No abstract

We report a rare case of pheochromocytoma of the adrenal gland presenting as Cushing syndrome. A 30 year old woman presented with pain in the left loin and classical Cushingoid features. She was a diabetic and hypertensive on treatment. Magnetic resonance imaging of the abdomen revealed a 3.5×3 cm mass in the left adrenal gland. Urine analysis revealed an elevated 24 hr urinary cortisol level. Clinical diagnosis was Cushing syndrome due to functioning left adrenal tumor, and hence left adrenalectomy was performed laparoscopically. Histopathological examination revealed adrenal pheochromocytoma. Immunohistochemical analysis of the tumor was positive for adrenocorticotrophic hormone and chromogranin.

Urolithiasis is a very common problem, and the challenges that it has posed has been instrumental in devising various means to tackle the stone burden. With better access, visualization and stone fragmenting techniques, end urological procedures have become a mainstay in treatment of stone despite the vast evidence supporting nonstented ureteroscopies, worldwide many urologists still prefer to place stents in majority of uncomplicated stone removal procedures in a bid to improve drainage, stone eases. Ureteric stents are associated with a wide spectrum of symptoms thereby producing considerable morbidity ranging from 80 to 98% and the discomfort caused varies from p Alpha adrenergic receptor like α1A and α1D have been documented to be distributed the in the lower urinary tract and the distal ureter and the use of alpha adrenergic receptor blockers like Tamsulosin are shown considerable promise in treating the stent related symptoms. Hence this study, was done in an effort to determine the effect of Tamsulosin in improving double-J stent related symptoms and quality of life following ureteral stent placement. This is a prospective study conducted from February 2013 to January 2014 at Government Stanley Hospital. A total of 180 patients were enrolled in this study after following the exclusion and inclusion criteria. Patients were prospectively randomized by random-number chart into two groups. Patients those of whom are prescribed non-selective α adrenergic receptor blockers like Tamsulosin following stenting, seem to benefit significantly because not only did they experience much lesser symptoms and bother, but they also improved over their symptoms with which they presented at admission. This would concur to the explicit influence these group of α adrenergic receptor blockers have over the lower urinary tract and gives them a definite role in treating patients afflicted with stent related morbidity.

Renal Transplantation has become established as the treatment of choice for patients with End Stage Renal Disease requiring renal replacement therapy. Laparoscopic Donor Nephrectomy is performed across a few centres across the country. Laparoscopic donor nephrectomy is advantageous in all aspect of donor surgery like lower operating time, less blood loss, lower post-operative pain, small surgical site scar and lesser requirement of analgesics. Though there is an increased warm ischaemia time, it has not impacted on the graft outcome. Our series also demonstrates the above benefit.