Analysis of primary intrathoracic extrapulmonary hydatid cysts a rare clinical entity

To evaluate the anatomic location of cysts, operative characteristics of intrathoracic extrapulmonary hydatid cyst and to determine the outcome of aggressive surgical interventions.Case series. Thoracic Surgery Unit Lady Reading Hospital Peshawar from 1[st] July 2008 to 30[th] June 2011. All patients admitted to Thoracic unit from July 2008 to June 2011 with intra thoracic hydatid cysts were evaluated prospectively as to age, sex, symptoms, diagnostic procedures, anatomic location of cysts, surgical procedures, complications, and outcomes. Chest radiography, computed tomography, and thoracic and abdominal ultrasonography had been performed preoperatively in all of them. Bronchoscopy and spirometry was also performed in all patients for assessment and operability.Echocardiography had been used in 2 patients to determine the contiguity of the cyst to the pericardium. Cystectomy and wide resection were the chief operative procedures. Most of the patients were having cysts in the pulmonary parenchyma only 10 patients had intrathoracic cysts in extrapulmonary locations. This group of patients was included in the study. We excluded patients who had a parenchymal cyst that had perforated to the pleura, myocardial hydatid and patients who had Total of 149 patients were operated for hydatid cystectomy, out of these 139 patients had pulmonary hydatid and 10 patients had intrathoracic extrapulmonary hydatid cysts. These 10 patients constitute our study group; out of these 7 were men and 3 women whose mean age was 39.14 +/- 16.8 years range, [16-69 years]. Eight [80%] of these were symptomatic, most commonly with chest pain, two patients were asymptomatic. There were 2 [20%] mediastinal hydatid, 2 [20%] diaphragmatic, 2 [20%] pericardial, 2 [20%] oblique fissure, and 1 [10%] each in chest wall and pleural hydatid in our study. Albendazole [10 mg/kg] was prescribed to all patients for as long as 3 months postoperatively. No complication, recurrence, or death occurred during the follow up period of 13 +/- 15.4 months [range, 2-36 months].The extrapulmonary location of Hydatid cysts within the thorax is very rare. This rarity may cause difficulties in diagnosis. To avoid recurrence, it is necessary to resect the affected tissues completely and an anthelmintic medical regimen post operatively

Comprehensive nutrients analysis of rhizomes of Polygonatum verticillatum

The current study was undertaken to estimate the concentration of micronutrients [Zn, Fe, Pb, Cu, Ni, Cd, Cr, Co, Sb and Mn], macronutrients [Na, Ca and K] and essential life nutrients [proteins, fats, carbohydrates and ascorbic acid] along with ash, fiber and moisture contents. Atomic absorption spectrophotometer was employed for the analysis of micronutrients while flame photometry for macronutrients. For proximate analysis [proteins, fats, carbohydrates, ash, fibers and moisture], Association of Official Analytical Chemists methods [AOAC] were used and titration method for ascorbic acid determination. It is evident from the results that the crude extract and its fractions accumulate significant concentrations of both micro and macro nutrients. The significant quantities of essential life nutrients like proteins, fats, carbohydrates and ascorbic acid along with ash, fiber and moisture contents were also found in extracts. It is concluded that the extracts of rhizomes accumulated significant quantities of life indispensible nutrients and validated the ethnobotanical uses of the plant as tonic and energizer

trial myxoma: a ten years experience at the NICVD

A trial myxoma is a rare disease. This is a ten-year retrospective study carried out between January 1991 and December 2000. Our goals were to find out the incidence and long term results of this disease. 52 patients were identified with this condition during this period. The majority of patients were females 41 [78.8 percent] compared to males 11 [21.2 percent]. The mean age was 35 years [28-50 years]. The diagnosis was confirmed at 2D echocardiography surgical treatment entailed excision of the myxoma under CPB. All specimens were sent for histology. Complete excision of the myxoma was achieved in all patients. The incidence of malignancy was very small i.e.: 2 patients [3.84 percent]. The hospital mortality was 5.8 percent. The commonest complication was bleeding 11. 5 percent. There was no recurrence at 2 years follow up. Atrial myxoma is a curable disease. Once treated surgically, it has excellent long term prognosis