Hepatic artery pseudoaneurysms are rare and have been reported after abdominal trauma surgery. constitute 20% of all visceral aneurysms. They carry a very high risk rupture with severe bleeding into the peritoneal cavity, bile duct, or portal vein. Essentially pseudoaneurysms, whether symptomatic not, require early treatment to prevent lethal adverse events. Surgical consists ligation revascularization hepatic but is associated higher morbidity in comparison endovascular treatment. The goal...

Rowell's syndrome is now identified as a subtype of subacute lupus erythematosus (LE) with erythema multiforme-like skin lesions, positive serum rheumatoid factor, anti-Ro La positivity and speckled pattern antinuclear antibodies. Here we describe case in an 18-year-old female who was found to be ds-DNA negative, later progressed develop stage V nephritis (LN) over course 4 months. Although extremely rare, most cases LN are drug induced. Of only seven non-drug induced negative dsDNA, none...

A 2-year-old Indian girl was referred with symptoms of biliary colic and obstructive jaundice 3 weeks’ duration. Abdominal ultrasonography revealed dilation intrahepatic radicles, a distended gallbladder, dilated common bile duct (CBD) 15 mm (normal diameter up to 6 mm) containing multiple ill-defined, oval, hyperechoic shadows near the lower end ([Fig. 1]). Magnetic resonance cholangiopancreatography (MRCP) showed intraluminal curvilinear, hypointense areas in CBD consistent stones or worm...

Background: Distal femur fractures with intra-articular extension and comminution are challenging injuries, fraught complications such as mal-union stiffness. We prospectively evaluated compared a consecutive series of patients AO type B C distal to determine the clinico-radiological outcome after fixation locking compression plate using Swashbuckler approach standard lateral approach. Materials Methods: 60 Muller's (mostly C2 C3) were treated (DF-LCP), 30 swashbuckler The regular follow-up...

A 30-year-old Indian woman was referred with recurrent episodes of acute pancreatitis; she had experienced four in the previous 7 months. There no history alcohol or drug intake. She diagnosed idiopathic pancreatitis (IRAP), as results blood investigations, ultrasonography, computed tomography (abdomen), and magnetic resonance cholangiopancreatography were normal. Linear endoscopic ultrasound (EUS) performed to diagnose etiology IRAP.

A 32-year-old man was admitted with massive hematemesis of approximately 700 mL blood associated melena. His hemoglobin 6 g/dL, and he hemodynamically unstable. He had experienced an episode alcoholic acute pancreatitis 2 weeks earlier. After hemodynamic resuscitation transfusion, upper-GI endoscopy in a search for the cause GI bleeding showed normal results. CT abdomen angiography revealed features no source bleeding. Repeated duodenum active (Fig. 1A). The result side-viewing normal....

Introduction: Gastroduodenal artery (GDA) aneurysms are rare but a potentially fatal condition if rupture occurs. The most common etiology is acute or chronic pancreatitis. clinical presentation gastrointestinal haemorrhage secondary to of the aneurysm. Such complication not always related size aneurysm and therefore treatment should be planned as soon diagnosis made. Surgical, Endovascular, percutaneous endoscopic ultrasound (EUS) guided interventions used in visceral pseudo-aneurysms. Case...

Lyme disease is a tick-borne multisystem disorder transmitted by the family of Ixodes and caused spirochete, Borrelia. An early manifestation presents with skin lesions typically called Erythema chronicum migrans (ECM). Doxycycline should be antibiotic choice used for its treatment. However, we present case Lyme's in an adult male dog tick, Rhipecephalus as vector.

A 50-year-old woman presented with dyspepsia but no history of weight loss or gastrointestinal bleeding. Esophagogastroduodenoscopy (EGD) showed a sessile polypoidal submucosal lesion in the second part duodenum close to ampulla central opening (fish-mouth appearance) ([Fig. 1]). The contour this was smooth and there disruption surrounding folds, nor ulceration Linear endoscopic ultrasound (EUS) performed for evaluation lesion. This revealed that arising from mucosa/submucosa had cystic...

Staphylococcal toxic shock syndrome (STSS) is a toxin-mediated disease. It severe fatal disease inducing immune-mediated inflammatory reaction and occurs because of exotoxin produced by Staphylococcus aureus. Common signs symptoms at the time presentation lead to misdiagnosis delay in initiation treatment. Prognosis depends primarily on early diagnosis prompt This case young adult male presented with fever, rash, hypotension diagnosed STSS.

Background: Milk is important part of diet due to its nutritive values. It recommended for population every age group.Milk required the growth and maintenance health. When consumers buy milk they have a right toassume that will be pure unadulterated. duty vendors provide unadulterated consumers. Adulteration act addition substances product makes it unfit human consumption. These additives are used make cheaper increase amount.1Material Method: A prospective study was conducted by Central...