Acute necrotizing gastritis.

A 17-year-old man presented with signs of peritonitis. Laparotomy revealed gangrene of the stomach without obvious cause. The patient underwent total gastrectomy with esophago-jejunal anastomosis with formation of jejunal pouch.

Pulmonary gangrene complicating bacterial pneumonia.

Two cases of pulmonary gangrene involving left lower lobe in an 18-month and 4-year-old female children are reported. The patients looked like having empyema following Klebsiella pneumonia. The diagnosis was made following computerized tomography scan and during decortication respectively.

Banana leaf dressing for skin graft donor areas.

Skin grafting is an integral part of burn wound management. The pain experienced at skin graft donor sites is significant. Banana leaf dressing (BLD) developed by our unit in 1996 is an excellent, non-adhesive, pain-free, cheap and easily available dressing material.

Traumatic urethral fistula.

An 11-year-old male was passing urine from an opening on the undersurface of the penis as well as from the normal meatal opening. He had passed a calculus per urethra 1.5 years previously.

Combined anterior and posterior decompression and short segment fixation for unstable burst fractures in the dorso lumbar region.

The dorso lumbar segment of spine (D10 to L2) is an unstable zone between fixed dorsal and mobile lumbar spine. A combined anterior and posterior approach with short segment stabilization was found most appropriate. Thirty cases were treated over a period of 4 years and 6 months.

Use of faradic stimuli in a case of recurrent hystericial aphonia.

Hysterical aphonia is characterized by abrupt loss of voice without neurological or laryngeal cause and is preceded by conflicts or other stressor. This case report describes the use offaradic stimuli in a case of recurrent hysterical aphonia.

Correlation between plasma neurotransmitters and memory loss in pregnancy.

Objective: To correlate the levels of plasma neurotransmitters epinephrine, norepinephrine, serotonin and dopamine with memory in healthy, pregnant women.

Study Design: Fifty healthy, pregnant women were selected in the first trimester and followed in the second and third trimesters of pregnancy. Nonpregnant women served as controls.

Prevalence of gram negative anaerobic bacilli in routine clinical specimens.

A total of 206 gram negative anaerobic bacilli were isolated from 2591 routine clinical specimens. Majority of them (78.2%) were part of a mixed flora.

Degloving injury of small intestine.

Self-inflicted stab wounds are seldom very grave. We report a 25-year-old man who inflicted stab wounds with a glass piece under the influence of alcohol. This led to evisceration and later degloving injury to the small bowel.

A radiological evaluation of allografts (ethylene oxide sterilized cadaver bone) and autografts in anterior cervical fusion.

Serial roentgenograms of 40 patients who had 70 cervical intervertebral spaces grafted with ethylene oxide sterilized cadaver bone and 28 patients who received 44 iliac crest auto grafts for anterior cervical spine fusion, were studied. The radiological evaluation was made on the basis of settlement of intervertebral spaces, fusion rate, delayed union, non-union, graft collapse and extrusion of the graft. Indigenous methodologies were designed for the assessment of settlement of grafted intervertebral spaces in percentage.

Spontaneous gastroduodenal disruption in neonate.

A 2-day-old female presented with massive abdominal distention and respiratory distress. An erect abdominal X-ray film revealed a pneumoperitoneum of saddlebag configuration. The patient was resuscitated and a peritoneal drain was put through the right flank.

An unusual cause of stridor: retropharyngeal cold abscess.

A 15-month-old female presented with a large swelling on the left lateral aspect of the neck and respiratory distress, and stridor due to incomplete obstruction of the upper airway. A lateral X-ray film and computerized tomography scan of the cervical spine showed a retropharyngeal abscess without vertebral involvement. Aspiration and contrast revealed it to be a bilobed tubercular abscess.

Primary lymphedema of the penis: surgical correction by preputial unfurling.

Primary lymphedema of the penis (PLP) is a rare disease. We report a case in a 2-year-old, uncircumcised boy where the uninvolved inner preputial skin was unfurled to cover the penile shaft. The uninvolved inner preputial skin is often elongated, and provides a suture-free cover of sufficient length for the small penile shaft of pediatric patients.

Isolated tuberculous hepatic abscess in a non-immunocompromised patient.

A 38 years old female presented with pain in the epigastrium, jaundice and fever since one and half month. The computerised tomographic scan of the abdomen revealed a multiloculated abscess of the left lobe of liver. The pus drained from the liver abscess at laparotomy showed acid fast bacilli on microscopy.

Management of acute vertigo with betahistine.

This open, prospective study was carried out in 29 outpatients of vertigo with Betahistine treatment at a dose of 16 mg three times daily far a maximum treatment period of 6 weeks or earlier until remission of vertigo attacks. The evaluations were carried out based on three parameters such as frequency, duration, and severity of vertigo attacks. Betahistino showed a significant improvement in the three parameters of frequency, duration and severity of vertigo attacks.

Effect of forced breathing on ventilatory functions of the lung.

Ventilatory functions were studied in 36 male and 35 female subjects (mean age 18.5 years), who underwent six weeks course in forced breathing. Ventilatory functions were studied in the form of Forced Vital Capacity (FVC), Forced Expiratory Volume at the end of one second as % of FVC (FEV1%), Maximum Voluntary Ventilation (MVV), Peak expiratory flow rate (PEFR) and Breath Holding Time.

Anaerobic bacteraemia: a review of 17 cases.

Of 93 blood cultures received with a suspicion of anaerobic bacteraemia over a period of two years, only 17 (18.3%) showed anaerobic growth. Twelve grew anaerobes alone while five had a polymicrobial flora.

Non enzymatic glycosylation of alpha-1-proteinase inhibitor of human plasma.

Human plasma contains inhibitors, which control the activity of proteolytic enzymes. Alpha-1-proteinase inhibitor and alpha-2-macroglobulin are two of them present in high concentration in human plasma, which inhibit action of trypsin among other proteinases. The trypsin inhibitory capacity (TIC) of human plasma is observed to be decreased in pathological conditions like diabetes mellitus.

Gangrenous sigmoid volvulus in a pregnant woman.

A rare case of gangrenous sigmoid volvulus in a pregnant woman causing intestinal obstruction is reported. The patient had intrauterine foetal death. Laparatomy for resection of sigmoid colon and hysterotomy for removal of dead foetus was carried out.