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Kashyap S.,Chintpurni Medical College and Hospital
Online Journal of Health and Allied Sciences | Year: 2014

Primary carcinoma of fallopian tube is one of the rarest malignancy of female genital tract accounting for about 1% of primary genital tract malignancies. Primary fallopian tube carcinoma clinically and histologically resemble primary ovarian cancers. The preoperative diagnosis of tubal carcinoma is rarely correct as the classical clinical triad is present in less than half of the cases and the usual ultrasound findings only suggest hydrosalpinx so, in most of the cases it is the pathologist who appreciates the tumor histologically. Because of the rarity of this tumor, a primary bilateral papillary adenocarcinoma of fallopian tubes in a perimenopausal female is presented highlighting its clinical, morphological and radiological features.


Goel K.,MM Institute of Medical science and Research | Gupta S.,Chintpurni Medical College and Hospital | Rani H.,Columbia Asia Hospital | Singla B.,Columbia Asia Hospital
Journal of Association of Physicians of India | Year: 2014

To assess the pattern of antibiotic utilisation and outcome of patients with bacteraemia in the hospital. All positive blood cultures (BC) over a 12-month period from January 2011 to December 2011 were retrospectively reviewed. Positive BC were recorded in 54 patients. 51.9% of the patients received antibiotics before or soon after obtaining the BC, and ceftriaxone was the most frequently-prescribed antibiotic (42.9%), either alone or in combination with other antibiotics. The bacteraemia was due to gram-negative rods in 84.9% and gram-positive cocci in 15.1% of cases. Most common gram-negative bacilli were E.coli, Klebsiella pneumoniae and Salmonella species while most common gram-positive cocci was Staphylococcus aureus. Antibiotics regimen was changed in 37% cases after BC results became available. Most frequent change was addition of meropenem in case of gram-negative bacilli (29.6%) and vancomycin in gram-positive cocci (12.5%). Ten (18.5%) patients developed serious sepsis or septic shock; 3 (30.0%) improved and 7(70.0%) had fatal outcome. Antibiotic selection needs to be tailor made for each patient. However, most bacteraemia necessitating hospital admission are due to gram-negative bacilli and it should be considered in antibiotic selection prior to BC. © JAPI.


Arora A.K.,Sri Guru Ram Das Institute of Medical science and Research | Piplani M.L.,Chintpurni Medical College and Hospital | Kapoor S.S.,Sri Guru Ram Das Institute of Medical science and Research SGRDIMS and Research | Bhatia B.S.,Adesh Medical College | And 3 more authors.
Journal of Clinical and Diagnostic Research | Year: 2011

Introduction: The accessory pancreatic duct also called as dorsal pancreatic duct or Santorini duct as it is formed from the portion of dorsal bud and was first described by Santorini in 1775. It is the main drainage duct of the dorsal pancreatic bud in the embryo and enters the duodenum at the minor duodenal papilla. Methods: The study was conducted on 30 pancreas and duodenum enblock obtained from adult cadavers in the Forensic medicine Department of Govt. Medical College, Amritsar. Length and width of accessory pancreatic duct were measured and the results were compared according to the sex and were also analysed statistically. The shape of terminal part of the accessory pancreatic duct has also been discussed with reference to patency of the duct. Results: Length of accessory pancreatic duct ranged between 2.0-6.2cm with a mean of 3.89+ 0.85cm. Width of accessory pancreatic duct ranged between 1.33-2.01cm with a mean of 1.67+ 0.48cm.The most common terminal shape of accessory pancreatic duct observed was stick type in 63.33% and the least common was saccular type i.e. 3.33%. In decade wise division into group I (<40 yrs) and group II (>40 yrs), length of the accessory pancreatic duct did not show any alteration with age but width was significantly greater in group II as compared with group I in male and in female subjects. Conclusion: The anatomical aberrations in the duct system of pancreas have clinical importance because they can predispose to various clinical disorders including pancreatitis and carcinogenesis. Aging also results in increase in the diameter of the pancreatic duct. Pancreas divisum is a common anatomical variation, in which the dorsal and ventral pancreatic ducts do not unite leading to inadequate pancreatic juice drainage resulting in dorsal pancreatitis.


Bains V.,Chintpurni Medical College and Hospital | Raj Sharma B.,Santosh Medical College and Hospital | Harish D.,Government Medical College and Hospital | Attri A.K.,Government Medical College and Hospital | Kocchar S.,Government Medical College and Hospital
Indian Journal of Forensic Medicine and Toxicology | Year: 2013

Head injury is a morbid state and commonly results during the road traffic accident. Identification of studied pattern helps to understand the potential fatal head injury. Objective: to describe the nature and pattern of skull fractures among deceased due to injury at tertiary care hospital of North India. Study design: descriptive Study. Method and Procedures: Autopsy. Results: Head injury with skull fracture found to be associated with road traffic accident (92.8%) among total 87 deceased. The base skull fracture was common (44.0%), followed by base and vault (31.0%). The ratio of unilateral to bilateral involvement of skull vault in fracture was 2.40: 1. Intracranial hemorrhage was the most frequent associated with the fracture. Conclusion: Most of the cases of head injury is due to vehicular accidents and proved to be fatal for life, the safety measures, for both the drivers and the passengers of the respective vehicles should be addressed.


Bains V.,Chintpurni Medical College and Hospital | Sharma B.R.,Santosh Medical College and Hospital | Harish D.,Government Medical College and Hospital | Attri A.K.,Government Medical College and Hospital | Kocchar S.,Government Medical College and Hospital
Indian Journal of Forensic Medicine and Toxicology | Year: 2013

Brain tissue injury and the intracranial hemorrhage due to skull fracture are the known conditions among accident victims that potentially threaten the human life. Location and type of injury/ hemorrhage for brain determines the state of health or death. Objective: To study the type and pattern of skull fracture, intracranial hemorrhage and brain tissue injury among accident deceased at hospitals, Chandigarh, India. Study design: Hospital based cross-sectional study. Method and Procedures: Post-mortem of the deceased. Results: Road traffic injury (RTI) was observed among 78 of total 87 studied deceased. Head injury with skull fracture found to be associated with road traffic accident (92.8%) among total 87 deceased. Linear fracture involving frontal and parietal bone of skull was common (36.7%). Intracranial hemorrhage (Subdural; 43.1%: Extradural; 31.9%: Subarachnoid; 19.4%: Intacerebral; 5.6%), contusion and edema were commonly associated observations. Conclusion: Intracranial hemorrhage is most common associated finding and possible reason for death among deceased due to head injury, being RTI is most common cause for head injury.

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