No abstract

Unicornuate uterus with a rudimentary horn is an anomaly of the mullerian duct and is an extremely rare condition. This condition results when one of the paired mullerian ducts fails to fuse completely. Its incidence is estimated to be one in 76,000 pregnancies.Pregnancy in the rudimentary horn of the unicornuate uterus is difficult to diagnose on ultrasound and can be easily missed out. Hence the pregnancy usually gets detected after rupture when the mother presents with the complaint of severe abdominal pain. This is a case report of a 24 year old G2P1A0L1 female who presented to us with complaints of tenderness in the left iliac fossa and mild abdominal distention. Clinical examinations, radiological investigations, and exploratory laparotomy revealed a unicornuate uterus with an unruptured left rudimentary horn pregnancy at 14 weeks with mild hemoperitoneum. Following the exploratory laparotomy, excision of the left rudimentary horn and thorough peritoneal lavage was performed.

A remnant of the umbilical arteries, urachus, is a transverse structure lying between the peritoneum and the fascia transversalis. Urachus results from the involution of the embryonic duct and the ventral cloaca. The Urachus drains the bladder of the fetus by running within the umbilical cord. Usually, during embryonic development, the urachal tract obliterates. Failure of complete obliteration of the urachus, which is reported to be present in approximately 30% of adults, can lead to several abnormalities of the urachus. Common abnormalities of the urachus include - urachal cyst, diverticulum, umbilical sepsis, or patent urachus. This is a case report of a 23 days old female neonate who presented to us with complaints of fever for 11 days and umbilical discharge for 4 days. Clinical, microbiological, and radiological examinations revealed patent urachus with Methicillin-resistant coagulase-negative staphylococcal (MR-CoNS) umbilical sepsis. It is a rare condition that requires management with higher antibiotics based on culture and sensitivity tests.

Background: Organophosphate poisoning is a major cause of morbidity and mortality that poses public health problems in developing countries, including India. Clinical signs and symptoms of OP compound ingestion are often non-specific and clinical signs depend on the nature of the OP compound, the amount consumed the time lapse between exposure and admission to the hospital, and the severityMethods: In this prospective cohort study, we reported the clinical presentation of 50 patients with OP poisoning, and studied the correlation of serum K+, Na+, creatinine, and BUN with the prognostic significance.Result: Elevated serum creatinine along with hypokalemia was found to be strongly correlated with high mortality rates in patients with suicidal organophosphate poisoning. The correlation of clinical outcomes and low serum K+ was found to be statistically significant (p<0.001). Our study concludes that serum K+ (<3.6 mmol/l) and serum creatinine (>1.21 mg/dl) are poor prognostic indicators for patients presenting with suicidal OP poisoningConclusions: Our study concluded the association of hypokalemia and elevated serum creatinine levels with poor clinical outcomes in OP poisoning patients, and recommends regular monitoring of these prognostic indicators in effective management of these patients