HighlightsCholedocholithiasis can be treated by endoscopic extraction with or without stenting or by surgery.Stents cam form nidus for development of stones in CBD,may lead to cholangitis.Patients should be informed about ill effects of stent in-situ and advised to review for stent removal after 6 weeks.

Solid pseudopapillary tumour (SPN), also known as Frantz tumour is a peculiar tumour of unknown origin. It accounts for 2.5 % of resected pancreatic neoplasms. It is a low-grade malignant potential tumour. In completely resected tumours, it has good survival rate. We report a case series of 4 cases of solid-pseudopapillary tumour of the pancreas. In all 4 cases, the tumour was completely resected with enucleation done in one patient and histopathology showed solid pseudopapillary tumour. Patients are in follow-up with no metastasis and in good health. Due to the rarity of the tumour and good survival with complete resection, studies are required for its deeper understanding.

No abstract

Background: Mild traumatic head injury is classified as one with Glasgow coma scale (GCS) score between 13 and 15. The aim of the study was to find underlying cause of deterioration of mild traumatic brain injury (TBI) and its association with other factors like bony injury. Methods: A prospective observational study at a tertiary centre with patients admitted for mild TBI with GCS 13-15 were followed up in ward and reviewed after every 6 hours interval, those who deteriorated repeat computed tomography (CT) scan was done for further diagnosis and intervention. Results: Determining the level of deterioration after 24 hours observation following mild TBI, 268 (63.4%) of the admitted patients were discharged home after 24 hours of observation, 89 (20.7%) needed more observation while 63 (14.8%) deteriorated and 3 (0.7%) died. As the GCS on admission was decreasing; deterioration increased i.e., 12.7%, 16.7% and 33.3% for GCS of 15, 14 and 13 respectively. Likewise, as the GCS increased, recovery improved. Subdural haematoma (39.7%) was the leading cause of deterioration while (13.8%) despite their deterioration, CT brain did not reveal any abnormality. Conclusions: Patients presenting with mild TBI (i.e., GCS-13-15) secondary to high velocity/energy trauma i.e., road traffic accidents have to be carefully observed for at least 24-48 hours post-trauma as the chances for neurological deterioration are significant especially in polytrauma patients. The most cause for deterioration is subdural haemorrhage among others, has to be investigated so appropriate management for the same can be instituted as soon as possible.