ABSTRACT
Hyperemesis gravidarum is a clinical syndrome characterized by excess vomiting, dehydration and weight loss associated high human chorionic gonadotropin levels, usually occurring in the first trimester of gestation. It often presents with severe electrolyte imbalance, mental confusion and may be associated with thyroid dysfunction. We are describing the management of one such case riddled with multiple metabolic events.
ABSTRACT
INTRODUCTION: A range of minimally invasive endoscopic techniques (gas dependent and gasless) have been attempted for thyroidectomy in the past two decades. In this context, we evaluated the feasibility and safety of our technique of a gasless trans-axillary thyroidectomy. MATERIAL AND METHODS: This retrospective study from the Department of Endocrine and metabolic surgery in Southern India included 15 cases. The details of operative technique, intra and postoperative data were documented in all the cases. Only cases with benign thyroid nodules were included. Exclusion criteria were diffuse toxic goiters (Graves' disease), thyroid cancer, > 6 cm nodules, recurrent goitres and patients with shoulder joint pathology. Statistical analysis was done with SPSS software 12.0 version. RESULTS: F:M -14:2. Mean age of the patient group was 26.4 years (15-52). Mean operative time was 123.4 (82-206) minutes. The only specific complications were induration in the infraclavicular area between axillary incision and thyroid region, prolonged wound drainage and stiffness in lower 3(rd) of sternocleidomastoid. Wound drainage lasted for 5.4 days (4 -8). There was no significant operative morbidity. CONCLUSION: This gasless trans-axillary technique for nodular goitres is safe and effective in the hands of an experienced thyroid surgeon.
ABSTRACT
We report the surgical management of a case of Zenker's diverticulum in a 64 year old man, complicated by metallic nail penetration and surgical scarring due to previous surgery for cervical vertebral trauma.
Subject(s)
Adenocarcinoma, Follicular/diagnosis , Adenoma/diagnosis , Carcinoma, Papillary/diagnosis , Carcinoma/diagnosis , Thyroid Gland/pathology , Thyroid Neoplasms/diagnosis , Adenocarcinoma, Follicular/complications , Adenocarcinoma, Follicular/pathology , Adenoma/complications , Adenoma/pathology , Carcinoma/complications , Carcinoma/pathology , Carcinoma, Papillary/complications , Carcinoma, Papillary/pathology , Humans , Thyroid Neoplasms/pathologyABSTRACT
We present a case of Graves' disease with a image of plain radiograph of neck showing bilateral carotid calcifications and briefly discuss the pathophysiology of vascular calcification in Graves' disease.
ABSTRACT
Longitudinal vaginal septum is a rare mullerian anomaly and its association with pelvic organ prolapse (POP) is unusual. A case of longitudinal vaginal septum with stage IV POP in a 35-year-old multiparous woman is being reported. Examination revealed an incomplete longitudinal vaginal septum (9 x 6 x 2 cm) with stage IV POP. Vaginal hysterectomy with repair and reconstruction was done along with excision of the longitudinal vaginal septum which was technically challenging due to proximity to rectum. This is the only case report of stage IV pelvic organ prolapse associated with a thick longitudinal vaginal septum in a multiparous woman without any obstetric complications. Surgery required increased caution per operatively while dissecting the septum from the vaginal wall and the adjacent organs.