Laparoscopic cyst-gastrostomy for pancreatic pseudocyst

Pancreatic pseudocyst Is a complication following resolution of pancreatitis. The optimum treatment for this condition has been under much debate. Laparoscopic surgery has changed the outlook of surgical management for the condition by reducing the operation related morbidity. The procedure has not been reported in local literature and is relatively new for the medical-surgical community. We report a case of pseudocyst gastrostomy and explain the procedure through laparoscopic approach

Complete androgen insensitivity syndrome

The incidence of Complete Androgen Insensitivity Syndrome [CAIS] is about 1 in 20.000. People with CAIS are normal appearing females, despite the presence of testes and a 46, XY chromosome constitution. We came across a case in which a 17 years old girl presented with the complaint of inguinal hernia and amenorrhea. Subsequent investigations were done revealing absence of female internal genitalia and the presence of abdominal mass, possibly testes. Syndrome has been linked to mutations in AR, the gene for the human Androgen Receptor, located at Xq11-12 leading to the insensitivity of the receptor to testosterone. Gonadectomy was performed and life long Hormone replacement therapy was advised