Pseudoaneurysm of the gastroduodenal artery secondary to diverticulitis of the first part of duodenum: a rare presentation of upper gastrointestinal bleed.

Acute upper gastrointestinal (UGI) bleeding is one of the most frequent presentations to a surgical emergency. Most of them respond to initial resuscitation, and a definite diagnosis is established as soon as possible, thereby helping the clinician in management. We present the diagnostic challenges that we faced with a 70-year-old man who presented with UGI bleed. He initially responded to resuscitation, but later deteriorated and became haemodynamically unstable. The source of the UGI bleed on evaluation was found to be pseudoaneurysm of the gastroduodenal artery (PsGDA) and treated successfully by coil embolisation. The cause of the PsGDA was diverticulum arising from the first part of duodenum with changes of diverticulitis. Diverticulum originating from the first part of the duodenum is seldom reported. Moreover, diverticulitis involving this part and causing PsGDA has not been reported so far.

Study of diesel engine characteristics by adding nanosized zinc oxide and diethyl ether additives in Mahua biodiesel-diesel fuel blend.

This study deals with an experimental investigation to assess the characteristics of a modified common rail direct injection (CRDI) engine utilizing diesel, Mahua biodiesel, and their blends with synthesized zinc oxide (ZnO) nano additives. The physicochemical properties of diesel, diesel + 30 ppm ZnO nanoparticles (D10030), 20% Mahua biodiesel (MOME20), and Mahua biodiesel (20%) + 30 ppm ZnO nanoparticles (MOME2030) were measured in accordance to the American Society for Testing and Materials standards. The effects of modification of fuel injectors (FI) holes (7-hole FI) and toroidal reentrant combustion chamber (TRCC) piston bowl design on the performance of CRDI using different fuel blends were assessed. For injection timings (IT) and injection opening pressure (IOP) average increase in brake thermal efficiency for fuel blend D10030 and MOME2030 was 9.65% and 16.4%, and 8.83% and 5.06%, respectively. Also, for IT and IOP, the average reductions in brake specific fuel consumption, smoke, carbon monoxide, hydrocarbon and nitrogen oxide emissions for D10030 and MOME2030 were 10.9% and 7.7%, 18.2% and 8.6%, 12.6% and 11.5%, 8.74% and 13.1%, and 5.75% and 7.79%, respectively and 15.5% and 5.06%, 20.33% and 6.20%, 11.12% and 24.8%, 18.32% and 6.29%, and 1.79% and 6.89%, respectively for 7-hole fuel injector and TRCC. The cylinder pressure and heat release rate for D10030 and MOME2030 were enhanced by 6.8% and 17.1%, and 7.35% and 12.28%. The 7-hole fuel injector with the nano fuel blends at an injection timing and pressure of 10° btdc and 900 bar demonstrated the overall improvement of the engine characteristics due to the better air quality for fuel mixing. Similarly, the TRCC cylinder bowl geometry illustrated advanced ignition due to an improved swirl and turbulence. Also, the engine test results demonstrated that 30 ppm of ZnO nanoparticles in Mahua biodiesel (MOME2030) and diesel (D10030) with diethyl ether resulted overall enhancement of CRDI engine characteristics.