Study of umbilical coiling index and perinatal outcome

Background: Study was to evaluate the relationship between umbilical coiling index (UCI) and hypo-and hyper coiling of the umbilical cord and parity, neonatal weight, Ponderal Index (PI), APGAR (Appearance, pulse, grimace, activity, and respiration) score, meconium staining of the amniotic fluid, Intrauterine growth restriction (IUGR), hypertensive disorders of pregnancy and delivery interventions.Method: A prospective analytical study was performed from January 2017 to December 2018. Total of 300 patients giving birth at labour room of SCB Medical College, Cuttack were taken into study. Immediately following delivery, the umbilical cord was clamped at the foetal end and cut with scissors. UCI, mode of delivery and perinatal outcome was followed up.Results: There were 149 lower segment caesarean sections accounting to 49.7% and 151 vaginal deliveries including instrumental deliveries which was accounting to 50.3%. Minimum number of coils observed was 2. The maximum number of coils observed was 50. Caesarean section was more in hypo coiling group. APGAR score at 5 min was calculated and there was a total of 109 neonates who had APGAR <7 at 5 minutes (36.33%) out of which there were 17 neonates with hypo coiling (2.33%), 77 neonates with normo-coiling (25.66%) and 15 neonates with hyper coiling (5%). Meconium staining and instrumental delivery was more associated with hyper coiling.Conclusion: Both hyper-coiling and hypo-coiling had significant correlation with adverse perinatal outcome. If the UCI can be measured reliably in utero by ultrasound, then it might be a promising prognostic marker for adverse pregnancy outcome

Xanthogranulomatous orchitis: a case series

Xanthogranulomatous orchitis (XGO) is a sporadic disorder that has no definite aetiology and is a mimicker of several conditions, most significant of which are testicular neoplasms. We present a case series of three cases. The first case presented with swelling in his scrotum. The second case presented with similar symptoms and had prior history of trauma to the scrotum. Both cases were clinically diagnosed with testicular tumour. The third case was a referred case of left chronic orchitis with sinus tract. All three patients underwent high inguinal orchidectomy. Regardless of clinical work-up and diagnoses, upon histopathological evaluation, all three cases were diagnosed with XGO. This study explores the variety of risk factors and aetiologies that may result in XGO

Acrodermatitis Enteropathica in an adult: a case report

Acrodermatitis enteropathica (ADE) is an uncommon, inherited disorder occurring due to defective Zinc absorption. It can occur as an acquired condition secondary to impaired intestinal absorption in a wide variety of clinical conditions or due to nutritional deficiency. It is clinically characterized by triad of acral dermatitis, alopecia and diarrhoea. The preferential involvement of acral and peri-orificial skin is a feature that is pathognomonic for zinc deficiency. We report a case of ADE in a 22 year old female with no underlying comorbid conditions