scholarly journals Colonic Atresia: A Case Report

2016 ◽  
Vol 12 (1) ◽  
pp. 116-119
Author(s):  
Meherun Nessa ◽  
Shams ud Din Elias Khan ◽  
Md Shakhawat Hossain

Atresia of the colon is among the rare types of all gastrointestinal atresias. Descending colon is the rarest site of all the colonic atresias. A case report of 3 days old female baby was presented with the features of distal intestinal obstruction. At laparotomy type I atresia of the middle part of asending colon, with proximal dilatation of caecum and ilum. Microcolon was noticed in ascending colon, transverse colon, descending colon and sigmoid colon when newborn underwent exploration. Primary ileostomy and distal mucus stoma of ascending colon was done. After four weeks, closure of ostomy was done. Journal of Armed Forces Medical College Bangladesh Vol.12(1) 2016: 116-119

2015 ◽  
Vol 10 (1) ◽  
pp. 110-112 ◽  
Author(s):  
Misbah Al Kabir ◽  
Sultana Dil Afsana

Introduction: Tonsillectomy is the most commonly performed procedure and generally regarded as a safe surgery. Taste disturbance is a very rare complication after tonsillectomy, with very few reports in the literature. The most possible cause of this rare complication is direct or indirect damage to the glossopharyngeal nerve or its lingual branch (LBGN). Aim: To report a very rare complication of the most commonly performed procedure i.e. tonsillectomy. Case Report: The case is a 32 years old lady who complained of taste disturbance following tonsillectomy that was performed for chronic tonsillitis. As treatment patient was given Trifluoparazine Hydrochloride a Phenothiazine derivatives and Vit B6 + Vit B12. Patient recovered after 4 months postoperatively. Conclusion: Tonsillectomy should be performed with minimal trauma to the tonsillar bed to avoid injury to the Glossopharyngeal nerve or its lingual branch (LBGN) and all patients should be informed of the risk of post-operative taste disturbance after tonsillectomy. DOI: http://dx.doi.org/10.3329/jafmc.v10i1.22935 Journal of Armed Forces Medical College Bangladesh Vol.10(1) 2014


2014 ◽  
Vol 9 (1) ◽  
pp. 115-117
Author(s):  
RU Chowdhury ◽  
S Hamid ◽  
MT Islam ◽  
MN Bhuiyan

Introduction: Intracranial haemorrhage (ICH) is a rare but the most dangerous complication of idiopathic thrombocytopenic purpura (ITP) which is usually fatal. ITP is caused by autoantibodies to platelet which can be demonstrated in plasma. Case-Report: A 32 years old male patient sustained minor trauma around his head, following which he developed features of raised intracranial pressure including headache, vomiting and loss of consciousness. On examination Glasgow Coma Scale was 7/15 (E2, M3, V2), left pupil was moderately dilated, there was bilateral papilloedema and haemorrhagic spots on the left sided retina. CT scan of the head showed significant intracranial haemorrhage. Laboratory investigation showed anaemia and thrombocytopenia with platelet count 40X109/L. All the relevant causes of thrombocytopenia were excluded and the diagnosis of ITP was established. Intracranial haemorrhage was managed conservatively without surgical intervention. ITP was managed with splenectomy on 12th day following a period of therapy with steroids, transfusion of packed cell and platelet concentrates. DOI: http://dx.doi.org/10.3329/jafmc.v9i1.18740 Journal of Armed Forces Medical College Bangladesh Vol.9(1) 2013: 115-117


2014 ◽  
Vol 9 (1) ◽  
pp. 118-121
Author(s):  
ME Karim ◽  
S Akhter ◽  
MM Yasin

Although the incidence of Rheumatic Mitral Stenosis is grossly reduced in Indian subcontinent, it occupies a greater segment among heart diseases complicating pregnancy. A 25 years old lady, who was not known as a case of valvular heart disease, was admitted in a secondary level hospital for emergency lower segment caesarean section. The patient developed severe pulmonary oedema during operation which was managed successfully. DOI: http://dx.doi.org/10.3329/jafmc.v9i1.18741 Journal of Armed Forces Medical College Bangladesh Vol.9(1) 2013: 118-121


1970 ◽  
Vol 6 (1) ◽  
pp. 29-31
Author(s):  
VB Thimmarasa ◽  
P Devi ◽  
V Mehrotra ◽  
M Gupta

Mucormycosis is an invasive, potentially lethal fulminant fungal infection that is caused by normallysaprophytic fungus belonging to the class zygomycetes. Mucormycosis is characterized by its unrelentingprogression towards vital organs with marked propensity towards arterial wall by direct extension producingvascular thrombosis leading to ischaemic necrosis. The maxilla rarely undergoes necrosis due to its richvascularity. The case report here was a case of mucormycosis with extensive necrosis of maxilla in a 48 yearold male patient with palatal perforation as the sole presentation of mucormycosis.Key words: Mucormycosis; palatal perforation; fungal infection.DOI: 10.3329/jafmc.v6i1.5989Journal of Armed Forces Medical College, Bangladesh Vol.6(1) 2010 p.29-31


2015 ◽  
Vol 10 (2) ◽  
pp. 112-115
Author(s):  
Nurun Nahar Fatema Begum ◽  
Muhammad Rabiul Hossain ◽  
Md Ferdousur Rahman Sarker ◽  
Jahangir Alam

Abstract not availableJournal of Armed Forces Medical College Bangladesh Vol.10(2) 2014


2015 ◽  
Vol 10 (1) ◽  
pp. 69-73
Author(s):  
Md Tauhidul Islam ◽  
Md Rafiquzzaman

Introduction: Tympanoplasty with or without cortical mastoidectomy is the subject of debate amongst different otolaryngologists. One theory suggests that tympanoplasty type-I which combined with cortical mastoidectomy in wet or discharging ear is beneficial. Other theory suggests that cortical mastoidectomy adjunct with tympanoplasty type-I, has no significant effects on surgical outcome in any condition of dry or wet ear in tubotympanic variety of CSOM. Aim: The purpose of this study is to compare the surgical outcome of type-I tympanoplasty with or without cortical mastoidectomy. Methods: It is a retrospective, observational, multicentre study conducted in between July 2003 to July 2013 amongst 258 patients of uncomplicated tubotympanic variety of chronic suppurative otits media with age ranging from 18 years to 55 years. 140 patients (54%) were having history of ear discharge (Group-I) and remaining 118 patients (46%), having no complaints of ear discharge (Group-II) within 3 months prior to surgery. 50% of each group were operated with tympanoplasty type-I only and 50% of each group was operated with tympanoplasty type-I with cortical mastoidectomy. Outcome of surgical procedures in different groups were analyzed in terms of graft uptake and hearing improvement. Results: Out of 140 patients with discharging ear, only tympanoplasty procedure (n=70) resulted in successful graft taking in 62 patients (88.6%) and the hearing level within 20dB were achieved in 57 persons (81.4%). Tympanoplasty with cortical mastoidectomy (n=70) resulted in successful graft taking in 61 patients (87%) and the postoperative 69 JAFMC Bangladesh. Vol 10, No 1 (June) 2014 hearing level within 20dB were found in 56 persons (80 %). Out of 118 patients with dry ear, only tympanoplasty procedure (n=59) resulted in successful graft taking in 54 patients (91.5%) and postoperative hearing level within 20dB were achieved in 48 persons (81.36%). Tympanoplasty with cortical mastoidectomy (n=59) resulted in successful graft taking in 53 patients (89.8 %) and the postoperative hearing level within 20dB were achieved in 47 persons (79.7%). Comparison of results in both procedures in dry and wet ear showed no significant statistical difference. Conclusion: Cortical mastoidectomy is not proved to be mandatory or effectively helpful with type-I tympanoplasty for uncomplicated chronic suppurative otitis media, irrespective of its dry or discharging status. DOI: http://dx.doi.org/10.3329/jafmc.v10i1.22928 Journal of Armed Forces Medical College Bangladesh Vol.10(1) 2014


2018 ◽  
Vol 7 (2) ◽  
pp. 22 ◽  
Author(s):  
Nitin Pant ◽  
Sudhir Singh ◽  
Jiledar Rawat ◽  
Shiv Narayan Kureel ◽  
Ashish Wakhlu

Objective: The objective of this study is to review the clinicoradiological profile, scheme of management and the outcome in cases of colonic atresia (CA), and ascertain an optimal approach for the treatment of CA to minimize morbidity and mortality. Design and Setting: This was a retrospective observational study carried out at a tertiary health‑care center. Duration: Total of 6 years duration (January 2011–December 2016).Materials and Methods: A retrospective analysis of 10 patients of CA managed over a 6- year period. Data related to demographics, clinical presentation, associated anomalies, radiologic, intraoperative findings, postoperative stay, complications, and outcome were analyzed.Results: There were three cases of Type II atresia involving terminal ileum, cecum, and adjacent colon. Three cases had proximal ascending colon atresia (Type IIIa [n = 2]; Type I [n = 1]) Type I [n=1], and two cases of type IIIa atresia of the hepatic flexure. Two babies had atresia involving the sigmoid colon; one had Type II atresia, while we were unable to assign a type to the other within the prevailing classification. Seven babies were initially treated with a stoma either in the ileum (n = 3), hepatic flexure (n = 2), and sigmoid colon (n = 2), whereas three were treated with a primary anastomoses. Cases treated with a primary anastomoses had lesser morbidity and a better outcome than those with an ileal or ascending colon stoma.Conclusion: Contrary to the theory of an acute antenatal vascular accident, CA may rarely result from a gradual, sequential obliteration of mesenteric vasculature. Primary anastomosis should be contemplated in proximal CA wherever possible as stomal complications, especially high stoma output can result in considerable morbidity.


2021 ◽  
Vol 10 ◽  
pp. 46
Author(s):  
Muhammad Shamil Suhaimi ◽  
Mohd Yusran Othman ◽  
Khalilah Alhuda Kamilen

Background: Colonic atresia (CA) is a rare cause of congenital intestinal obstruction. The management of CA is challenging because of its rarity. Case Presentation: We present a case of right-sided CA in a term male baby weighing 3006 gm, without any other comorbidity. Type 1 atresia was seen at ascending colon and upon decompression, a reasonable caliber was achieved for a primary anastomosis following distal Cheatle slit and proximal tapering. Postoperative recovery was uneventful. Conclusion: Primary anastomosis is a feasible option in right-sided CA when no major comorbidity is present and a normal distal colon with reasonable caliber is certain.


2015 ◽  
Vol 10 (1) ◽  
pp. 113-116
Author(s):  
Md Tahminur Rahman ◽  
Jesmine Khan ◽  
Mohammed Nasimul Islam ◽  
Mushtaq Ahmad ◽  
Md Abdus Samad Al Azad

Reporting a case of natural death where blind anti-tubercular treatment started late due to atypical presentation and conflicting laboratory reports.The deceased was a 25 year old male Indonesian rubber plantation worker initially diagnosed as Crytococcal infection and had been treated on antifungal regime. Histological examination of various organs after post mortem examinations revealed disseminated tuberculosis. DOI: http://dx.doi.org/10.3329/jafmc.v10i1.22936 Journal of Armed Forces Medical College Bangladesh Vol.10(1) 2014


2017 ◽  
Vol 13 (1) ◽  
pp. 131-133
Author(s):  
Nurun Nahar Fatema Begum ◽  
Md Rabiul Hossain ◽  
Md Ferdousur Rahman Sarker

Dilated cardiomyopathy (DCM) is a rare disorder which may be caused by diverse reasons. Many of them are idiopathic also. The article reports a case of DCM resulting from acute Coxsackie virus myocarditis. Antibody to Coxsackie-B virus was positive from a lab of United States of America. This is first case report of Coxsackie-B virus myocarditis (proven) led to cardiomyopathy in Bangladesh. Journal of Armed Forces Medical College Bangladesh Vol.13(1) 2017: 131-133


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