No abstract

We presented unusual GIT duplications. These duplications are managed on similar lines as classical duplications with good prognosis when dealt early.

Abdominal cocoon is a complete or partial encasement of intestines and rarely viscera by a fibrocollagenous sac which is usually formed by a nonspecific chronic inflammatory reaction. We report a case of abdominal cocoon in a 2-day-old neonate presenting with intestinal obstruction.

Letters to the editor cance rating of one. The combinations of NSAIDs with a fi blocker, quinidine with cimetidine, and glibenclamide with a thiazide diuretic each occurred in one patient. These combinations have a significance rating of two. The combinations of NSAIDs with methotrexate, salicylates with enalapril, and digoxin with hydroxychloroquine each occurred in two patients. These combinations have a significance rating of four. None of the patients had reported a drug interaction before admission. The mean duration of admission was 39 days (range 7-84), during which time the only adverse reactions were diarrhoea secondary to auranofin in one patient and a skin rash secondary to sodium aurothiomalate in one patient. This small study supports previous studies illustrating the potential for drug interactions in patients with arthritis and emphasises the need for continued vigilance. Most potential drug interactions involve NSAIDs.' The absence of significant clinical drug interactions might be attributed to the judicious use of NSAIDs. They were reserved for the management of definite inflammation, and of the 33 patients receiving NSAIDs, 22 were receiving half the maximum recommended dose.

Background: In hypospadias surgery, despite continued refinement of various surgical procedures, there is no completely satisfactory technique in terms of complications and cosmesis. In recent literature, urethral mobilization and advancement (UMA) is gaining popularity in the management of distal penile hypospadias with no or very low complication rate as compared to all other techniques. The aim of this study is to share our results by using UMA in the management of anterior hypospadias with or without chordae. Results: A total of 60 patients of anterior hypospadias having the mean age 57.15 ± 38.73 months were included. The mean length of hospital stay was 2.83 ± 1.33 days. The only peroperative complication was urethral injury during urethral mobilization seen in one patient. The most common postoperative complication was hematoma seen in five (8.3%) cases. Two patients (3.3%) had retraction of urethra. One patient had wound infection. Stenosis was labeled in four (6.6%). At 3 months follow-up, 93.3% patients had slit-like meatus and good urinary stream. Conclusion: We found that UMA technique had good functional as well as excellent cosmetic outcome, so the technique can be adopted for anterior hypospadias correction.