1.Thyroid Abscess After Fine Needle Aspiration with Spontaneous Rupture into the Trachea : A Case Report
Shouvik DAS ; Abhishek MANDAL ; Ritesh KUMAR ; Sandeep CHAUHAN ; Krishna Rekha MANTRY ; Sandeep Kumar MALIK ; Sanjay MARWAH
Journal of Acute Care Surgery 2023;13(2):70-73
Fine needle aspiration (FNA) of the thyroid is a well-tolerated minimally invasive procedure. Thyroid abscess, as a complication of FNA in an immune-competent adult, is extremely rare. Diagnosis requires a high index of suspicion, for which treatment is intravenous antibiotics, drainage, and sometimes surgery. Here we present a case of thyroid abscess in an otherwise healthy man who presented with neck pain, rapidly increasing neck swelling, difficulty in swallowing, and hoarseness of the voice that developed two weeks after diagnostic FNA of a thyroid nodule which had been present for ten months. Despite antibiotic treatment, the abscess ruptured into the trachea, requiring surgical intervention. This highlights the importance of maintaining asepsis during FNA of the thyroid. Timely diagnosis of a thyroid abscess is essential to avoid life-threatening airway complications.
2.Distribution of cestodes in the digestive tract of Indian Hill-stream fishes.
Sandeep K MALHOTRA ; R S CHAUHAN
The Korean Journal of Parasitology 1984;22(2):238-241
The distribution of Bothriocephalus sp., Guptaia sp., Mackiewiczia sp., Polyonchobothrium sp., Ptychobothrium sp., and Senga sp. in the alimentary tract of nine Indian hill-stream fishes are described. Though the region around pyloric sphincter was preferred by most cestodes, Senga sp. enabled its existence even in the latter part of intestine apparently because of its well developed adhesive apparatus on scolex.
parasitology-helminth-trematoda
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Bothriocephalus sp.
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Mackiewiczia sp.
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Polyonchobothrium sp.
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Ptychobothrium sp.
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Senga sp.
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epidemiology
3.The Majority of Corona Mortis Are Small Calibre Venous Blood Vessels: A Cadaveric Study of North Indians
Sandeep KASHYAP ; Yogesh DIWAN ; Shweta MAHAJAN ; Deepa DIWAN ; Mukand LAL ; Randhir CHAUHAN
Hip & Pelvis 2019;31(1):40-47
PURPOSE: Corona mortis is an abnormal arterial or venous anastomosis between the external iliac and the obturator system of vessels and may cause significant hemorrhage during pelvi-acetabular fracture surgeries, hernia repair and laparoscopic gynecological procedures. Previous studies have estimated a prevalence of corona mortis between 34% and 70%. This cadaveric study was conducted to estimate the prevalence of corona mortis in the North Indian population. MATERIALS AND METHODS: Twelve cadavers (24 hemipelvises; 11 males and 1 female) with a mean age of 68 (range, 54–82) years were included in this study. RESULTS: Corona mortis was observed in 14 hemipelvises (58.3%). A total of 19 (79.2%) vascular anastomoses of diameter greater than 1 mm were observed; 5 hemipelvises (20.8%) had corona mortis on the right side, 9 hemipelvises (37.5%) on the left side and bilateral in 5 (41.7%) cases. Two hemipelvises (8.3%) had an arterial connection. An aberrant obturator artery was observed in 1 (4.2%) hemipelvis. A venous connection was found in 14 specimens (58.3% of hemipelvises). The average distance of the connecting vein from the symphysis pubis was 41 (35–70) mm. A vessel diameter of greater than 4 mm was observed in 4/24 (16.7%) of hemipelvises. CONCLUSION: The frequency of venous corona mortis was higher than arterial corona mortis and the majority (83.3%) were small calibre ( < 4 mm). The presentation pattern and the number of arterial or venous anastomoses were different in the majority of hemipelvises and dissimilar in both hemipelvises of the same cadaver in the majority of cases.
Acetabulum
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Arteries
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Blood Vessels
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Cadaver
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Hemorrhage
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Herniorrhaphy
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Humans
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Male
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Prevalence
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Pubic Bone
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Veins