A case of bladder diverticulum simulating ovarian cyst during pregnancy

33 year old female G3P2+0 at 32 weeks of gestation was admitted in labour room with the complain of pain abdomen and difficulty in passing urine. On examination vitals were stable. Abdominal examination there was cystic swelling in suprapubic region extending up to umbilical region. Uterus was 32 week size. Report of USG from peripheral centre showed ovarian cyst. We made a provisional diagnosis of twisted ovarian cyst. Exploratory laparotomy was done there was no ovarian cyst and bladder diverticulum was present. Urologist called and first he aspirated fluid and it was urine. Then while separating the swelling from uterus bladder opened and resected the diverticulum. Bladder was sutured. Abdomen was closed. Patient went into preterm labour and delivered vaginally single live female of 2.1 kg weight. Postoperative period was uneventful. Patient was lost in follow up

Prevalence of human immunodeficiency virus infection in and around Varanasi, Uttar Pradesh, India

Human Immunodeficiency Virus (HIV) infection is rising rapidly in the eastern Uttar Pradesh; however no data is available regarding its positivity rate. We have screened 1239 cases of various groups. HIV seropositivity rate of 0.28% was noted. These results suggest that HIV infection is spreading rapidly in this part of the country. M. tuberculosis was the commonest co-infection amongst them (29.5%). We recommend routine HIV screening of all patients of tuberculosis, especially if the persons frequent the cities, visit foreign countries where sex tourism is encouraged or stay away from their spouses for long periods as true history of sexual contact with commercial sex workers was difficult to obtain from them