A rare complication of Yellow Phosphorous poisoning.

Yellow phosphorous is one of the most common toxins reported to cause fulminant hepatic failure. Yellow phosphorous is a component of rodenticides and fireworks, and is freely available over the counter. The mortality rate as high as 27% from fulminant hepatic failure has been reported following ingestion of yellow phosphorous.1 Multisystem toxicity affecting gastrointestinal, cardiac, renal and central nervous systems occurs.2 There is a paucity of literature on its haematological toxicity. In this case report, we highlight the clinically significant myelosuppression observed in a patient resulting from yellow phosphorous; a small literature review has also been done on this rare complication.

A Rare Cause of Ortner's Syndrome and a Case-Based Review of Literature.

Ortner's syndrome refers to the compression of the recurrent laryngeal nerve by cardiovascular disorders of various etiologies. We describe a rare case of Ortner's syndrome caused by thoracic aorta aneurysm and a brief review of literature on this unusual cause of Ortner's syndrome. Hoarseness of voice due to the compression of recurrent laryngeal nerve by thoracic aorta aneurysm could be a harbinger of aneurysmal rupture.

Thoracic psammomatous spinal meningioma with osseous metaplasia: A very rare case report.

Thoracic spinal psammomatous meningioma is a rare subtype of meningioma. Among diverse types of mesenchymal differentiation, osseous metaplasia is found to be still rarer. We are presenting a new case of thoracic psammomatous spinal meningioma with osseous metaplasia in a middle aged female which that gives a sense of cancellous bone in the spinal canal. To conclude, meningiomas with osseous metaplasia are very rare tumors that complicate the surgical removal in certain cases. Ossification, if predicted prior to operation with computed tomography reconstruction, makes planning of removal easier. In our case, maintained cerebrospinal fluid spaces despite hard consistency of tumor made its removal easier once cerebrospinal fluid was drained. We have submitted this article because it is very rare and curable pathology and preoperative diagnosis helps in prevention of neurological injury during its excision.

Retrospective analysis of duodenal injuries: a comprehensive overview.

BACKGROUND/AIM: Duodenal injury is an uncommon finding, accounting for about about 3-5% of abdominal trauma, mainly resulting from both penetrating and blunt trauma, and is associated with significant mortality (6-25%) and morbidity (30-60%). PATIENTS AND METHODS: Retrospective analysis was performed in terms of presentation, management, morbidity and mortality on 14 patients of duodenal injuries out of a total of 172 patients of abdominal trauma attending Subharti Medical College. RESULTS: Epigastric pain (100%) along with vomiting (100%) is the usual presentation of duodenal injuries in blunt abdominal trauma, especially to the upper abdomen. Computed tomography (CT) was diagnostic in all cases. Isolated duodenal injury is a rare finding and the second part is mostly affected. CONCLUSION: Duodenal injury should always be suspected in blunt upper abdominal trauma, especially in those presenting with epigastric pain and vomiting. Investigation by CT and early surgical intervention in these patients are valuable tools to reduce the morbidity and mortality.