Uncommon isolated near total small bowel mesenteric tear after blunt abdominal trauma and successful damage control surgery

Isolated near total small bowel mesenteric tear after blunt abdominal trauma is rare. We reported here an uncommon case with isolated near total small bowel mesenteric tear after blunt abdominal trauma. Early diagnosis of mesenteric tear is important and enhanced computed tomography is more sensitive for that kind of injury. Damage control laparotomy should be considered if unstable vital signs occurred

Prospective study on sociodynamics of cellulitis in general surgical unit

Background: Cellulitis is a potentially serious infection that commonly recurs. The identification of preventable dynamic factors could reduce infection related morbidity and cost and improve patient management. The aim of this study was to identify the dynamic factors associated with cellulitis, including analysis of risk factors associated with cellulitis in either limb and in other parts of the body.Methods: We conducted a prospective study on 110 patients with cellulitis in either limb and in other parts of the body, who were admitted in septic ward of all units of King George hospital between period of December 2013 to December 2014. The factors such as low socioeconomic status, illiteracy, rural area, nutritional status and associated co-morbid conditions and their effect on outcome of patient were studied. Univariate analyses were performed to describe the study.Results: The median age of the participants was 62.5 years. The following risk factors were strongly and independently associated with cellulitis and outcome of the patient; illiteracy (OR, 4; P value 0.010), age above 50 years (OR, 0.110; P value 0.000), residing in rural areas (OR, 4.008; P value 0.006), low socioeconomic status (OR, 0.241; P value 0.030) and associated co-morbid conditions (OR, 0.390; P value, 0.032).Conclusion: Patients usually presented in the late stage of disease because of illiteracy, ignorance and poor knowledge. Patients should be educated to routinely inspect their feet, and the importance of appropriate footwear should be emphasized. Patients who are actively involved in their care can improve their quality of life and have a better outcome.

Clinicohistopathological study and expression of CK7 and CK20 in mucinous tumors of gastrointestinal tract and ovary

Background: Mucinous ovarian tumors differ from other types of epithelial ovarian cancers in their clinical behaviour and the need for innovative treatment approaches to achieve improved patient outcomes. Immunohistochemistry plays an important role in diagnosis and differentiates primary and secondary mucinous tumors. To know the distribution and expression of CK7 and CK20 in mucinous tumors of ovary and gastrointestinal tract.Methods: Ninety eight cases of mucinous tumors of ovary and gastrointestinal tract were analysed as per standard protocol out of which malignant mucinous tumors constituted forty five cases. All 45 cases of mucinous carcinoma of ovary and gastrointestinal tract were subjected to IHC CK7 and CK20. The results were analysed.Results: Total mucinous tumors of ovary were 64 cases and total mucinous tumors of gastrointestinal tract were 34 cases. Predominant expression in primary mucinous carcinoma of ovary was CK7 positive and CK20 positive, in metastatic mucinous ovarian carcinoma of gastric origin was CK7 positive and CK20 positive and from colorectal origin was CK7 negative and CK20 positive. Signet ring cell carcinoma of stomach showed CK7 diffuse positivity with focal CK20 positivity. Colorectal mucinous carcinoma was CK7 negative and CK20 positive. The expression varied with the stage of the disease.Conclusions: CK7 and CK20 plays an important role in differentiating primary mucinous carcinoma of ovary from metastatic ovarian carcinoma arising from lower gastrointestinal tract.CK7 and CK 20 expression is variable with stage of disease hence should be interpreted in the background of histopathology