Torsion of paratubal cyst - a rare cause of acute abdominal pain in an adolescent: case report and review of literature

Twisted paraovarian cyst is rare. However, it should be kept as differential diagnosis in any case presenting with pain abdomen. We report a case of a young girl who presented in our OPD with abdominal pain and had twisted paratubal cyst whose torsion had let to spontaneous fimbrial amputation and was managed laparoscopically. 16 years old girl presented in Gynaecology OPD with acute lower abdominal pain with vomiting. Ultrasound done showed a paraovarian cyst on left, 10x7 cm with normal bilateral ovaries. A laparoscopy was done which showed a large gangrenous cyst on left with detached fimbria over it, bilateral ovaries were normal. Laparoscopic cystectomy was done and cyst removed through 10 mm port. Though benign in nature, rarely paraovarian cyst can undergo torsion causing acute pain and can rarely compromise fertility

An observational study of cytopathological analysis of ascitic fluid or peritoneal washings cytology in ovarian neoplasms: correlation with histopathological parameters

Background: Analysis of ascitic fluid and peritoneal washing cytology serves as a useful predictor of ovarian surface involvement and peritoneal metastasis even in the absence of clinical omental spread. The aim of the current study is to correlate peritoneal cytology with various histologic features of ovarian cancers.Methods: It is a retrospective study.  A total of 30 cases of ovarian neoplasms were included in the study. Results of peritoneal cytology were correlated with various histologic features of ovarian tumors including histologic type, grade, tumor size, capsular invasion, and omental metastasis, using chi-square test. A p value of <0.05 was considered as statistically significant.Results: Out of the 30 cases of ovarian tumors involved in the study, twenty-five cases were surface epithelial tumors, two sex-cord stromal tumors, one germ cell tumor, one primary ovarian lymphoma and one metastatic carcinoma. Capsular invasion was seen in 56.3 % of the cases, and omental metastasis in 46.6 % of the cases. A significant positive correlation was seen between positive peritoneal cytology and capsular invasion and omental metastasis with a p value of <0.001.Conclusions: Peritoneal fluid cytology is an indicator of peritoneal metastasis. Positive cytology also correlates with capsular invasion and histologic type in ovarian tumors. Therefore, it should always be used as an adjunctive tool in the surgical management of ovarian tumors

Simultaneous immunization with Omp25 and L7/L12 provides protection against brucellosis in mice

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Effect of salinity stress on phytochemical characteristics of Centella asiatica

Salinity is one of the predominant abiotic stresses which affects plant growth by inducing excessive production of reactive oxygen species (ROS) that leads to oxidative damage of plant cells. Plants alleviate salinity stress by regulating intracellular concentrations of various phytochemicals like phenol, tannin, antioxidants, etc. The present work aimed to study the impact of salt stress on the production of various phytochemicals like phenol, tannin, flavonoids, antioxidants, total protein content, etc. The Salt stress response of the test plant Centella asiatica was studied by irrigating variant concentrations (50mM, 100mm, 150mm, 200mM, 250mm) of salt (NaCl). The phytochemical activity of the plants grown under salinity stress was estimated by using an appropriate biochemical assay. Comparative analysis of the photochemical activity of the test plants in comparison with the control revealed that various phytochemicals were increased in response to salt stress. Salt stress increased the levels of antioxidants from 10.79 to 14.31 μg/ml), phenol from 30.8 to 43.3 in μg/ml, flavonoids (from 490 to 683.33 in μg/ml), tannin from 55.5 to 64.5 in μg/ml, and proteins from 5720 to 6080 in μg/ml in the C. asiatica plants. To sum up, salt stress elicited phytochemical accumulation in the C. asiatica plant, thereby improving the plant's growth by enhancing its resistance to salt stress. This finding may play an important role in the sustainable cultivation of commercially important crops like C. asiatica

Scenario of molar pregnancy in a tertiary care centre in Delhi, India

Background: Molar pregnancies represent a significant burden of disease on the spectrum of gestational trophoblastic diseases with incidence varying with geographic region. Aim was to review all molar pregnancies admitted at our institution and to study the incidence, clinical presentation, management, complications and outcome of molar pregnancies.Methods: An observational study was done in department of obstetrics and gynaecology at Dr. BSA Medical College and Hospital among women with molar pregnancy over two years.Results: The incidence of molar pregnancy of the institute was 1.05/1000 deliveries. 21- 25 years age group and nulliparous women constituted 28.1% of patients. Amenorrhea (100.0%) was the commonest presenting complaints followed by abnormal vaginal bleeding (90.62%). Anemia (37%) was the commonest complication followed by acute hemorrhage (31%) and hyperthyroidism (18%). Suction evacuation was done in 96.8% of patients and 87.5% required blood transfusion. Only 6.2% (2/32) of patients had post evacuation chemotherapy. None of the cases developed choriocarcinoma. Limitation of the study was that the incidence of subsequent pregnancies after complete treatment of molar pregnancies was not studied.Conclusions: Early diagnosis of complete molar pregnancy can change the clinical presentation, diagnosis, and treatment of molar pregnancy. There is need for early recognition, timely referral, prompt and proper treatment of this condition. Adequate follow-up of the patients and need for contraception should be reinforced

Cutaneous chromoblastomycosis-unusual presentation: a case report

Chromoblastomycosis is a chronic, progressive, cutaneous and subcutaneous fungal infection following the traumatic implantation of certain dematiceous fungi. These are naturally pigmented fungi with two clinical forms viz. cutaneous and cerebral. We present a case of cutaneous chromoblastomycosis presenting as a swelling over right forearm in a 47-year-old lady farmer. Clinically cutaneous tuberculosis was suspected, however on histopathology, diagnostic ‘sclerotic cells or medlar bodies’ amidst the granulomatous inflammation and microabscesses were seen

ORTHODONTIC MARVEL: 2X4 APPLIANCE FOR IMPACTED INCISOR TRACTION - A CASE SERIES

Impacted incisors can pose significant esthetic and functional challenges for patients. Various treatment approaches have been proposed. The 2x4 orthodontic appliance is one of the most effective treatment plans for aligning the teeth. This article presents two cases showing surgical traction's effectiveness using the 2x4 orthodontic appliance in managing impacted incisors. The results of this case series demonstrated successful outcomes in terms of impacted incisor alignment and overall occlusion. Patients exhibited improved esthetics and function. Therefore, Surgical traction of impacted incisors using the 2x4 orthodontic appliance can be a viable and effective treatment approach.&nbsp