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Pilonidal disease is a common acquired surgical problem, which becomes the cause of marked discomfort and absentism amongst young men. It occurs in the cleavage of intergluteal cleft and is infamous for the recurrences following surgery and the associated prolonged wound care. Pilonidal sinus disease usually presents with an acute abscess, which later becomes a sinus with recurrent similar abscesses. Pilonidal sinus disease is of acquired origin and has multifactorial etiology. Many options are available in the management inclusive of conservative methods and operative procedures. Pilonidal sinus disease has remarkable recurrence rates after all the described surgical procedures. We studied cases of pilonidal sinus disease for their demographic pattern, clinical presentation and the applied surgical procedure. Recurrent pilonidal sinuses were evaluated for the possible cause of failure after previous surgical procedure. We present the article with thorough review of recent literature on pilonidal sinus disease.

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BACKGROUND Tuberculosis of abdomen is an increasingly seen clinical problem. The disease can mimic many other intra-abdominal pathologies and becomes a diagnostic challenge to the treating physician. Abdominal tuberculosis can be associated with pulmonary tuberculosis or can be seen as an isolated pathology. With the advent of newer imaging modalities and investigations like ADA levels and CB-NAAT, the diagnosis can be reached with a reasonable accuracy. The objective of the study was to evaluate the clinico-pathological profile of patients with abdominal tuberculosis in our institution. MATERIALS AND METHODS We have conducted this descriptive observational study for a period of one and a half years, i.e. from 1 st Jan 2017 to 30 th June 2018. All the patients who were admitted and were diagnosed as cases of abdominal tuberculosis were included in this study. The collected data was tabulated and analysed statistically. RESULTS This descriptive observational study included forty patients of abdominal tuberculosis during a period of one and a half years. Distension of abdomen (80%) with pain and anorexia (78%) were the commonest presenting symptoms. Forty five percent patients were between 18 and 40 years of age. Lower socioeconomic strata patients were 72.5%, which suggests that poor sanitation and lack of good nutrition are major factors in the causation of tuberculosis. Raised ADA levels (in 92.5%) and positive CB-NAAT status (92.5%) were significant values. Imaging modalities like ultrasonography and computerised tomography were useful in reaching the diagnosis in more than fifty percent of patients of abdominal tuberculosis. CONCLUSION Abdominal tuberculosis is a disease with varied presentations. It can mimic many other abdominal pathologies. Diagnosis of abdominal tuberculosis is sometimes difficult. Delay in the diagnosis can increase the morbidity and mortality of this condition. High index of suspicion on the part of the treating physician is of greatest value. Newer advents of imaging modalities and investigations like CB-NAAT, ADA levels etc. are helpful in making an early diagnosis. Tuberculosis being a communicable infection, should be prevented and eradicated by us to safeguard the future generations.

This observational study was conducted on the victims of blunt abdominal trauma from 1 st January 2012 to 31 st October 2013 at Sri Aurobindo Medical College and Postgraduate Institute, Indore, which is a leading tertiary care centre in Central India. Fifty three patients of blunt abdominal trauma were included in the study and analysed on the basis of clinical profile, demographic pattern and overall outcome of the injuries. Road traffic accident was the commonest cause (74.47%). Sex distribution ratio showed male preponderance (81.13%). More than half (55%) were from the middle age group (20 to 40 years). These men must have been the sole breadwinners of their families and we can only imagine the socio-economical impact on their families. Most of them were involved in automobile accidents which could have been prevented. Increased use of fast moving vehicles and lack of knowledge about traffic regulations are responsible for these accidents. In the coming days the problem of polytrauma is going to increase in our hospitals. We should try to prevent the menace of automobile accidents. Rules and regulations of road safety and precautions while using the automobiles have to be imbibed at an earlier age. Schools, social media and licensing authorities of the government will have to play an important role in this matter. In spite of latest gadgets and state of art medical care facility, the outcome of abdominal trauma is marked by significant morbidity and mortality as it depends on concomitant injuries and unique problem of postoperative abdominal sepsis. We feel that proper understanding of etiology and pattern of blunt abdominal trauma may help in improving the final outcome. HOW TO CITE THIS ARTICLE: