Introduction Splenic artery aneurysm is a rare form of vascular pathology that carries a high risk of mortality once it gets ruptured. It has a prevalence of 1% and occurs due to thinning and dilatation of the arterial wall. Case We describe a case of a 35-year-old policeman who died suddenly. At medico-legal autopsy, intraperitoneal clotted blood about 1000 g and liquid blood about 3000 ml were seen. On further exploration, ruptured splenic artery aneurysm about 2.0 cm in diameter became visible near the hilum. Conclusion Rare cases typically present as sudden and unexpected death with intraperitoneal bleed and may be confused with blunt trauma abdomen. Therefore, splenic artery aneurysm is an appropriate differential diagnosis for sudden deaths and intraperitoneal bleeding, respectively.

Mucormycosis is a disease that usually occurs in immunocompromised patients or those with uncontrolled diabetes mellitus. The second wave of the coronavirus disease 2019 (COVID-19) pandemic in India was accompanied by an unexpected rise in mucormycosis cases, ranging from the most commonly occurring Rhino-orbital-cerebral mucormycosis (ROCM) to rare cases of pulmonary and gastrointestinal mucormycosis. The majority of cases that presented to our hospital were individuals with underlying diabetes mellitus who received steroids for COVID-19 before being diagnosed with mucormycosis.In this case series, we present five rhino-orbital-cerebral mucormycosis cases that were histopathologically positive and treated at a tertiary-care hospital in India. Magnetic resonance imaging (MRI) of all of the patients demonstrated orbital apex syndrome and diffuse or focal infiltration of the cavernous sinus. Cases were treated with anti-fungal drugs, transcutaneous retrobulbar injection of amphotericin B (TRAM B), along with appropriate surgical excision and debridement of the involved tissue.The essential elements for successfully managing this fatal infection are control of the predisposing factors, early detection, anti-fungal drugs, and surgical debridement of the involved tissues.

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Background: Perforated peptic ulcer is a common emergency condition worldwide, with associated mortality rates of up to 30%. Although Helicobacter pylori and use of non-steroidal anti-inflammatory drugs are common causes, demographic differences in age, sex, perforation location, and underlying causes exist between countries, and mortality rates also vary. The routine to date has been to leave two tube drains: one in the Morrison's pouch and one in the pelvis after omental patch closure. This study was conducted to test the efficacy and safety of drain usage routinely after peptic ulcer perforation closure with omental patch technique. Materials & Patients: This is observational study was carried out at our rural Medical College in Bihar from the period October 2015 to June 2017. The aim was to know use of abdominal drain in peptic perforation (D1). As matter of study 50 cases was studied it was seen that there is more chance of infection after abdominal drain and less infection noticed in the case without drain. Mortality rate is more in laparotomy with drain. Clinical parameters: a) post operative fever, b) abdominal distension, rigidity, pain; c) post operative diarrhoea and d) vomiting were noted. Per rectal examination to detect boggy swelling or collection in the pelvis was done. Routine haematological and biochemical investigations were also evaluated. Wound infection, burst abdomen, time of return of bowel function, drain site infection and details of drainage were noted. Results: The mean age (mean± S.D.) of the all patients was 42.20±8.52 years with range 25-67 years and the median age was 41 years. In group A, the mean age (mean± S.D.) of patients was 44.36±9.54 years with range 32-67 years and the median age was 42 years. In group B, the mean age (mean± S.D.) of patients was 40.04±6.89 years with range 25-55 years and the median age was 40 years. In group A, per rectal examination to see pelvic collection postoperatively was observed in with drain patients 6 (24%) and without drain patients 8 (32%) but this association was not statistically significant (p = 0.53). Burst abdomen was significantly higher in with drain patients number is 4 patients (16.0%) than without drain patients 0 (0.0%) and this association was statistically significant (ᵪ2= 4.34, p=0.03). Conclusion: So our conclusion is that, if the proper toileting of the abdominal cavity can be achieved with care there is no role of putting abdominal drains as prophylactic drainage, in cases of perforated peptic ulcer diseases mainly D1 perforation.

The aim of this retrospective socio-demographic analysis is to identify those at higher risk of suicidal hanging in the region of Delhi and the National Capital Region. All deaths due to suicidal hanging from January 2016 to December 2019 reported in the Vardhman Mahavir Medical College and Safdarjung Hospital were included. Suicidal hanging accounted for 2.67% of total autopsied cases; 21–30 years old represented 42.62% of the victims. Male:female ratio was 1.7:1 and 38.37% of cases were from the adjoining areas of Vasant Kunj and Vasant Vihar. Therefore, a preventive strategy should focus concern on young adults, the male sex, and areas of Vasant Kunj and Vasant Vihar.