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Japanese B Encephalitis is a viral disease, which presents with multiple findings in brain. Uremic encephalopathy is also a known cause of multiple signal changes in brain. We present a case of a 30 yr male patient who was having Japanese encephalitis and was also having acute renal problems leading to uremic encephalopathy. The patient did not have any renal problem before. Diagnosis was confirmed by CSF examination for Japanese encephalitis virus (JEV) by RT-PCR, which was positive, and renal function test. To our knowledge, MR imaging findings of encephalopathy in same patient caused by Japanese B and hyperuremia have not been reported. Possibility of Renal failure may be a complication of sequelae of Japanese B encephalitis.

The incidence of the fetal intra-abdominal umbilical vein varix condition is very rare and has been associated with fetal hydrops, IUGR and still birth A 26-year-old primigravida was referred for routine antenatal scan. The scan at 30 weeks showed an intra-abdominal ovoid structure superior to the fetal bladder. Color flow Doppler revealed venous flow in continuity with the umbilical vein. A diagnosis of umbilical varix was made. The venous flow was present throughout the lesion, suggesting the absence of thrombi. There was no evidence of fetal hydrops. Subsequent scans at regular intervals showed no increase in size of the umbilical varix. The patient had an uneventful elective cesarean section at 39 weeks. Postnatal assessment and a follow-up neonatal cardiac echo scan were normal. Our case supports the new emerging evidence that pregnancy outcome in cases of isolated fetal umbilical vein varix is generally good. Caution must be exercised against unnecessary early induction and costly preterm births

Prune belly syndrome is a congenital abnormality of unknown etiology with characteristic features: Deficient development of abdominal muscles that causes the skin of the abdomen to wrinkle like a prune, cryptorchidism, abnormalities of the urinary tract. It is associated with high incidence of fetal and neonatal mortality. It can be diagnosed at 16 weeks during routine ultrasound and can be managed by fetal therapy. In rural setup women are neither visiting for routine anomaly scan nor affording for fetal therapy, hence termination of pregnancy remains the only option.