Presentation and aetiological aspects of tuberculous lymphadenitis at district sialkot

The present study was conducted to assess the presentation and etiological aspects of tuberculosis cervical lymphadenopathy for early detection, diagnosis and prompt specific therapy. Descriptive study. This study was conducted at the Department of Surgery and ENT of Allama Iqbal Memorial Hospital Sialkot from July 2009 to July 2014. Data was collected including history, family history, socioeconomic status, history of contact and symptoms. They have already undergone FNAC and only those with inconclusive FNAC underwent excision biopsy. Total sample size was 372 males and females were 232, age range of 0 to 70 years. The younger was anewborn of 2 months of age with history of tuberculosis in mother and the oldest was a 70 year of age with prolonged history of pulmonary tuberculosis. Frequency of tuberculosis is more common in Sialkot district. The main reason of prevalence of tuberculosis is poor hygiene, poverty, overcrowding, tanneries spill over contaminating drinking water. Timely diagnosis is better option in order to reduce such incidence and therapy reducing cost of treatment

Terminal ileal perforation due to various etiologies and their treatment modalities

Terminal ileum perforation is quite common in developing countries carrying high morbidity and mortality. Retrospective case study. This study was carried out at the Department of General Surgery, Allama Iqbal Memorial Hospital, Sialkot from March 2007 to March 2013. The study was aimed to find aetiological factors of Terminal ileum perforation and different treatment modalities for such perforation. There were 34 typhoid, 6 tuberculous, 14 non-specific and 2 others of foreign body and ascariasis. Various surgical procedures like Covering ileostomy, Closure with exteriorization, Ileostomy alone, Resection of perforation with covering ileostomy and Right hemicolectomy were done depending upon the severity of disease and clinical status of the patient. Treatment of Terminal ileal perforation is always surgical regardless of the techniques. Operation must be done as soon as possible and should be associated with aggressive resuscitation before operation. This results in remarkable decrease in morbidity and mortality of the patients. Response of treatment modalities varies from patient to patient depending upon the aetiological factors. The outcome is very encouraging in those who present earlier

Adult intussusception -temple of surprise 7 year experience in Sialkot

Intussusception is a rare entity in adults, it is expected to be found in 1/30,000 of all hospital admission, 1/1300 of all abdominal operations, 1/30 to 1/100 of all cases operated for intestinal obstruction, and one adult intussusception for every 20 childhood. Retrospective case series study. This study was carried out at the department of surgery Allama Iqbal Memorial Teaching Hospital Sialkot from June 2006 to June 2013. While operating cases for intestinal obstruction five cases of adult intussusception with M-F ratio was 4:1, mean age was 46.5 year. Ileo-Ileal Intussusception were found in all cases. All five patients presented with intestinal obstruction on radiological evidences, exploratory laparotomy were carried out, four patients had Ileo-Ileal Intussusception while fifth one involved terminal ileum for which right hemicolectomy was performed. All patients recovered and discharged home. Adul Intussusception is a rare entity usually has a causative pathological lead point and always difficult to diagnose, always treated by surgery