Role of multi-detector CT in staging of Colorectal carcinoma – A correlative study.

Aim: To study the CT characteristics of wall thickening in case of benign and malignant lesions of the colon and rectum, to evaluate the role of MDCT in pre-operative tumour stanging of colorectal malignancies and to evaluate the effectiveness of MDCT in differentiating benign and malignant colorectal lesions. Material and methods: It was correlative study done on patients with wall thickening involving the colon and rectum on CT were included. CT was performed using 16 slice SIEMENS SOMATRON Emotion CT scanner. CT findings were finally correlated with histopathology. Results: Patients with complaints of loose stools, vomiting, weight loss, constipation, bleeding PR, abdominal pain were evaluated by CT scan and which showed findings that were highly suggestive findings of malignancy like bowel wall thickening, presence of lymph nodes, peri-colic fat standing, infiltration of adjacent viscera and presence of metastases. Conclusion: MDCT is an excellent modality in the diagnosis and differentiation of benign and malignant lesions of the colon and rectum. MDCT is also useful in the staging of maligant lesions of the colon and rectum. MDCT is also useful in the staging of malignant lesions which helps in proper planning of surgery and further management of the patient.

Case series – Slipped capital femoral epiphysis in three members of same family as an unusual presentation.

Slipped capital femoral epiphysis is a disorder of the hip that affects children in late childhood and early adolescence, characterized by medial and posterior displacement of the proximal femoral epiphysis on the metaphysis. Although the diagnosis and treatment of slipped capital femoral epiphysis have been well described, the search for its cause and a method of early identification continues. We have reported here an interesting case of a bilateral slipped capital femoral epiphysis as an unusual presentation in one family -father and two siblings, had no record of any hormonal imbalances or endocrine abnormalities; had good nutrition; and presented with atypical characteristics of slipped capital femoral epiphysis. epiphysis have been well described, the search for its cause and a method of early identification continues. We have reported here an interesting case of a bilateral slipped capital femoral epiphysis as an unusual presentation in one family-father and two siblings, had no record of any hormonal imbalances or endocrine abnormalities; had good nutrition; and presented with atypical characteristics of slipped capital femoral epiphysis.