Congenital diaphragmatic eventration is uncommon in adults and is caused by paralysis, aplasia or atrophy of the muscular fibers of the diaphragm. It may cause severe dyspnea, orthopnea and hypoxia in adult patients. Most symptomatic patients may be managed efficiently without the need for surgical correction, although any event that leads to an increase in intra-abdominal pressure puts them at the risk of spontaneous diaphragmatic rupture. This case report presents the successful anesthetic management of an adult female with congenital diaphragmatic eventration undergoing diagnostic laparoscopy and hysteroscopy using a total intravenous anesthesia technique. Essential steps to prevent any rise in intrathoracic and intra-abdominal pressures along with care to minimize intragastric volume were taken.

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Aim: The purpose of our study was to assess various anatomical variations of the uncinate process of the lateral nasal wall and to study the clinical association of its anatomical variations on computed tomography. Methods: A descriptive study of anatomical variations of the uncinate process with clinical association was undertaken in the Department of Ear, Nose & Throat of a Medical College and Tertiary Health care centre. The study was of 2 years duration and included 50 patients from August 2014-2016 and included 50 patients. Patients were selected according to a specified criteria and sinonasal computed tomography scans were undertaken with the help of Somatom Emotion 6 CT machine. Data was organised charted and analysed using statistical software SPSS 16. Results: The key findings in our study were that six types of anatomical variations of uncinate process and there frequency distribution was identified according to Landstiener and Friedman classification. Uncinate process types according to age and gender were charted and tests of association were applied. Conclusion: After statistical analysis we found no association between type of uncinate process and sinonasal symptoms. No association was seen between age and gender and variations of uncinate process. In our study, variation of superior attachment of uncinate process were found in 100% cases.

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