Successful Intra-peritoneal Antibiotic Therapy for Primary Abdominal Nocardiosis in an Immunocompetent Young Female Masquerading as Carcinoma Ovary

Nocardiosis is a common opportunistic infection in the immunocompromised and in patients with chronic debilitating diseases,e.g continuous ambulatory peritoneal dialysis (CAPD) patients. Primary abdominal nocardiosis is rare and is indeed a very rare infection in immunocompetent persons. Only two cases have been reported in immunocompetent patients so far and this may be third case to the best of our knowledge and first in India. About 11 cases have been reported in CAPD patients and AIDS patients.We report a case of Nocardiosis in an immunocompetent young female who presented with an abdomino-pelvic mass masquerading as carcinoma ovary.After initial resistance to various antibiotics, she responded to intraperitoneal and oral linezolid and oral ciprofloxacin

A Rare Primary Pelvic Hydatid Cyst Presenting as Sciatica

Primary hydatid cyst in the pelvis is rare, and usually presents with pressure symptoms affecting the adjacent abdominal organs. We describe a rare hydatid cyst which was eroding the sacral hallow, protruding into the right sciatic foramen and presenting as a radiating pain and weakness of right lower limb due to compression of the lumbosacral nerve roots. Laparotomy with removal of cyst and postoperative treatment with albendazole is effective in controlling the disease and preventing recurrence

To develop and validate an Integrated Yoga Module for Tennis Players

Tennis athletes need a combination of low-intensity and high-intensity aerobic and anaerobic capabilities. Sports related fatigue, injury, stress and anxiety reduce the sports performance of a player. The main objective of any sports training should be to refrain from the onset of fatigue, stress and anxiety during competition and training. Integrated Yoga has been researched extensively. It shows that yoga helps improve psychophysiological components such as aerobic and anaerobic capacities, cardiovascular fitness, while reducing fatigue, competitive stress and anxiety. Yoga also improves relaxation and mindfulness, hence, improving performance. However, a valid yoga module is unavailable for tennis sports athletes. IYM for tennis players is developed based on ancient yogic text and previous research evidence. The yoga module was presented to 30 SMEs to evaluate and validate a total number of 82 practices included in the proposed module based on a three-point scale. The content validity has been calculated by applying Lawshe’s formula of content validity ratio (CVR). According to Lawshe’s formula, 0.33 is the critical value of CVR required for validation with 30 SMEs. Data analysis shows that out of 82 yogic practices, 41 yogic practices showed significant content validity (p<0.05). Results show that, among the 82 practices, 41 were found to be essential (CVR ≥0.33) and 41 were found to be not essential (CVR <0.33). However, the feasibility and efficacy of the Integrated Yoga Module for tennis players need to be determined by future studies

To develop and validate an Integrated Yoga Module for Basketball Players

Basketball sport required high-level of fitness-related components, heart rate, blood lactate, aerobic capacity, anaerobic power and psychological demands from an athlete. From scientific evidence it has been observed that yoga helps in develop the entire psycho physiological component without giving physical stress to the body if it is practiced in proper manner. However, a validated Yoga module for basketball player is unavailable. The IYM for basketball players is prepared after doing detailed and systematic review of classical and contemporary yogic texts and earlier research evidence. The content validity of IYM for basketball players was presented to SMEs and evaluated by an experienced panel comprised of 30 yoga experts who satisfied the inclusion criteria. Data analysis exhibited that out of 85 yogic practices, 45 yogic practices showed substantial content validity. According to lawshe’s method, 0.33 is the critical value of CVR (minimum CVR value) required for validation with 30 SMEs. The current study proposes that the IYM for Basketball players is valid with good content validity. However, future research studies must determine the efficacy and feasibility of the developed module

A Rare Xanthogranulomatous Oophoritis Presenting as Ovarian Cancer

Xanthogranulomatous inflammation is an uncommon form of chronic inflammation that is destructive to affected organs; it is characterized by the presence of lipid-filled macrophages with admixed lymphocytes, plasma cells, and neutrophils. Only a few cases of xanthogranulomatous oophoritis have been reported to date. We describe a rare case of xanthogranulomatous oophoritis with involvement of omentum

Preoperative Surprise of a Mass per Abdomen Mimicking Ovarian Neoplasm in a 50 Years Old Woman

We report a large cystic tumour of about 40cms size in a perimenopusal woman mimicking ovarian tumour, with peroperative surprise of finding it as degenerated fibroid arising from fundus of the uterus

Spontaneous Evisceration of an Incisional Hernia Presenting One Year After Primary Surgery

Spontaneous evisceration is a rare complication associated with incisional hernia which demands an emergency surgery. A few cases have been reported on this. We report a spontaneous evisceration of bowel with strangulation which was managed by bowel resection and anastomosis and anatomical repair of incisional hernia

Successful Intra-peritoneal Antibiotic Therapy for Primary Abdominal Nocardiosis in an Immunocompetent Young Female Masquerading as Carcinoma Ovary

Nocardiosis is a common opportunistic infection in the immunocompromised and in patients with chronic debilitating diseases,e.g continuous ambulatory peritoneal dialysis (CAPD) patients. Primary abdominal nocardiosis is rare and is indeed a very rare infection in immunocompetent persons. Only two cases have been reported in immunocompetent patients so far and this may be third case to the best of our knowledge and first in India. About 11 cases have been reported in CAPD patients and AIDS patients.We report a case of Nocardiosis in an immunocompetent young female who presented with an abdomino-pelvic mass masquerading as carcinoma ovary.After initial resistance to various antibiotics, she responded to intraperitoneal and oral linezolid and oral ciprofloxacin

Ovarian Growing Teratoma Syndrome Presenting as Sciatica

Growing Teratoma Syndrome (GTS) is an unusual sequelae of nondysgerminomatous germ cell tumours. Here, we report the case of a lady with GTS presenting in a unique manner, as sciatica. The predisposing factors for development of GTS are advanced nature of primary tumor, mature elements in primary tumor and incomplete primary surgery. Prompt and timely excision of the tumour results in complete excision and symptomatic relief, in addition to confirmation of diagnosis and exclusion of malignancy