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Naveen N.,RajaRajeswari Medical College and Hospital | Mukherjee A.,West Bengal University of Health Sciences
Journal of Clinical and Diagnostic Research | Year: 2014

Abdominal tuberculosis (ATB) constitutes 12% of the extra pulmonary disease and is a rare but well-documented cause of perforation peritonitis, occasionally occurring in cases where the diagnosis has been delayed but may occur even after antituberculous therapy has been initiated. Most patients with tuberculosis strictures respond well to medical treatment and should be resorted to surgery only if drug therapy fails. Despite surgical intervention, tuberculosis perforation has a high complication and mortality rate. We present a case of 54-year-old male patient with a perforated jejunal stricture who had completed his treatment for pulmonary tuberculosis one month earlier. This case was unusual because of the age of patient at presentation (usually seen in young – 25 to 45 y), involvement of jejunum (commonly ileocaecal region), initial presentation with subacute obstruction followed by peritonitis (refused treatment at first instance) and patient having completed treatment for pulmonary tuberculosis recently. © 2014 Journal of Clinical and Diagnostic Research. All Rights reserved.

Pradeep Kumar M.V.,RajaRajeswari Medical College and Hospital | Rayamane A.P.,Mysore Medical College and Research Institute
Journal of South India Medicolegal Association | Year: 2015

Hanging is considered as the most preferred method of suicide, by many people as it is considered as a painless form of death. In a city like Bangalore more than 50% of cases of suicides are due to hanging. Sometimes hanging is preferred as the last resort after all other methods have failed to produce the desired effect. This cross sectional study has been under taken by the first author working in a postgraduate medical college. The aim of the study was to find out the neck injuries in hanging deaths and to correlate similar findings undertaken by the eminent personalities in the field of forensic medicine. The internal findings in cases of hanging deaths help the autopsy surgeon to decide and opine the manner of death of the individual. © 2015 South India Medico-Legal Association. All rights reserved.

Pradeep Kumar M.V.,RajaRajeswari Medical College and Hospital | Jayaprakash G.,Acs Medical College And Hospital
Journal of South India Medicolegal Association | Year: 2015

Adipocere is a postmortem product which is made from the degradation of the adipose tissues. Various factors contribute together in the formation of adipocere. Adipocere once established will preserve the body constituents as it acts as a seal and prevents the penetration of microorganisms into the body. The absence of micro fauna will halt the decomposition of the dead body. The formation and degradation of adipocere will help in assessing the time of death of the deceased. The formation of adipocere is a matter of controversy, and it is mainly highlighted in this study as the bodies found showed adipocere formed in different stages and different locations. We noted the formation of adipocere in autopsied cases over a period of one year and reviewed the literature regarding adipocere, its formation and degradation and correlated with our study. The objective of the study is to report cases of adipocere formation and to provide the reader with recent scientific facts regarding adipocere. © 2015 South India Medico-Legal Association. All rights reserved.

Mangala S.,RajaRajeswari Medical College and Hospital
Biomedicine (India) | Year: 2013

The duodenum is the second most common site for gastrointestinal diverticulum after colon. The author report here, a case of solitary duodenal diverticulum, arising from its second part in a 65 year old male cadaver during routine dissection of abdomen in the department of Anatomy, Rajarajeswari Medical College and Hospital, Bangalore. The diverticulum in the present case was a thin out pouch, measuring 3.3.cms in length and extending into the lower part of the head of pancreas with the major duodenal papilla opening at the lower left margin of the diverticulum and it was of periampullary type. There were no signs of previous insults like ulceration, inflammation or scarring in or around the diverticulum. The presence of duodenal diverticulum explained anatomically in this case report gains importance compared to the available literature investigated radiologically and adds to the existing knowledge about such diverticula, thereby facilitating early detection and surgical intervention if needed.

Mangala S.,RajaRajeswari Medical College and Hospital
Biomedicine (India) | Year: 2014

Assimilation of atlas (I cervical vertebra) is one of the most common osseous anomalies of the cranio-vertebral junction. Also termed as Occipitalization of atlas, Atlanto occipital fusion & occipitocervical synostosis, it is defined as a congenital fusion of bony ring of atlas to the base of the occipital bone. The fusion may be complete or partial. The author report here, one such case of assimilation of atlas observed in a skull during routine osteology demonstration class for undergraduate medical students in the department of Anatomy. The fusion of atlas in the present case was a partial one in that, the superior articular facets of atlas on both the sides were completely fused with the occipital condyles & the so fused lateral masses along with the osteophyte changes around them were seen protruding slightly into the foramen magnum. The inferior articular facets were asymmetrical with the diameter of the left slightly larger than the right. There was no fusion of anterior and posterior arches to the margins of foramen magnum. The right and left transverse process were normal and showed the presence of foramen transversarium in them. Interior of the skull showed asymmetrical features. Assimilation of atlas vertebra whether complete or partial may produce narrowing of foramen magnum which may compress spinal cord or brainstem. Therefore, understanding the anatomical basis of occipitocervical synostosis is vital to Orthopaedicians & Neurosurgeons as it is a prerequisite to perform a thorough preoperative clinical assessment and prevent complications during and after upper cervical manipulative procedures. Hence the present study gains importance in view of clinical significance attached to the morphology and implications of Assimilation of atlas in guiding many interventional procedures in craniovertebral region.

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