PERFORATED DUODENAL ULCER ASSOCIATED WITH SITUS INVERSUS AND DEXTROCARDIA.

A 32 years old gentleman, presented in emergency department, with complaints of sudden onset of severe upper abdominal pain, associated with nausea and vomiting. He was a known case of acid peptic disease. His abdominal examination showed signs of peritonitis.

LAPAROSCOPIC CHOLECYSTECTOMY: OUTCOME OF FIRST 202 CASES IN A DISTRICT HOSPITAL IN GILGIT.

Background: The incidence of gall stone disease is on the rise in Gilgit Baltistan. The objectives of the study were to assess the outcome of laparoscopic cholecystectomy in terms of conversion rate and postoperative morbidity, in The Aga Khan Medical Centre Gilgit.

Methods: It was descriptive case series.

Dual Ectopy of Thyroid Tissue: Intratracheal and in Nasopharynx, Associated with Normally Located Thyroid.

Dual ectopic thyroid tissue associated with normally located thyroid, is a rare anomaly. We report a case of 42 years lady, who underwent left hemithyroidectomy for nodules in the left lobe of thyroid 15 years back. She presented with right side neck swelling and dyspnea for 6 months.

Efficacy of metformin versus insulin in the management of pregnancy with diabetes.

Objective: To compare the efficacy of metformin with insulin in the management of pregnancy with diabetes.

Study Design: Randomized clinical trial.

Place And Duration Of Study: Department of Obstetrics and Gynaecology, Maternal and Child Health Centre (MCH), Pakistan Institute of Medical Sciences, Islamabad, from May 2010 to January 2011.