Background: Pseudoaneurysms are usually post-traumatic, iatrogenic, in intravenous drug abusers or due to anastomotic disruption. Pseudoaneurysms continue to be a clinical challenge in recent time.Patients and Methods: In this retrospective study of 10 years, consisting of 60 cases, we aim to document and evaluate the causes, presentation and treatment modalities.Results: All patients underwent surgical intervention. There was no mortality and minimal morbidity. Conclusions: The repair by Saphenous venous interpositional graft is the key to successful management of post-traumatic peripheral arterial pseudoaneurysm. (Ind J Thorac Cardiovasc Surg, 2006; 22: 182-187)

Aluminum phosphide is a lethal systemic poison with 80%-90% mortality. Survivors have taken either a very small amount or the tablet had been exposed to air, rendering it less toxic, but often causing severe esophageal injuries. The presentation and treatment of 11 cases of esophageal injury due to aluminum phosphide are described. Ten patients had esophageal stricture, and 1 had tracheoesophageal fistula with stricture. Endoscopic bougie dilatation was sufficient in 7 patients, and surgical intervention was required in 4 who underwent definitive repair via gastric tube or feeding jejunostomy with a 2(nd) stage repair planned in 2. There was no mortality but significant morbidity. Mortality and morbidity might be prevented by withdrawing this pesticide from the market, making its sale difficult, or modifying the packaging.

Paget's disease of bone is a chronic bone remodeling disorder. Although most patients are asymptomatic, a variety of symptoms and complications may develop directly from bone involvement or secondarily due to compression by the expanded bone. It is usually diagnosed from radiological and biochemical abnormalities or in advanced cases it becomes clinically evident due to the expanded bone. We report a case of Paget's disease which was detected incidentally during evaluation of nephrolithiasis and polyarthritis but had normal radiographs and normal biochemical markers.

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