International Journal of Case Reports and Images (IJCRI) is an international, peer reviewed, monthly, open access, online journal, publishing high-quality, articles in all areas of basic medical sciences and clinical specialties.Aim of IJCRI is to encourage the publication of new information by providing a platform for reporting of unique, unusual and rare cases which enhance understanding of disease process, its diagnosis, management and clinico-pathologic correlations.IJCRI publishes Review Articles, Case Series, Case Reports, Case in Images, Clinical Images and Letters to Editor. Website: www.ijcasereportsandimages.comInternal herniation beneath mesodiverticular band producing ambiguous picture in intestinal obstruction: A management dilemma Rakesh Chauhan, Rajesh Chaudhary, R. Dayashankar ABSTRACT Introduction: Mesodiverticular band is a rare cause of obstruction due to Meckel's diverticulum complication. However, exact incidence could not be found in literature. Obstruction as a complication of the Meckel's diverticulum is the most common presentation in adults. Case Report: We present here a case of intestinal obstruction by mesodiverticular band in a 13-year-old child with an ambiguous picture by patient clinically settling with conservative treatment but radiologically air fluid levels still persisting. Conclusion: Mesodiverticular band cannot be diagnosed preoperatively and because of the loosely entrapped loop, obstruction is not complete. So it produces difficult situation for the surgeon to take decision in favor of surgery.

To evaluate and compare the effect of different doses of Dexmedetomidine on Heart rate, Blood pressure, oxygen saturation and depth of anaesthesia. This study was done in the Department of Anaesthesiology, Dr. RPGMC, Kangra at Tanda, Himachal Pradesh. This study was carried out on 90 patients in the age group of 20 to 60 years. Patients were ASA I-II, scheduled for open cholecystectomy. Study design-It was a prospective, double blind randomised study. The patients were allocated into one of the three groups by random number chart. The study drug solution was prepared and given to the investigator by a nonparticipant staff. As a result we concluded that Dexmedetomidine effectively attenuates the Extubation response in dose of 0.75µg/kg and 1µg /kg whereas in dose of 0.5µg/kg the Extubation response was not effectively attenuated. However the quality of Extubation was comparable with Dexmedetomidine in dose of 0.75µg/kg and 1µg /kg (p>0.05). So we conclude that 0.75µg/kg is the single best dose of Dexmedetomidine for attenuation of Extubation response.