Laparoseopic drainage of ruptured liver abscess

To assess and analyze the therapeutic efficacy of laparoscopic drainage of ruptured liver abscess as a treatment modality, in terms of hospital stay, pain and other complications. Design: Descriptive study. Period: The study was conducted in the Department of General Surgery Ward-26, Jinnah Postgraduate Medical Centre, Karachi over a period of 4' years from January, 1998 to June, 2002. This study included 12 patients, with clinical features of peritonitis and evidence of leaking liver abscess or free fluid in the peritoneum. All the patients undergoing laparoscopic drainage recovered completely with no mortality. Mean stay in hospital was 12-days. Pleural effusion and residual abscesses were seen in two patients who had to stay in the hospital for 20 days. Laparoscopic drainage of ruptured liver abscess is an effective mode of treatment and we recommend its use as an alternative to laparotomy

Tuberculosis with medullary carcinoma of thyroid; A clinical association, strange by st and ards

18 years old girl presented with right dominant lobe thyroid gl and in euthyyroid state. Radioisotope scanning revealed cold nodule and tine needle aspiration cytology reported follicular neoplasm. Subsequent histopathological examination revealed medullary carcinoma with tuberculosis. The medical literature abounds with evident association between chronic inflammatory process and neoplasia, considering chronic inflammation as risk factor for later. We searched the local and international medical literature in English language to find any association between neuro endocrine tumors and granulomatous inflammation. However to our knowledge no such association has so far been described, even in the form of clinical case report in any core medical journal