Myositis Ossificans – A Case Report

Myositis Ossificans is classified into three types: progressive, post traumatic and paraplegic. The progressive form, myositis ossoificans congenita, is a hereditary disease which is usually autosomal dominant or an isolated mutation and more common in boys. Post-traumatic myositis is found following massive trauma and paraplegic myositis occurs below the level of paralysis. Here, a heterotopic bone formation is evident in the muscle or soft tissue, which can occur almost anywhere in the body. An incidental case of myositis ossificans was found in the Department of Radiology & Imaging, Dhaka Medical College Hospital, Dhaka in March, 2009. A male patient of 22 years of age was sent for radiological investigations from the medicine out patient department (MOPD) of Dhaka Medical College Hospital, Dhaka having complaints of backache and pain in the neck and chest. He was diagnosed as a case of myositis ossificans after the radiological report. It was an incidental finding having no history of trauma or familial predisposition. This case is presented for journal record and academic interest. Key words: Myositis Ossificans; autosomal dominant. DOI: 10.3329/jdmc.v18i1.6312 J Dhaka Med Coll. 2008; 18(1) : 79-81

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A prospective study of vitiligo cases in Government Dharmapuri Medical College Hospital

International Journal of Research in Dermatology ◽

10.18203/issn.2455-4529.intjresdermatol20183156 ◽

2018 ◽

Vol 4 (3) ◽

pp. 349

Author(s):

R. Akila

Keyword(s):

Diabetes Mellitus ◽

Marital Conflict ◽

Social Stigma ◽

The Body ◽

Medical College Hospital ◽

Treatment Modalities ◽

Psychiatric Evaluation ◽

College Hospital ◽

Pigmentary Disorder ◽

Medical College

Background: Vitiligo is a pigmentary disorder of skin whose precise etiology is not known, though it is considered to be genetic, an autoimmune skin disorder in which there is a loss of skin pigment. This disease can occur at any age. Vitiligo affects various parts of the body. Though various modalities of treatment became available, still produces significant social stigma and leads to a psychological impact on the patient.Methods: 100 cases of vitiligo patients attending Dermatology outpatient Department at Govt Dharmapuri Medical college hospital during the period of January 2017 to June 2017 were included in the study. Informed consent was obtained from all the patients and from parents in case of children. A detailed history was obtained and dermatological/systemic examination was done using a proforma. Necessary investigations were done. A psychiatric evaluation was done for all.Results: Females were more involved than males in our study. The youngest patient recorded in our study is 6 years. Exposed areas are more involved. The leg is the most common site involved followed by hands. 8 percent of patients had associated diabetes mellitus, hypothyroidism (2%), and hyperthyroidism (1%). Depression was seen in 8 percent of the patients. Marital conflict (3%) and delayed marriage (5%) was recorded in the study.Conclusions: Though various research studies and treatment modalities became available for this pigmentary disorder it still remains a social stigma. Females were little more involved in our study which may be due to a cosmetic concern. Associated diabetes mellitus and thyroid disorders support autoimmune etiology.

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Tragedy in Savar: Management of Victims in Enam Medical College Hospital

Journal of Enam Medical College ◽

10.3329/jemc.v4i1.18066 ◽

2014 ◽

Vol 4 (1) ◽

pp. 31-35 ◽

Cited By ~ 1

Author(s):

Mithun Alamgir ◽

Rukhsana Parvin ◽

Md Aminul Haque Khan

Keyword(s):

Research Work ◽

Sampling Technique ◽

Mass Casualty ◽

The Body ◽

Medical College Hospital ◽

Lower Limbs ◽

College Hospital ◽

Disaster Victims ◽

Medical College ◽

Mass Casualty Event

Background: Rana Plaza collapse is the worst and deadliest man-made industrial disaster in the history of garment sector in the world. Around 1200 people died and thousands more were injured. Most of the victims of the disaster were treated in Enam Medical College Hospital (EMCH). We conducted this study to give an overview on the disaster victims and services provided by EMCH. Objective: The study was done to observe the length of time between accident and admission in EMCH, length of time between admission and discharge, to observe the numbers, types and sites of injuries to the victims, medical measures given to the victims and finally to observe the status of the victims at the time of discharge. Materials and Methods: This descriptive type of observational study was carried out among the victims of Rana Plaza tragedy during the period of May to October 2013. All admitted patients in EMCH were included in the study. Purposive nonprobability sampling technique was applied in this research work. Data were collected from the hospital record. After collection, data were manually compiled, edited and analyzed. Results: Among 621 victims treated in different wards, 276 (44.45%) were admitted to the hospital on the day of accident. Among the admitted patients, 255 (41.06%) stayed in the hospital for 1--3 days,133 (21.42%) for 4--7 days and 88 (14.17%) for more than 10 days. Fracture and dislocation were present in 32.70% patients, lacerated injury in 18.20%, abrasion in 15.78%, bruise in 13.53%, incised wound in 15.45% and punctured wound in 4.34% patients. Single injury was present in 56.68% and rest had multiple injuries. Lower limbs were the most (33.01%) affected part of the body followed by head and neck (22.06%), upper limbs (18.52%), thorax (17.55%) and abdomen (8.86%). Two hundred seventy two patients (43.80%) were improved after treatment and 56 (9.02%) were fully cured; 23.83% of the victims were referred to higher medical centers for special measures. Conclusion: The collapse of Rana Plaza has fueled a greater call for reform and safety in garment industry. At the same time, all health care centers should adopt a broad-based approach to disaster-preparedness by providing a framework to ensure a well-coordinated response to mass casualty event. DOI: http://dx.doi.org/10.3329/jemc.v4i1.18066 J Enam Med Col 2014; 4(1): 31-35

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Microvascular Free Tissue Transfer at Chittagong Medical College Hospital - A Milestone

Bangladesh Journal of Plastic Surgery ◽

10.3329/bdjps.v1i1.6485 ◽

1970 ◽

Vol 1 (1) ◽

pp. 3-8 ◽

Cited By ~ 2

Author(s):

MA Ali ◽

MAR Siddiqui ◽

MS Khaled ◽

M Islam ◽

S Parvin

Keyword(s):

Plastic Surgery ◽

Free Tissue Transfer ◽

The Body ◽

Medical College Hospital ◽

Tissue Loss ◽

College Hospital ◽

Medical College ◽

Tissue Transfer ◽

Soft Tissue Loss

Introduction: A defect in any part of the body involving extensive soft tissue loss adversely affects the functional ability. With the advent of microvascular free tissue transfer in the reconstruction of large defects, the problem is going to be solved. However, studies are still going on about the different aspects of its success and failure. The present study is one such step to share our early experience.Methods: The study was carried out in the Department of Plastic Surgery, Chittagong Medical College Hospital from August 2009 to April 2010. We reviewed the operative experiences of free tissue transfer on 5 cases. Standard microvascular anastomotic techniques as well as peroperative & postoperative heparinization were maintained in all the cases. Follow up results were evaluated at varying periods following standard protocol.Results: Of the 5 cases reconstructed, 4(80%) had lesions in the maxillofacial region and 1(20%) in the ankle region. In terms of diseases they suffered, 3(60%) had squamous cell carcinoma and 2(40%) sustained mechanical injury. The outcome of treatment demonstrates that 3(60%) cases recovered uneventfully, one developed slight loss of sensation on the left thumb (20%) and another one failed to recover (20%).Conclusion: In this study successful microvascular free tissue transfer was possible in 80% cases. With the increase in experience we can expect increased success rate as well.DOI: http://dx.doi.org/10.3329/bdjps.v1i1.6485Bangladesh Journal of Plastic Surgery (2010) Vol. 1 (1) pp.3-8

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Apert Syndrome

Bangladesh Medical Journal Khulna ◽

10.3329/bmjk.v44i1-2.10473 ◽

2012 ◽

Vol 44 (1-2) ◽

pp. 25-27

Author(s):

KG Mostafa ◽

CH Rasul ◽

NN Baruri ◽

SM Rahman

Keyword(s):

Respiratory Distress ◽

Autosomal Dominant ◽

Medical College Hospital ◽

Apert Syndrome ◽

Facial Features ◽

Recent Past ◽

Careful Evaluation ◽

College Hospital ◽

Doubtful Case ◽

Medical College

Apert syndrome is a rare autosomal dominant malformation. In the recent past we encountered a boy of 16 months with fusion of both fingers and toes, dysmorphic facial features presenting with cough and respiratory distress in Khulna Medical College hospital. Considering the general paucity of cases of acrocephalosyndactyly in the Bangladeshi literature, this case demands reporting. Careful evaluation is necessary in a doubtful case to optimize the treatment.DOI: http://dx.doi.org/10.3329/bmjk.v44i1-2.10473Bang Med J (Khulna) 2011: 44(1&2) 25-27

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Chest Trauma Evaluation and Outcome of Management in a Tertiary Hospital - One Year Experience

Journal of Surgical Sciences ◽

10.3329/jss.v22i2.44075 ◽

2020 ◽

Vol 22 (2) ◽

pp. 110-117

Author(s):

Md Mahmudul Islam ◽

Khondkar AK Azad ◽

Md Aminul Islam ◽

Rivu Raj Chakraborty

Keyword(s):

Road Traffic Accident ◽

Traffic Accident ◽

Chest Trauma ◽

Road Traffic ◽

Tube Thoracostomy ◽

Rib Fracture ◽

Medical College Hospital ◽

College Hospital ◽

Medical College ◽

The Mean

Background: Chest trauma is responsible for 50% of deaths due to trauma. This kind of death usually occurs immediately after the trauma has occurred. Various therapeutic options have been reported for management of chest injuries like clinical observation, thoracocentesis, tube thoracostomy and open thoracotomy. Objective: To observe the pattern and outcome of management in chest trauma Methods: This is an observational study carried out in Casualty department of Chittagong Medical College Hospital (CMCH), Chittagong, between April 2015 to March 2016. Our study was included all patients, both sexes, following chest injury at Casualty units of Chittagong Medical College Hospital. All the data were recorded through the preformed data collection sheet and analyzed. Result: The mean age was found 37.7±18.1 years with range from 12 to 80 years. Male female ratio was 11.8:1. The mean time elapsed after trauma was found 6.1±3.1 hours with range from 1 to 72 hours. Almost one third (35.7%) patients was affecting road traffic accident followed by 42(27.3%) assault, 35(22.7%) stab injury, 15(9.7%) fall and 7(4.5%) gun shot . More than three fourth (80.5%) patients were managed by tube thoracostomy followed by 28(18.2%) observation and 2(1.3%) ventilatory support. No thoracotomy was done in emergency department. 42(27.2%) patients was found open pneumothorax followed by 41(26.6%) rib fracture, 31(20.1%) haemopneumothorax, 14(9%) simple pneumothorax, 12(7.8%) haemothorax, 6(3.9%) chest wall injury, 5(3.2%) tension pneumothorax, and 3(1.9%) flail chest. About the side of tube 60(39.0%) patients were given tube on left side followed by 57(37.0%) patients on right side, 9(5.8%) patients on both (left & right) side and 28(18.2%) patients needed no tube. Regarding the complications, 13(30%) patients had persistent haemothorax followed by 12(29%)tubes were placed outside triangle of safety, 6(13.9%) tubes were kinked, 6(13.9%) patients developed port side infection, 2(4.5%)tube was placed too shallow, 2(4.5%) patients developed empyema thoracis and 2(4.5%) patients developed bronchopleural fistula. The mean ICT removal information was found 8.8±3.6 days with range from 4 to 18 days. Reinsertion of ICT was done in 6(4.7%) patients. More than two third (68.2%) patients were recovered well, 43(27.9%) patients developed complication and 6(3.9%)patients died. More than two third (66.9%) patients had length of hospital stay 11-20 days. Conclusion: Most of the patients were in 3rd decade and male predominant. Road traffic accident and tube thoracostomy were more common. Open pneumothorax, rib fracture and haemopneumothorax were commonest injuries. Nearly one third of the patients had developed complications. Re-insertion of ICT needed almost five percent and death almost four percent. Journal of Surgical Sciences (2018) Vol. 22 (2) : 110-117

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