Introduction: Abdominal pain is a common complaint in children. In most cases it may be functional. Among all organic causes, an abdominal cyst of omental or mesenteric origin is an uncommon etiology. Case Presentation: A 7-year-old girl presented with a short history of abdominal pain for 1 month associated with gradual abdominal distention. Physical examination revealed a large oval palpable firm, non-tender mass extending almost the whole abdomen. Imaging studies were suggestive of an intra-abdominal cyst, and the diagnosis was confirmed after exploratory laparotomy. The patient was managed surgically by enucleation of the cyst. Conclusion: Omental cysts are a rare benign condition, but should be considered as a diagnostic hypothesis in children with abdominal pain with or without a mass. It is difficult to diagnose an omental/mesenteric cyst clinically. A proper imaging study can guide the diagnosis. After confirming the diagnosis, the main treatment would be surgical excision.

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Purpose Colonoscopy is considered the most reliable method for the diagnosis of juvenile polyps. However, colonoscopic screening is an invasive and expensive procedure. Fecal calprotectin (FCP), a marker of intestinal inflammation, has been shown to be elevated in patients with polyps. Therefore, this study aimed to evaluate FCP as a screening biomarker for the diagnosis of juvenile polyps. Methods This cross-sectional, observational study was conducted at the Pediatric Gastroenterology and Nutrition Department, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh. For children with polyps, colonoscopic polypectomy and histopathology were performed. FCP levels were analyzed before and 4 weeks after polypectomy in all patients. Information was recorded in a datasheet and analyzed using the computer-based program SPSS. Results The age of the children was between 2.5 and 12 years. Approximately 93% of the polyps were found in the rectosigmoid region. Children with juvenile polyps had elevated levels of FCP before polypectomy that subsequently normalized after polypectomy. The mean FCP levels before and after polypectomy were 277±247 µg/g (range, 80–1,000 µg/g) and 48.57±38.23 µg/g (range, 29–140 µg/g) ( p <0.001), respectively. The FCP levels were significantly higher in patients with multiple polyps than in those with single polyps. Moreover, mean FCP levels in patients with single and multiple polyps were 207.6±172.4 µg/ g and 515.4±320.5 µg/g ( p <0.001), respectively. Conclusion Colonic juvenile polyps were found to be associated with elevated levels of FCP that normalized after polypectomy. Therefore, FCP may be recommended as a noninvasive screening biomarker for diagnosis of colonic juvenile polyps.

Background: Anxiety disorders are reported in the different age group of people in the urban area. Objective: The purpose of the present study was to determine the level of anxiety disorder among urban elderly people. Methodology: This cross-sectional community based study was carried out from January to December 2016 at Bakolia, Chawkbazar urban area of Chittagong, Bangladesh.The individuals who were aged 60 years and above were interviewed by using convenient sampling. Face to face interview was done with semi structural questionnaire. Results: Out of 300 respondents female respondents were higher in number which was 168(56%) respondents; however, 71.7%, respondents were in 60 to 69 age groups. Majority of respondents did not have any income which was 72(60.0%) subjects. Most of the respondents were suffering from hypertension which was 198(66.0%) respondents. In urban areas 82(27.3%) subjects did not have anxiety disorder, while 133(44.3%) respondents had mild anxiety disorder, 63 (21.0%) respondents had moderate and 22 (7.3%) respondents had severe anxiety disorder. Furthermore, 192 (64.0%) respondents who were concerned about their finance had anxiety disorder. 160 (53.3%) were concerned about their health had anxiety disorder. Conclusion: In conclusion majority urban dwelling elderly people are suffering from anxiety disorders. Journal of National Institute of Neurosciences Bangladesh, July 2021, Vol. 7, No. 2, pp. 137-141

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