Antiphospholipid antibody syndrome (APS) is an autoantibody mediated thrombophilia characterised by recurrent arterial or venous thrombosis and/or pregnancy morbidity. APS presenting as thrombosis in mesenteric venous system is relatively uncommon (10%). Here, we present a case of primary APS presenting as acute superior mesenteric vein (SMV) thrombosis in a 38-year-old female. She was admitted with the complaints of abdominal pain and constipation for five days. Her abdomen was distended with sluggish bowel sounds. Her abdominal contrast enhanced computed tomography revealed thrombosis of SMV, splenic vein and portal vein. She was initially kept on conservative management and started on anticoagulants. Her coagulation work-up revealed that she was positive for anticardiolipin antibody and therefore, the diagnosis of APS was made. She was continued on conservative management and anticoagulants. On the tenth day of admission, after starting oral diet, she developed severe abdominal pain and abdominal signs of peritonitis. She was then taken up for emergency laparotomy. Intraoperatively; there was 100 cm of gangrenous ileal segment, about 60 cm from ileocecal junction and 160 cm from duodenojejunal flexure. The gangrenous ileal segment was resected and a double barrel ileostomy was constructed. She had an uneventful postoperative recovery and was started on lifelong anticoagulants.

A 39-year-old male presented with painless diminution of vision in the right eye for 10 days, which was associated with drooping of the upper lid for 4 days. Vision was perception of light with 4 mm ptosis and mild proptosis and 3.5 mm pupil with grade 1 relative afferent pupillary defect (RAPD). Extraocular movements showed abduction and elevation limitation of -2, adduction and depression limitation of -1 in the right eye. Magnetic resonance imaging (MRI) showed right posterior ethmoidal mucocele causing optic nerve compression. Marsupialization of mucocele and optic nerve decompression were done. Post-surgery, vision, ptosis, and extraocular movements improved and pupil remained the same owing to the mechanical effect of the mucocele. Early identification and intervention of posterior ethmoidal mucocele is crucial in preventing visual compromise.

INTRODUCTIONUTI is a second most common type of infection, accounting for nearly 25% of all infections.1 Urinary tract comprises of ureters, urinary bladder and urethra. Infection of the bladder gives rise to symptoms of frequency urgency, suprapubic discomfort, dysuria and cloudy offensive urine. These symptoms are often known as 'cystitis'. Lower UTIs are much more common in women than in men, particularly in the under 50's. ABSTRACTBackground: UTI is a second most common type of infection, accounting for nearly 25% of all infections. Lower UTIs are much more common in women than in men, particularly in the under 50's. UTI are common among patients with type 2 diabetes mellitus. Recurrent UTI is a common phenomenon that is observed among women who have experienced uncomplicated UTIs. Usually 5-10 days of antibiotic therapy is done for treating UTI. Successful antimicrobial therapy will usually ameliorate symptoms promptly, with substantial clinical improvement in 48 to 72 hours. The objective is to find out the knowledge and practice about UTI among UTI sufferers. Methods: The study design is cross sectional study. The study period is from July 2016 to February 2017. The study place is Sree Mookambika Institute of Medical Sciences. The sample size is (4PQ/d²) = 31. Systematic random sampling techniques are used. Institutional ethical committee clearance was obtained. Results: In the study 90.3% are women. In the study 32.3% had a recurrent UTI. In the study population about 51.7% take adequate or plenty of water. In this study 35.5% have poor knowledge, 42% have moderate knowledge and 19.5% have a good knowledge about UTI. Conclusions: From the study, it is learnt that UTI is common among the women and recurrence is the most common thing among the asymptomatic UTI group. The common symptom experienced by the study group is dysuria and frequency and most in the study group used to take less than recommended amount of water daily. They believe drinking plenty of water and cleanliness can prevent the UTI. The knowledge about UTI among the group is fairly good.