Blunt injury abdomen causing biliary injury is rare in children. Collection of bile within or outside the liver after biliary injury is called bilioma. CT scan images of late presenting intra-hepatic bilioma are shown.

Between 40 and 90% of tympanoplasty require middle ear ossicular chain reconstruction. Ossicular discontinuity usually cannot be determined unless an operation is performed. The main objective was to determine the predictive value of pre-operative audiological factors in diagnosing incudal necrosis in patients with tubotympanic chronic suppurative otitis media. A retrospective clinical study of 20 patients who underwent ossicular reconstruction with autologous incus over a period of two years was performed. The mean pre-operative pure tone average was 49.18 dB HL.The minimum value being 45 dB HL and the maximum value being 64 dB HL.

Benign tumours of nasopharynx are extremely rare; seen predominantly in children and young adults. Patients usually present with seemingly innocuous symptoms and an error in judgement can be catastrophic. This is a retrospective analysis of patients diagnosed to have benign tumours of nasopharynx by histopathological examination in our tertiary care referral centre. The period of study is from September 2009 to August 2010. Eight patients with complete clinical data were identified and included in the study. All the patients were males with a mean age of 21.37 years (range 10-43). Following surgical excision patients were followed up for a mean period of 6.5 months (range 3-14). The Clinical profile, investigation modalities, treatment options are being analysed here.

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One-stage portal-systemic shunt and biliary bypass 373. Dilawari JB, Chawla YK. Pseudosclerosing cholangitis in extrahepatic portal venous obstruction.