Stroke occurring in pregnancy, though rare, is a serious complication which can lead to maternal death. In this study, hypertension has emerged as an important risk factor; therefore, attention should be focussed on maintaining normotension in the peripartum period.

SUMMARY The use of a faecal preservative and several staining methods, together with formalin ether concentration, were evaluated for the improved diagnosis of intestinal amoebiasis and giardiasis in 1285 patients with diarrhoea or dysentery and from asymptomatic controls. All samples were screened by three wet mount techniques. Thirty eight specimens ofdiarrhoeal or dysenteric stool were preserved in polyvinyl alcohol (PVA) and stained by trichrome and Spencer and Monroe short iron haematoxylin stain. Thirty nine preserved faecal samples submitted for routine screening were subjected to formalin ether concentration, wet mount examination, and permanent staining. Saline and buffered methylene blue (BMB) mounts were equally good for detection of trophozoite Entamoebae while Giardia trophozoites were detected only by the saline mount. The iodine mount was superior to the other mounts for protozoan cyst detection. The concentration procedure enhanced cyst recovery. Faecal preservation and subsequent staining was superior to wet mount examination for detection ofthe trophozoite stage and avoided the need for fresh specimens. Both the trichrome and the iron haematoxylin stains were comparable for the detection of cysts and trophozoites of the Entomoebae. Giardia lamblia trophozoites stained better with iron haematoxylin than with the trichrome.Preservation and permanent staining is recommended as the most productive means for the accurate identification of the various protozoan parasites.

Cortical blindness and retinal detachment are rare complications of pre-eclampsia and eclampsia. The prognosis is usually good especially with cortical blindness where the loss of vision is transient. The mainstay of management is effective treatment of pre-eclampsia/eclampsia along with termination of pregnancy.

There is a need for educating girls in the area of gender relationship. Contraceptive awareness should be created.

A 60-year-old male patient presented with history of passing black coloured stool for 15 days. Clinically, there was pallor with documented haemoglobin of 5.9 gm%. Patient was resuscitated with intravenous fluids and two units of packed red blood cells. Other routine blood investigations were normal. Once the patient was haemodynamically stable, EGD was performed which revealed normal esophagus and stomach, and a 1cm sessile polyp in the first part of the duodenum [Table/ Fig-1]. Endoscopic polypectomy was performed and specimen was subjected to the histopathological examination (HPE). Colonoscopy didnot reveal any significant pathology. Upper gastrointestinal endoscopic re-assesment was done three hours after polypectomy to confirm haemostasis at the polypectomy site. Postprocedure pneumoperitoneum was ruled out by abdominal imaging.HPE of excised specimen showed tubular adenomatous polyp with mildly distorted villous structure and tubular hyperplasia of the glands, focal mild dysplasia of the glandular epithelium and mild inflammatory cell infiltration in the lamina propria [ DIsCUssIoNDuodenal polyps are rare lesions with different pathological manifestations. Varieties include adenomas, submucosal tumours (lipomas, endocrine tumours and gastrointestinal tumours), Brunner's gland hyperplasia and hamartomas. The prevalence of duodenal polyps, as detected during EGD performed for other reasons, ranges from 0.3-4.6% [1]. Around 20% of small bowel adenomas occur in the duodenum. The malignant potential of these lesions is reportedly between 35% and 55%. These adenomas may produce symptoms mimicking those of ulcer disease, although majority of the patients are asymptomatic at the time of diagnosis.Adenomas can occur sporadically or as part of a polyposis syndrome with FAP or Gardner's syndrome. Both groups carry malignant potential but polyposis syndrome scores higher among the two. The majority of the sporadic duodenal adenomas are flat and sessile and occur in the 2 nd part of the duodenum. Patients with sporadic duodenal adenomas carry an increased risk of colonic neoplasia and should be offered colonoscopy [2]. Sporadic duodenal adenomas are found in only 0.3% of upper GI endoscopies performed, usually for other reasons [3]. The peak incidence of duodenal adenoma is between 6 th and 8 th decades of life.Surgery Section aBstRaCt Duodenal polyps are rare lesions in patients undergoing Esophago gastro duodenoscopy (EGD), and the prevalence varies widely with range of 0.3-4.6% of cases. Duodenal adenomas most commonly occur in association with familial adenomatous polyposis. Isolated occurrence of such adenomas is very rare and presentation as upper gastrointestinal (GI) haemorrhage is even rarer. We herein report a case of elderly male patient presenting to emergency department with features of upper GI bleeding. Patient was resuscitated followed by EGD was done. On EGD bleeding duodenal polyp was found and endoscopic polypectomy was done to control the bleeding. Subsequent colonoscopy was done and was normal. T...