Hats off to hit: a case report

Thrombocytopenia is a well- recognized complication of heparin therapy. The diagnosis is mostly clinical and the main value of laboratory testing is in excluding the diagnosis. We describe here a patient with stroke who had aspiration pneumonia leading to sepsis. She developed atrial fibrillation and received heparin which had to be stopped prematurely due to melena. Within 5 days of heparin, she had thrombocytopenia which was heparin-induced thrombocytopenia [HIT], but the diagnosis was missed initially as heparin was no longer on the drug chart

Puerperal ovarian vein thrombosis presenting as Rt loin pain and hydronephrosis: report of 2 cases

Post-partum ovarian vein thrombosis is an uncommon clinical presentation. 90% of cases present as right loin and right iliac fossa pain, within 10 days of the puerperal period. Two such cases that were referred to the Imaging department as suspected appendicitis/ureteric colic are reported. The findings seen on imaging illustrate the difficulty in the clinical and radiological diagnosis of post-partum ovarian vein thrombosis and highlight the need to include it as a differential diagnosis in cases of post partum acute abdomen. Post-partum ovarian vein thrombosis can be accurately diagnosed by appropriate non-invasive investigations to enable early therapy with anti-coagulants and intravenous antibiotics which are the mainstay of treatment. Surgery can be avoided if diagnosis is made early

rare case of brunneroma duodenum causing gastric outlet obstraction

A case of Brunneroma causing gastric outlet obstruction is presented with radiological, endoscopical findings which was removed laparoscopically

Alternate parameter for estimation of gestational age - a study

The placental thickness was estimated in about 608 normal antenatal women of all gestational ages [greater than 10 weeks] attending both Obstetrics and Radiology departments using the 3.5 Mhz USG probe. The placental measurement was taken at the insertion of the umbilical cord in all the cases. Mean placental thickness was calculated with standard deviation in all the cases. It was concluded, that the placental thickness gradually increased from 12 mm at 11 weeks to 40 mm in 39-40 weeks of gestation more or less corresponding to the gestational weeks. Between the 22nd and 40th weeks, it was corresponding to the period of gestation. In all these cases, other parameters were also taken. Thus the placental thickness can be used as an important parameter along with other parameters in early, mid and late mid trimesters where the exact duration of pregnancy is not known