±27.5 mmHg (range 43-153 mmHg) and mean squeeze pressure was 136.9±39.76 mmHg (range 88-223 mmHg). In present study 23 patients had abnormal HRAM suggestive of dyssynergic defecation (46%). Conclusions: The present study showed that 46% of the elderly constipation patients had defecation disorder. Defecation disorders are common in our population and there is a need to diagnose it as treatment perspectives differ from other causes of constipation.
RESUMEN
Optic nerve involvement is a rare side effect of isoniazid (INH) and has not been described in children. We describe this adverse reaction in a 10-year-old boy, who was treated for tuberculous meningitis. The patient showed almost complete resolution following withdrawal of INH and administration of pyridoxine and steroids.
Asunto(s)
Congresos como Asunto , Humanos , India , Proyectos de Investigación , Estudiantes de Medicina , Estados UnidosRESUMEN
The rarity of adrenocortical carcinoma prompted us to report a case who came with a history of swelling in the left flank associated with pain, weakness and loss of appetite. Ultrasonography revealed a left retroperitoneal mass which was removed by radical surgery along with the left kidney and spleen. On histopathological examination, a diagnosis of adrenocortical carcinoma was made. (Hough criteria score 2.97). The cells of the tumor were arranged in closely packed columns and cords supported by fibrovascular stroma. There was no evidence of metastasis.