Egg-shell calcification in Pick's disease (chronic constrictive pericarditis).

Egg-shell calcification is rare in cases with constrictive pericarditis. It leads to significant right heart failure and the only treatment is surgical excision of the pericardium. We present a case of a 22-year-old-male who was diagnosed to have severe pericardial calcification on the chest X-ray, which eventually led to a diagnosis of constrictive pericarditis and required an early surgical correction.

Ablation of atrioventricular-nodal-reentrant- tachycardia in a patient with left-sided superior vena cava and dilated coronary sinus.

Atrioventricular (AV)-nodal-reentrant-tachycardia is a rare association in a patient with persistent left-sided superior vena cava and dilated coronary sinus. There are a few inherent difficulties in ablation in this condition, viz., difficulty in localization of good site for ablation and difficulty in stabilization of the ablation catheter at the designated site, making it difficult to produce transmural lesions and increasing risk of producing AV block.

Atrial tachycardia from an unusual site-Left atrial appendage tachycardia: Challenges in ablation.

Left atrial appendage (LAA) tachycardia are rarely encountered in clinical practice (2.1% of focal atrial tachycardia). Out of these, the ones arising from the distal part of LAA are difficult to ablate due to higher risk of LAA perforation and thromboembolism.

Risk factors for inflammatory bowel disease: A prospective multi-center study.

Introduction: Environmental risk factors have been associated with inflammatory bowel disease (IBD). With rising incidence, it is important to know risk factors associated with IBD in our population. This study was aimed to evaluate risk factors for IBD from western India.

Single-site multi-port laparoscopic endo-surgery: the SIMPLE technique--a useful method of purely umbilical porting that ensures triangular laparoscopic ergonomics.

Umbilical single-port surgery is a recent development that produces better cosmesis and lesser pain. However, the steep learning curve and the higher surgical expense have led to its rather sceptical acceptance. In this regard, a technique is hereby described in which three ports are directly inserted on the umbilical mound (without raising the umbilical-flap) through three small incisions to form an isosceles triangle.

Profile of patients with gastrointestinal TB at a tertiary care centre in western India.

Gastrointestinal TB is a common problem. We report a series of 32 cases diagnosed at our centre in 2009. Peritoneal and ileocaecal TB are the most common manifestations and diagnosis was confirmed in 87.