No abstract

Giant popliteal artery aneurysm is an uncommon entity. If untreated, it results in life-threatening complications. It is usually seen in older patients (over 60 years of age), and atherosclerotic disease is its main cause. Few cases have been reported in young adults, and its incidence in teenagers is exceptionally rare, with scarce case reports in the literature. We report a case of left popliteal artery aneurysm in a 16-year-old and its successful surgical treatment through resection and repair with a synthetic interposition graft.

Background:  Pancytopenia is characterised by a reduction in all the three cellular elements of blood (erythrocytes, leukocytes and platelets) below the normal reference range leading to anaemia, leucopenia and thrombocytopenia. It is a feature of many serious conditions. The present study was conducted to assess aetiology, clinical profile and bone marrow morphology of conditions presenting with pancytopenia.Methods: A two years cross-sectional study from July 2017 to June 2019 was conducted in the Department of Pathology. Total of 300 pancytopenia patient were studied and their clinical features, peripheral smear finding and bone marrow morphology were studied by using marrow aspiration and biopsy.Results: Among 300 cases studied, maximum patients were in the age group 11-20 years (19.66%) with male (50.66%) predominance. Most of the patients presented with weakness (91.66%) and fever (56.66%) as chief complains. The commonest physical finding was pallor (94%) followed by splenomegaly (27.33%). Macrocytic anaemia (43.66%) was commonest peripheral finding. The commonest cause of pancytopenia was megaloblastic anaemia (32.66%) followed by dimorphic anaemia (21%), aplastic anaemia (16%) and acute leukaemia (13.33%).Conclusions: The present study concludes that detailed clinical history, primary haematological investigations along with bone marrow examinations is essential to determine the cause of pancytopenia.

Pulmonary sequestration is a congenital anomaly characterized by nonfunctional lung parenchymal tissue receiving blood supply from systemic arteries instead of pulmonary arteries. It is a rare entity, and diagnosis is often missed given the condition’s presentation mimics other pulmonary diseases. Pulmonary sequestration leads to recurrent episodes of pneumonia, frequent hospital admissions, and, very rarely, fatal hemoptysis. Sometimes, pulmonary sequestration is diagnosed in adulthood when the patient presents with severe symptoms. We report the case of a 34-year-old woman with intralobar sequestration whose symptoms manifested in adulthood as occasional hemoptysis for two months followed by one episode of massive hemoptysis. Our case highlights the need for timely surgical intervention and thorough preoperative evaluation with imaging for optimal patient outcomes.