Spontaneous endobroncheal erosion of a bullet - an uncommon presentation of gunshot trauma in remote past

A case of unknown bullet trauma to the lung, in remote past, presented with hemoptysis which was mislabeled as hematemesis. Once labeled, a number of physicians, one after the other, kept on treating her for that symptom. She also consulted a number of specialties and was treated for reflux esophagitis, tuberculosis etc. Meanwhile her x-ray chest revealed a foreign body which was treated as an artifact first, and proved to be a bullet on CT scan. Thoracotomy had to be performed to remove the pathologic right lower lobe of lung

Patterns of etiologies and soft tissue defects in upper limb and use of different reconstruction modalities

A total of 48 cases of soft tissue defects of upper limb were managed during one calendar year. This included 34 males and 14 females. Post burn complication was the most common etiology. Ten cases had machine injury while other 6 cases had household trauma. Another group of six cases had injuries during fireworks at various ceremonies. Whereas 17 cases were dealt by simple measures like healing by secondary intension, primary closure and skin grafting, 31 cases needed soft tissue coverage with various flaps. Only ten cases were dealt with the help of local flaps while rest of the 21 cases needed various regional and distant flaps

Experience with simultaneous releas of upper and lower eyelids in post-burn ectropion

We present our 2 years experience of performing simultaneous release of both upper and lower eyelids in post-burn ectropion in 29 patients [followed-up for 2 to 20 months]. Over-correction was achieved in all the cases. Only 4 patients needed secondary release later on. It has been observed that simultaneous upper and lower eyelid release is equally effective when compared to the classical approach of single eyelid release at one operative session. It reduces patient's morbidity and is also more cost-effective