Pub Date : 2023-01-01DOI: 10.5455/ijmrcr.172-1678962299
Bharati Panda, S. Satapathy, Arati Panda, R. Dash
Background- Coronavirus disease (Covid-19) caused by SARS-CoV-2 has affected more than 200 countries, creating havoc throughout the world. The accelerated development of the Covid-19 vaccine is thus vital development which created a milestone in the field of health. Vaccine hesitancy among the medical students and professionals might be a significant obstacles in implementing the vaccination drive programme. Objectives: 1) To assess the perception of medical students regarding COVID-19 vaccine. 2) To estimate the acceptability of COVID-19 vaccine among medical students of VIMSAR, Burla. 3) To determine the association of various factors with the perceptions and acceptability of COVID-19.Methodology: It was a cross-sectional study conducted for a period of 3months i.e August-October 2022 among the MBBS students of VIMSAR, Burla. The total sample size was 847. Results: 99.4%. of the students accepted Covid-19 as a fatal disease & almost all of the students had heard and know about COVID-19 vaccine but 93.3% among them think the vaccine will prevent the disease and build the immunity but 77.4% accept the vaccine to be safe and effective. Social media(94.3%) and news channel(94.6%) were the most common source of information for them. Covid-19 vaccine was taken by 728(86%) of students. Regarding the adverse events following immunisation only 34.4% of the students have heard it.. The 1st year batch students had least perception & acceptability on COVID-19 vaccine whereas maximum was seen among the final year students . The association between the various batches of MBBS students with the perception & acceptability on COVID-19 was found to be significant with chi-square value 123.4981 & 109.1895 respectively with P=0.001.Conclusion- Even though perception and acceptability about COVID-19 vaccine among the students is good but regarding the adverse events following immunisation many are unaware and are having lots of apprehension which could be dealt with proper sensitisation meetings.
{"title":"Perception And Acceptability Of COVID-19 Vaccine Among Medical Students Of a Tertiary Care Hospital: A Cross-sectional Study","authors":"Bharati Panda, S. Satapathy, Arati Panda, R. Dash","doi":"10.5455/ijmrcr.172-1678962299","DOIUrl":"https://doi.org/10.5455/ijmrcr.172-1678962299","url":null,"abstract":"Background- Coronavirus disease (Covid-19) caused by SARS-CoV-2 has affected more than 200 countries, creating havoc throughout the world. The accelerated development of the Covid-19 vaccine is thus vital development which created a milestone in the field of health. Vaccine hesitancy among the medical students and professionals might be a significant obstacles in implementing the vaccination drive programme. Objectives: 1) To assess the perception of medical students regarding COVID-19 vaccine. 2) To estimate the acceptability of COVID-19 vaccine among medical students of VIMSAR, Burla. 3) To determine the association of various factors with the perceptions and acceptability of COVID-19.Methodology: It was a cross-sectional study conducted for a period of 3months i.e August-October 2022 among the MBBS students of VIMSAR, Burla. The total sample size was 847. Results: 99.4%. of the students accepted Covid-19 as a fatal disease & almost all of the students had heard and know about COVID-19 vaccine but 93.3% among them think the vaccine will prevent the disease and build the immunity but 77.4% accept the vaccine to be safe and effective. Social media(94.3%) and news channel(94.6%) were the most common source of information for them. Covid-19 vaccine was taken by 728(86%) of students. Regarding the adverse events following immunisation only 34.4% of the students have heard it.. The 1st year batch students had least perception & acceptability on COVID-19 vaccine whereas maximum was seen among the final year students . The association between the various batches of MBBS students with the perception & acceptability on COVID-19 was found to be significant with chi-square value 123.4981 & 109.1895 respectively with P=0.001.Conclusion- Even though perception and acceptability about COVID-19 vaccine among the students is good but regarding the adverse events following immunisation many are unaware and are having lots of apprehension which could be dealt with proper sensitisation meetings.","PeriodicalId":13694,"journal":{"name":"International Journal of Medical Reviews and Case Reports","volume":"155 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88252825","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.5455/ijmrcr.172-1669054672
Sibaram Panda, Sunil Sharma, M. Panda
Background: Coronary artery anomalies (CAA) refer to very uncommon and unusual morphological features of the epicardial coronary artery that account for 1/5th of deaths in athletes. Patients with CAA are also prone to develop significant coronary artery disease. Identification of such arteries during catheter-guided angiography is very challenging and associated with many devastating complications like arrhythmia, heart failure, contrast-induced nephropathy, bleeding, cardio-embolic events, mechanical injury to the coronary artery, etc. Objective: To describe the prevalence of various types of coronary anomalies and the complications, that arise during catheter-guided angiography. Materials and method: A total of 2849 patients who underwent angiography (for angina or angina equivalents) at the catheterization laboratory, VIMSAR, Burla, were enrolled in the study. Angiographic records and videos of patients were noted. Coronary anomalies were detected as per quantitative and qualitative criteria provided by the American Heart Association in 2007. The anomalous coronary arteries were classified into three groups based on the guidelines: Group A—anomalies of origin and course; Group B—anomalies of intrinsic coronary arterial anatomy; and Group C—anomalies of coronary termination. Data with respect to baseline characteristics and complications are collected, compiled, and tabulated for further analysis. Result: Among 2849 enrolled patients, coronary artery anomalies were identified in 64 (2.24%) patients. Out of which, CAA with abnormal origin and course (Group A), abnormal termination (Group B), and intrinsic coronary arterial anatomy (Group C) were detected in 36 (1.26%), 4 (0.14%), and 24 (0.84%) patients, respectively. Out of 64 cases, a total of 13 (20.3%) patients developed different types of complications, like mechanical (3.125%), embolic (1.56%), and arrhythmic (4.68%), bleeding (3.12%), contrast-induced nephropathy (4.68%), left ventricular failure (3.12%), etc. In group A, complications were more commonly observed in 10 (15.6%) of the cases. Conclusion: CAA with an abnormal origin and course is the most common type of coronary anomaly. Engagement of such an artery and detection of its abnormal course are more commonly associated with life-threatening complications. The use of appropriate manoeuvres, types and size of catheter, and cine views can help to avoid disastrous complications.
{"title":"Prevalence of coronary artery anomalies and arising complications during catheter guided angiography","authors":"Sibaram Panda, Sunil Sharma, M. Panda","doi":"10.5455/ijmrcr.172-1669054672","DOIUrl":"https://doi.org/10.5455/ijmrcr.172-1669054672","url":null,"abstract":"Background: Coronary artery anomalies (CAA) refer to very uncommon and unusual morphological features of the epicardial coronary artery that account for 1/5th of deaths in athletes. Patients with CAA are also prone to develop significant coronary artery disease. Identification of such arteries during catheter-guided angiography is very challenging and associated with many devastating complications like arrhythmia, heart failure, contrast-induced nephropathy, bleeding, cardio-embolic events, mechanical injury to the coronary artery, etc. Objective: To describe the prevalence of various types of coronary anomalies and the complications, that arise during catheter-guided angiography. Materials and method: A total of 2849 patients who underwent angiography (for angina or angina equivalents) at the catheterization laboratory, VIMSAR, Burla, were enrolled in the study. Angiographic records and videos of patients were noted. Coronary anomalies were detected as per quantitative and qualitative criteria provided by the American Heart Association in 2007. The anomalous coronary arteries were classified into three groups based on the guidelines: Group A—anomalies of origin and course; Group B—anomalies of intrinsic coronary arterial anatomy; and Group C—anomalies of coronary termination. Data with respect to baseline characteristics and complications are collected, compiled, and tabulated for further analysis. Result: Among 2849 enrolled patients, coronary artery anomalies were identified in 64 (2.24%) patients. Out of which, CAA with abnormal origin and course (Group A), abnormal termination (Group B), and intrinsic coronary arterial anatomy (Group C) were detected in 36 (1.26%), 4 (0.14%), and 24 (0.84%) patients, respectively. Out of 64 cases, a total of 13 (20.3%) patients developed different types of complications, like mechanical (3.125%), embolic (1.56%), and arrhythmic (4.68%), bleeding (3.12%), contrast-induced nephropathy (4.68%), left ventricular failure (3.12%), etc. In group A, complications were more commonly observed in 10 (15.6%) of the cases. Conclusion: CAA with an abnormal origin and course is the most common type of coronary anomaly. Engagement of such an artery and detection of its abnormal course are more commonly associated with life-threatening complications. The use of appropriate manoeuvres, types and size of catheter, and cine views can help to avoid disastrous complications.","PeriodicalId":13694,"journal":{"name":"International Journal of Medical Reviews and Case Reports","volume":"PP 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84861811","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.5455/ijmrcr.172-1665736819
B. Mota, M. Carvalho, Andreia Teixeira, F. Cunha, N. Brito
{"title":"Effects of the 2020 COVID-19 Confinement on obese and overweight children in a Portuguese Hospital Setting","authors":"B. Mota, M. Carvalho, Andreia Teixeira, F. Cunha, N. Brito","doi":"10.5455/ijmrcr.172-1665736819","DOIUrl":"https://doi.org/10.5455/ijmrcr.172-1665736819","url":null,"abstract":"<jats:p />","PeriodicalId":13694,"journal":{"name":"International Journal of Medical Reviews and Case Reports","volume":"12 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85357821","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.5455/ijmrcr.172-1673802395
Introduction: Group B Streptococcus (GBS) is a gram-positive coccus, that frequently colonizes the human genital and gastrointestinal tract, and is the most common cause of invasive infections in neonates. The high clinical suspicion and early treatment are essential to prevent devastating sequelae and improve the prognosis of these patients. Materials and Methods: A retrospective descriptive study made with children younger than 3 months of age, admitted to a neonatal intensive care unit of a level II hospital, from January 1, 2010 to December 31, 2021, with early (EOI) or late-onset (LOI) neonatal GBS infection. Reviewed obstetric history, risk factors, intrapartum chemoprophylaxis (IPA), clinical manifestations, antibiotic therapy, supportive care, recurrent infection, morbidities and deaths. Results: There were 6 cases registered during 12-year period with GBS infection, 3(50%) had EOI, 3(50%) had LOI and 1 case with recurrent infection (more 2 episodes). Most cases were prematures (4/6; 67%)with average gestational age of 29weeks. Eight GBS infections were documented. In EOI, prematurity and prolonged rupture of membranes without chemoprophylaxis were identified as risk factors. The most common clinical diagnosis was meningitis (62,5%, 5/8) and sepsis/bacteriemia without a focus (37,5%, 3/8). The most used empirical therapy was ampicillin, gentamicin and cefotaxime (50%, 4/8) and the most frequent definitive therapy was Penicillin G. 4 patients needed ventilatory support and 1 needed shock and seizures treatment. In one case hydrocephalus and delayed psychomotor development (DPD) were reported and in another case DPD and eyelid ptosis were also reported. 1 death occurred. Conclusion: In our study, maternal colonization wasn’t a risk factor for EIO, because the 4 mothers who performed GBS culture (2 mothers of term newborns and 2 mothers of preterms, one with invasive disease and other with recurrent infection) were negative. We obtained a higher percentage of meningitis than previously described (62.5% vs 5-10%), probably because most patients were premature and immunosuppressed.
简介:B群链球菌(GBS)是一种革兰氏阳性球菌，经常定植于人类生殖器和胃肠道，是新生儿侵袭性感染的最常见原因。高度的临床怀疑和早期治疗对于预防破坏性后遗症和改善患者预后至关重要。材料和方法:一项回顾性描述性研究，对2010年1月1日至2021年12月31日在某二级医院新生儿重症监护病房收治的3个月以下早期(EOI)或晚发型(LOI)新生儿GBS感染的儿童进行研究。审查了产科病史、危险因素、产时化学预防、临床表现、抗生素治疗、支持性护理、复发感染、发病率和死亡。结果:12年期间6例GBS感染，3例(50%)发生EOI, 3例(50%)发生LOI, 1例复发感染(≥2次)。大多数病例为早产(4/6;67%)，平均胎龄29周。记录了8例GBS感染。在EOI中，未经化学预防的早产和长时间膜破裂被确定为危险因素。最常见的临床诊断是脑膜炎(62.5%，5/8)和无病灶败血症/菌血症(37.5%，3/8)。应用最多的经验治疗是氨苄西林、庆大霉素和头孢噻肟(50%，4/8)，最常见的最终治疗是青霉素g。4例患者需要呼吸支持，1例患者需要休克和癫痫发作治疗。1例报告了脑积水和延迟精神运动发展(DPD)，另1例也报告了DPD和眼睑下垂。1人死亡。结论:在我们的研究中，母体定植不是EIO的危险因素，因为4例进行GBS培养的母亲(2例足月新生儿和2例早产儿，1例有侵袭性疾病，1例有复发性感染)均为阴性。我们获得的脑膜炎比例比先前描述的要高(62.5% vs 5-10%)，可能是因为大多数患者是早产儿和免疫抑制。
{"title":"NEONATAL GROUP B STREPTOCOCCAL DISEASE IN A NEONATAL INTENSIVE CARE UNIT: A TWELVE-YEAR STUDY","authors":"","doi":"10.5455/ijmrcr.172-1673802395","DOIUrl":"https://doi.org/10.5455/ijmrcr.172-1673802395","url":null,"abstract":"Introduction: Group B Streptococcus (GBS) is a gram-positive coccus, that frequently colonizes the human genital and gastrointestinal tract, and is the most common cause of invasive infections in neonates. The high clinical suspicion and early treatment are essential to prevent devastating sequelae and improve the prognosis of these patients. Materials and Methods: A retrospective descriptive study made with children younger than 3 months of age, admitted to a neonatal intensive care unit of a level II hospital, from January 1, 2010 to December 31, 2021, with early (EOI) or late-onset (LOI) neonatal GBS infection. Reviewed obstetric history, risk factors, intrapartum chemoprophylaxis (IPA), clinical manifestations, antibiotic therapy, supportive care, recurrent infection, morbidities and deaths. Results: There were 6 cases registered during 12-year period with GBS infection, 3(50%) had EOI, 3(50%) had LOI and 1 case with recurrent infection (more 2 episodes). Most cases were prematures (4/6; 67%)with average gestational age of 29weeks. Eight GBS infections were documented. In EOI, prematurity and prolonged rupture of membranes without chemoprophylaxis were identified as risk factors. The most common clinical diagnosis was meningitis (62,5%, 5/8) and sepsis/bacteriemia without a focus (37,5%, 3/8). The most used empirical therapy was ampicillin, gentamicin and cefotaxime (50%, 4/8) and the most frequent definitive therapy was Penicillin G. 4 patients needed ventilatory support and 1 needed shock and seizures treatment. In one case hydrocephalus and delayed psychomotor development (DPD) were reported and in another case DPD and eyelid ptosis were also reported. 1 death occurred. Conclusion: In our study, maternal colonization wasn’t a risk factor for EIO, because the 4 mothers who performed GBS culture (2 mothers of term newborns and 2 mothers of preterms, one with invasive disease and other with recurrent infection) were negative. We obtained a higher percentage of meningitis than previously described (62.5% vs 5-10%), probably because most patients were premature and immunosuppressed.","PeriodicalId":13694,"journal":{"name":"International Journal of Medical Reviews and Case Reports","volume":"128 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88191518","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.5455/ijmrcr.172-1653460318
T. Tayeb, najib chiboub, O. Alaoui, Abdelhalim Mahmoudi, Khattala Khalid, Bouabdallah Youssef
abstract We report the case of a male child aged 3 years who was consulted for a right deviated neck tumor, movable with the superficial plane and fixed with the deep plane, measuring 8 cm in length. It was firm, painless, without associated inflammatory signs (A), Cervical scan showed a tumoral process of the right nuchal parts, lobulated contour, with double fatty component containing fine partitions and tissue enhanced after injection of iodinated contrast (ICP), measuring 50*43*55mm in diameter (B), Patient admitted to the operating room: posterior transverse incision of the neck. Surgical exploration revealed an encapsulated mass very much adherent to the different musculoaponeurotic planes that it was pushing back without invading them. The mass was completely resected without capsular opening, following the cleavage planes between it and the planes (C). It measured 6.5 cm in length and contained several fatty lobules grouped in clusters (D). Anatomopathological examination confirmed a lipoblastoma.
{"title":"Lipoblastome de la nuque chez un enfant","authors":"T. Tayeb, najib chiboub, O. Alaoui, Abdelhalim Mahmoudi, Khattala Khalid, Bouabdallah Youssef","doi":"10.5455/ijmrcr.172-1653460318","DOIUrl":"https://doi.org/10.5455/ijmrcr.172-1653460318","url":null,"abstract":"abstract We report the case of a male child aged 3 years who was consulted for a right deviated neck tumor, movable with the superficial plane and fixed with the deep plane, measuring 8 cm in length. It was firm, painless, without associated inflammatory signs (A), Cervical scan showed a tumoral process of the right nuchal parts, lobulated contour, with double fatty component containing fine partitions and tissue enhanced after injection of iodinated contrast (ICP), measuring 50*43*55mm in diameter (B), Patient admitted to the operating room: posterior transverse incision of the neck. Surgical exploration revealed an encapsulated mass very much adherent to the different musculoaponeurotic planes that it was pushing back without invading them. The mass was completely resected without capsular opening, following the cleavage planes between it and the planes (C). It measured 6.5 cm in length and contained several fatty lobules grouped in clusters (D). Anatomopathological examination confirmed a lipoblastoma.","PeriodicalId":13694,"journal":{"name":"International Journal of Medical Reviews and Case Reports","volume":"4 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87103323","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.5455/ijmrcr.172-1678442463
Raj Kumar, Mayank D. Javia, Chintan J. Lakhani, Y. Umraniya
Background:- Covid-19 has affected the normal lifestyle and emotional aspects of general population of whole world a lot. Due to longer period of lockdown, unhealthy behavior and life style measures has increased like less physical activity, loss of appetite, more fast food and junk food eating habits, sleep disturbances etc. The present cross-sectional study was conducted among 1000 (500 male and 500 female) randomly selected participants of specific age group from the various areas of Amreli city of Gujarat after taking consent for voluntary participation in the study during March- April 2022. The aim of study was to evaluate the effects of lockdowns on lifestyle and behaviour changes of people in the urban areas in Indian populations. Out of total 1000 participants, 55% were having decreased physical activity, 46.4% were having increase in gain in weight, 44.2% were having increased overall food intake, 40.2% were having increased frequency of ordering food at home, 49.6% were having increased frequency of cooking new or traditional recipes at home, 52.8% were having increased use of social media, 55.2% were having increased screen time (TV/mobile/laptop/tablet), 46.4% were having decreased sleep, 49.6% were having increased anger and 53.6% were having more stress. Unhealthy lifestyle behavior among the participants are gain in weight, increased food intake, increased frequency of ordering food at home, increased use of social media, increased screen time (TV/mobile/laptop/tablet), decreased sleep, more stress and anger. Data derived from this study can be helpful to formulate appropriate interventional measures to the key health care personnel.
{"title":"The effect of Covid-19 and related lockdown phases on lifestyle of various age and sex groups in urban area","authors":"Raj Kumar, Mayank D. Javia, Chintan J. Lakhani, Y. Umraniya","doi":"10.5455/ijmrcr.172-1678442463","DOIUrl":"https://doi.org/10.5455/ijmrcr.172-1678442463","url":null,"abstract":"Background:- Covid-19 has affected the normal lifestyle and emotional aspects of general population of whole world a lot. Due to longer period of lockdown, unhealthy behavior and life style measures has increased like less physical activity, loss of appetite, more fast food and junk food eating habits, sleep disturbances etc. The present cross-sectional study was conducted among 1000 (500 male and 500 female) randomly selected participants of specific age group from the various areas of Amreli city of Gujarat after taking consent for voluntary participation in the study during March- April 2022. The aim of study was to evaluate the effects of lockdowns on lifestyle and behaviour changes of people in the urban areas in Indian populations. Out of total 1000 participants, 55% were having decreased physical activity, 46.4% were having increase in gain in weight, 44.2% were having increased overall food intake, 40.2% were having increased frequency of ordering food at home, 49.6% were having increased frequency of cooking new or traditional recipes at home, 52.8% were having increased use of social media, 55.2% were having increased screen time (TV/mobile/laptop/tablet), 46.4% were having decreased sleep, 49.6% were having increased anger and 53.6% were having more stress. Unhealthy lifestyle behavior among the participants are gain in weight, increased food intake, increased frequency of ordering food at home, increased use of social media, increased screen time (TV/mobile/laptop/tablet), decreased sleep, more stress and anger. Data derived from this study can be helpful to formulate appropriate interventional measures to the key health care personnel.","PeriodicalId":13694,"journal":{"name":"International Journal of Medical Reviews and Case Reports","volume":"69 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78961598","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.5455/ijmrcr.172-1669134895
K. Vagholkar, I. Bhatnagar, Narender Narang
Meckel’s diverticulum in a hernia sac is designated as a Littre’s hernia. It is an uncommon type of hernia. The diagnosis is invariably made at the time of surgery. Resection anastomosis of the adjacent segment of the small bowel with the diverticulum is a contentious issue. A case of Littre’s hernia is reported. A case of Littre’s hernia in a17 year old boy is reported to highlight the diagnostic and therapeutic issues confronting the attending surgeon. A short segment resection anastomosis of the small bowel along with the Meckel’s diverticulum was done. A herniorrhaphy was done with no complications. The diagnostic challenges and the dilemma of selecting the best option for removing the Meckel’s diverticulum and choice of hernia repair are discussed. Littre’s hernia is invariably diagnosed intraoperatively. A short segment resection anastomosis of the adjacent small bowel along with the Meckel’s diverticulum prevents complications arising due to the diverticulum. A herniorrhaphy for a young patient and the use of an absorbable mesh for other age groups is advisable.
{"title":"Littre’s hernia: A Surgical dilemma.\u0000(Case Report)","authors":"K. Vagholkar, I. Bhatnagar, Narender Narang","doi":"10.5455/ijmrcr.172-1669134895","DOIUrl":"https://doi.org/10.5455/ijmrcr.172-1669134895","url":null,"abstract":"Meckel’s diverticulum in a hernia sac is designated as a Littre’s hernia. It is an uncommon type of hernia. The diagnosis is invariably made at the time of surgery. Resection anastomosis of the adjacent segment of the small bowel with the diverticulum is a contentious issue. A case of Littre’s hernia is reported. A case of Littre’s hernia in a17 year old boy is reported to highlight the diagnostic and therapeutic issues confronting the attending surgeon. A short segment resection anastomosis of the small bowel along with the Meckel’s diverticulum was done. A herniorrhaphy was done with no complications. The diagnostic challenges and the dilemma of selecting the best option for removing the Meckel’s diverticulum and choice of hernia repair are discussed. Littre’s hernia is invariably diagnosed intraoperatively. A short segment resection anastomosis of the adjacent small bowel along with the Meckel’s diverticulum prevents complications arising due to the diverticulum. A herniorrhaphy for a young patient and the use of an absorbable mesh for other age groups is advisable.","PeriodicalId":13694,"journal":{"name":"International Journal of Medical Reviews and Case Reports","volume":"22 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80831441","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.5455/ijmrcr.172-1682355544
D. Dhakad, Dr.Prabha S. Rastogi, D. Mathur, D. Niranjan
{"title":"A study of sexual satisfaction in spouse of male patients diagnosed with Schizophrenia.","authors":"D. Dhakad, Dr.Prabha S. Rastogi, D. Mathur, D. Niranjan","doi":"10.5455/ijmrcr.172-1682355544","DOIUrl":"https://doi.org/10.5455/ijmrcr.172-1682355544","url":null,"abstract":"<jats:p />","PeriodicalId":13694,"journal":{"name":"International Journal of Medical Reviews and Case Reports","volume":"18 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85881041","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.5455/ijmrcr.172-1678017905
Rajeev Kumar
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Pub Date : 2023-01-01DOI: 10.5455/ijmrcr.172-1672847231
M. Novo, M. Gaia, H. Santos, Mafalda Santos
Case Report A short stature 10 year old boy with pes planus, mild hearing loss, failure of exfoliation of the primary dentition, anterior hyperdontia, malocclusion and open anterior fontanelle was observed in Pediatric Orthopedics consultation, and presenting the following alterations (image). Discussion This child has cleidocranial dysplasia (CCD). Is an autosomal dominant disease caused by an heterozygous loss-of-function mutation in the RUNX2 gene, encoding transcription factor CBFA1, on chromosome 6p21, which plays an important role in osteogenesis and differentiation of osteoblasts. The main clinical features include persistently open skull sutures, hypoplasia or aplasia of the clavicles permitting abnormal facility in opposing the shoulders, short middle phalanx of the fifth fingers, dental anomalies (supernumerary teeth, failure of exfoliation of the primary dentition and malocclusion), pes planus, upper respiratory complications, recurrent otitis media, hearing loss and often vertebral malformation (scoliosis). Conclusion The clinical diagnosis of CCD was made during pregnancy, through the detection of aplasia of the clavicles in fetu, in association with the mother having short stature (1.32 meters), persistence of primary teeth and open anterior fontanelle. With 10 years of age, he underwent mendilioma study which revealed the mutation in the RUNX2 gene (c. 747 del (p.(Arg251 Alafs*7))) classified as a pathogenic variant.
病例报告:一名身材矮小的10岁男孩，患有扁平足，轻度听力损失，初级牙列脱落失败，前牙厚，错颌和前囟门打开，在儿科骨科会诊时被观察到，并出现以下改变(图像)。本例患儿患有锁骨颅发育不良(CCD)。是一种常染色体显性疾病，由6p21染色体上编码转录因子CBFA1的RUNX2基因杂合突变引起，该基因在成骨和成骨细胞分化中起重要作用。主要临床特征包括持续开放的颅骨缝合线，锁骨发育不全或发育不全，导致肩部相对部位异常，五指中间指骨短，牙齿异常(多生牙齿，初级牙列脱落失败和错咬合)，扁平足，上呼吸道并发症，复发性中耳炎，听力损失和椎体畸形(脊柱侧凸)。结论妊娠期通过胎儿锁骨发育不全，与母亲身高不高(1.32米)、乳牙未脱、前囟门打开有关，可诊断为CCD。10岁时，他接受了门韧带瘤研究，发现RUNX2基因突变(c. 747 del (p.(Arg251 Alafs*7)))被分类为致病变异。
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