International Journal of Advanced and Integrated Medical Sciences

1.Original Article

Role of Silicone Stenting in Endoscopic Dacryocystorhinostomy: A Comparative Study

Shahzad Ahmad, Bhawana Pant
[Year:2016] [Month:January-March] [Volume:1 ] [Number:1] [Pages No:4-6] [No. of Hits: 269]
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  • [Abstract]
  • [DOI : 10.5005/jp-journals-10050-0002]

ABSTRACT

Objective: To evaluate the role of using silicone stent in endoscopic dacryocystorhinostomy (DCR) and compare the results with endoscopic DCR without silicone stenting.

Design: Prospective study, interventional type, randomized design and comparative analysis.

Materials and methods: The study was done in Department of Otorhinolaryngology, Government Medical College and Dr Susheela Tiwari Hospital, Haldwani, Uttarakhand. We included 30 patients in the study presenting with epiphora with or without mucocele and congenital cases of dacryocystitis and nasolacrimal duct (NLD) blockage were included in the study.
All patients were divided into two groups. First one undergoing endoscopic DCR and silicone stent was used in all cases and second one underwent endoscopic DCR and no stent was used. Postoperative assessment was carried out at the end of 1st, 3rd, 6th and 10th week and the role of silicone stent was subjected to compare.

Result: Use of silicone stent was not improving the results and risk of failure of the surgery had increased with stent due to granulation formation in the lacrimal sac region.
Apart from that, foreign body reactions in the form of irritation, pain were seen with stent. It also added the cost of surgery without giving much benefit to the patient.

Keywords: Dacryocystitis, Endoscopic dacryocystorhinostomy, Silicone stent.

How to cite this article: Ahmad S, Pant B. Role of Silicone Stenting in Endoscopic Dacryocystorhinostomy: A Comparative Study. Int J Adv Integ Med Sci 2016;1(1):4-6.

Source of support: Nil

Conflict of interest: None

2.Case Report

A Rare Case of Epidermoid Cyst in Neck

Chander Mohan, Abhinav Srivastava, Ranjan Agrawal, Prashant Bhardwaj
[Year:2016] [Month:January-March] [Volume:1 ] [Number:1] [Pages No:15-17] [No. of Hits: 212]
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  • [Abstract]
  • [DOI : 10.5005/jp-journals-10050-0006]

ABSTRACT

Epidermoid cysts are common lesions, but malignant transformation of their epithelium is rare. There are few case reports in the literature concerning malignant transformation of an epidermal cyst into squamous cell carcinoma. Two epidermoid cysts occurring simultaneously in the neck is rare and not a single case report is available in the literature. One of the cysts transforming into squamous cell carcinoma and the other showing atypical changes is still the rarest and not reported till date. We present a case of two epidermal inclusion cysts in a patient out of which there were atypical changes in one cyst and other cyst showed squamous cell carcinoma.

Keywords: Epidermoid cyst, Histopathological examination, Immunocytochemistry, Squamous cell carcinoma.

How to cite this article: Mohan C, Srivastava A, Agrawal R, Bhardwaj P. A Rare Case of Epidermoid Cyst in Neck. Int J Adv Integ Med Sci 2016;1(1):15-17.

Source of support: Nil

Conflict of interest: None

3.Case Report

Ovarian Ectopic Pregnancy: A Rare Case Report

Sonika Dahiya, Shabina Khan, HK Premi, Sana Amrin, Sugandh Srivastava
[Year:2016] [Month:January-March] [Volume:1 ] [Number:1] [Pages No:23-24] [No. of Hits: 228]
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  • [Abstract]
  • [DOI : 10.5005/jp-journals-10050-0009]

ABSTRACT

Ovarian pregnancy is the most common type of non-tubal ectopic pregnancy. Ovarian ectopic pregnancy incidence after natural conception ranges from 1 in 2000 to 1 in 60,000 deliveries and accounts for 3% of all ectopic pregnancies. Here, we report a rare case of ruptured ectopic pregnancy. A 30 years old, G2P1+0L1 was admitted with amenorrhea of 1½ months and severe pain abdomen. Self urinary pregnancy test (UPT) was positive. Ultrasonography (USG) revealed it sided adnexal mass. Emergency laparotomy was done and a diagnosis of ovarian ectopic pregnancy was made.

Keywords: Extrauterine pregnancy, Ovarian ectopic, Partial ovariectomy.

How to cite this article: Dahiya S, Khan S, Premi HK, Amrin S, Srivastava S. Ovarian Ectopic Pregnancy: A Rare Case Report. Int J Adv Integ Med Sci 2016;1(1):23-24.

Source of support: Nil

Conflict of interest: None

4.Editorial

From the Editor-in-Chief’s Desk

Chander Mohan
[Year:2016] [Month:January-March] [Volume:1 ] [Number:1] [Pages No:v] [No. of Hits: 183]
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ABSTRACT

The editorial team of International Journal of Advanced & Integrated Medical Sciences takes immense pleasure in bringing out the inaugural issue of the official journal of Rohilkhand Medical College and Hospital, Bareilly, Uttar Pradesh, India. The journal welcomes articles from all specialties like original and review articles, case reports, case series and letterto- editor.

5.Original Article

Diagnosis of Bacterial Vaginosis by Conventional Methods in the Patients at a Tertiary Care Hospital

Prem P Mishra, Ved Prakash, Lata Agrawal, HK Premi
[Year:2016] [Month:January-March] [Volume:1 ] [Number:1] [Pages No:1-3] [No. of Hits: 182]
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  • [Abstract]
  • [DOI : 10.5005/jp-journals-10050-0001]

ABSTRACT

Background: Bacterial vaginosis (BV) is highly prevalent among women especially in reproductive age group but it is found also in other age groups. Bacterial vaginosis is a great health concern in India because of its complications. Most of the healthcare centers in India are not well-versed in advance diagnostics for BV.

Aim: To assess the utility of conventional methods for diagnostic evaluation of BV in the patients of different age groups.

Materials and methods: In this 1 year cross-sectional study, the vaginal swabs were collected from women with signs and symptoms of BV like complaints of vaginal discharge, odor, itching, back ache, etc. attending the department of obstetrics and gynecology of a tertiary care hospital in Western UP. These specimens are subjected to vaginal pH determination and are sent to department of microbiology for Gram stain, wet-mount and whiff test. Amsel’s criteria were used for confirming BV.

Results: A total of 206 women included in the study, n = 63 (29.61%) were found to be having BV based on Amsel’s criteria. The mean age of the females were found to be 30.77 years. The most affected age group was found to be 26 to 35 years, n = 33 (54%). The vaginal pH was significantly higher in n = 61 (29.61%) women with BV. Vaginal discharge was prevalent in n = 108 (52.43%) women. Presence of clue cells and positive whiff test were found to be in n = 63 (30.58%) and n = 61(29.61%).

Conclusion: The characteristics of vaginal discharge, vaginal pH determination, clue cells and whiff test is relatively easier conventional methods for diagnosis of women with BV where better facilities are lacking. These tests are suitable for screening women with BV and in formulating the treatment to check the complications.

Keywords: Amsel’s criteria, Bacterial vaginosis, Clue cells, Vaginal discharge.

How to cite this article: Mishra PP, Prakash V, Agrawal L, Premi HK. Diagnosis of Bacterial Vaginosis by Conventional Methods in the Patients at a Tertiary Care Hospital. Int J Adv Integ Med Sci 2016;1(1):1-3.

Source of support: Nil

Conflict of interest: None

6.Original Article

A Study of Highest Nuchal Line in North Indian Crania

SHH Zaidi
[Year:2016] [Month:January-March] [Volume:1 ] [Number:1] [Pages No:7-8] [No. of Hits: 216]
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  • [Abstract]
  • [DOI : 10.5005/jp-journals-10050-0003]

ABSTRACT

Studies of nonmetric cranial variants have been a field of considerable interest to research workers especially because of their racial and regional importance.
Eighteen North Indian skulls of Uttar Pradesh were studied for the highest nuchal line a cranial variant in the present study. Findings are discussed and compared with other global studies and are found to be of considerable regional and racial significance.

Keywords: Anthropological, Cranial variant, Highest nuchal line.

How to cite this article: Zaidi SHH. A Study of Highest Nuchal Line in North Indian Crania. Int J Adv Integ Med Sci 2016;1(1):7-8.

Source of support: Nil

Conflict of interest: None

7.Review Article

Small Intestinal Tumors

SM Sharma
[Year:2016] [Month:January-March] [Volume:1 ] [Number:1] [Pages No:9-12] [No. of Hits: 190]
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  • [Abstract]
  • [DOI : 10.5005/jp-journals-10050-0004]

ABSTRACT

Small intestinal tumors are rare despite small gut being a long structure with extensive mucosal surface. The clinical presentation is vague and the existence of tumor is detected after specific investigations. Small gut can be benign or may be malignant. Malignant tumors present with abdominal pain, weight loss, anemia, obstructive features, abdominal lump, diarrhea, intussusception and even fever depending upon the type of lesion. Malignancy occurs generally in elderly group above 60 years; however, younger patients too may be affected. Benign lesions may remain asymptomatic for long till these cause complications like intussusception or obstruction. Early detection and appropriate intervention can avoid morbidity and mortality.

Keywords: Adenocarcinoma, Capsular endoscopy, Carcinoid tumor, Gastrointestinal stromal tumor (GIST), Intestinal lymphoma, Small intestinal tumors.

How to cite this article: Sharma SM. Small Intestinal Tumors. Int J Adv Integ Med Sci 2016;1(1):9-12.

Source of support: Nil

Conflict of interest: None

8.Case Report

Gestational Gigantomastia: A Rarity

Disha Shakya, Tripti Gupta, Lata Agrawal, HK Premi
[Year:2016] [Month:January-March] [Volume:1 ] [Number:1] [Pages No:13-14] [No. of Hits: 586]
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  • [Abstract]
  • [DOI : 10.5005/jp-journals-10050-0005]

ABSTRACT

Hypertrophy of the breast is a rare medical condition of breast connective tissue. It is listed as a ‘rare disease’ by the ‘Office of Rare Diseases’ of National Institute of Health (NIH). A woman aged 20 years presented to our antenatal clinic in her first pregnancy at 23 weeks of gestation with excessive enlargement of breasts since conception. Although its etiology has yet to be clarified, it has been associated with the response of breast receptors to gestational hormones. Gestational gigantomastia is a complication whose etiology and pathogenesis have yet to be fully clarified. However it has been speculated that placental hormones may trigger the condition.

Keywords: Fibroadenoma, Gestational gigantomastia, Phylloides tumor.

How to cite this article: Shakya D, Gupta T, Agrawal L, Premi HK. Gestational Gigantomastia: A Rarity. Int J Adv Integ Med Sci 2016;1(1):13-14.

Source of support: Nil

Conflict of interest: None

9.Case Report

Giant Lipoma of the Arm and Axilla

Atul Shishodia, Jagadamba Sharan, Manjeet Singh Chahal
[Year:2016] [Month:January-March] [Volume:1 ] [Number:1] [Pages No:18-19] [No. of Hits: 232]
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  • [Abstract]
  • [DOI : 10.5005/jp-journals-10050-0007]

ABSTRACT

A lipoma is a common tumor arising from fat cells and can occur anywhere in the body.

Keywords: Giant lipoma, Liposarcoma, Upper extremity.

How to cite this article: Shishodia A, Sharan J, Chahal MS. Giant Lipoma of the Arm and Axilla. Int J Adv Integ Med Sci 2016;1(1):18-19.

Source of support: Nil

Conflict of interest: None

10.Case Report

Intraoral Schwannoma: A Rare Case Report

Abhinav Srivastava, Chander Mohan, Prashant Bhardwaj, Ranjan Agrawal
[Year:2016] [Month:January-March] [Volume:1 ] [Number:1] [Pages No:20-22] [No. of Hits: 219]
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  • [Abstract]
  • [DOI : 10.5005/jp-journals-10050-0008]

ABSTRACT

Schwannomas or neurilemmomas are benign, encapsulated tumor arising from nerve sheath cells. Intracranial Schwannomas are most common with rare occurrence in the extracranial region. It rarely occurs in the floor of the mouth with very few cases reported. We present a rare case report of Schwannoma of the floor of the mouth, thereby highlighting the consideration of this rare entity as one of the differential diagnosis in cases who present to us with swelling of the floor of the mouth and also the importance of immunohistochemistry in coming to the diagnosis.

Keywords: Histopathological examination, Immunohistochemistry, Schwannoma,

How to cite this article: Srivastava A, Mohan C, Bhardwaj P, Agrawal R. Intraoral Schwannoma: A Rare Case Report. Int J Adv Integ Med Sci 2016;1(1):20-22.

Source of support: Nil

Conflict of interest: None

11.Case Report

Unusual Presentation of Penile Filariasis

Jagadamba Sharan, Manjit Singh Chahal, Atul Shishodia, Ankur Popat
[Year:2016] [Month:January-March] [Volume:1 ] [Number:1] [Pages No:25-26] [No. of Hits: 189]
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  • [Abstract]
  • [DOI : 10.5005/jp-journals-10050-0010]

ABSTRACT

Filariasis is a common disease of the tropics. Penoscrotal filariasis is a common presentation within various parts of India.

Keywords: Elephantiasis, Lymphangitis, Lymphorrhagia, Microfilarae, Penile filariasis.

How to cite this article: Sharan J, Chahal MS, Shishodia A, Popat A. Unusual Presentation of Penile Filariasis. Int J Adv Integ Med Sci 2016;1(1):25-26.

Source of support: Nil

Conflict of interest: None

12.Case Report

Tuberculosis of Buccal Mucosa: Is it a Fading Entity?

Abhinav Srivastava, Chander Mohan, Shilpam Sharma
[Year:2016] [Month:January-March] [Volume:1 ] [Number:1] [Pages No:27-29] [No. of Hits: 207]
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  • [Abstract]
  • [DOI : 10.5005/jp-journals-10050-0011]

ABSTRACT

The recent spurt in the incidence of tuberculosis (TB) in developing as well as developed countries along with a global anti-tubercular drug resistance, calls for awareness for the diagnosis of TB in unusual form and at unusual sites. Extrapulmonary TB in head and neck may infect palate, uvula, buccal mucosa, tonsils, lips, tongue, maxilla and mandible. Tuberculous lesions of oral cavity have become so infrequent that it is virtually a forgotten disease and may pose a clinical diagnostic challenge. Therefore, all lesions in these areas should be investigated keeping a high level of suspicion for the diagnosis of TB.

Keywords: Oral tuberculosis, Pulmonary Koch’s, Ziehl-Neelsen staining.

How to cite this article: Srivastava A, Mohan C, Sharma S. Tuberculosis of Buccal Mucosa: Is it a Fading Entity? Int J Adv Integ Med Sci 2016;1(1):27-29.

Source of support: Nil

Conflict of interest: None

13.Case Report

An Unusual and Rare Case of Tubal Stump Ectopic Pregnancy

Akanksha Misra, Shobha Mukherjee, HK Premi, Dahiya Sonika
[Year:2016] [Month:January-March] [Volume:1 ] [Number:1] [Pages No:30-31] [No. of Hits: 175]
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  • [Abstract]
  • [DOI : 10.5005/jp-journals-10050-0012]

ABSTRACT

An ectopic or extrauterine pregnancy is one in which the blastocyst implants anywhere other than the endometrial lining of uterine cavity. The incidence of ectopic pregnancy in remnant tubal stump is rare. We describe such an unusual case of tubal stump ectopic pregnancy.

Keywords: Ectopic pregnancy, Remnant tubal stump, Tubectomy.

How to cite this article: Akanksha M, Mukherjee S, Premi HK, Dahiya S. An Unusual and Rare Case of Tubal Stump Ectopic Pregnancy. Int J Adv Integ Med Sci 2016;1(1): 30-31.

Source of support: Nil

Conflict of interest: None

14.Case Report

Complex Odontoma (Intraosseous Type) associated with Mandibular Impacted Permanent Second Molar

Anil Gangwar, Bhawna Pant, PD Garkoti
[Year:2016] [Month:January-March] [Volume:1 ] [Number:1] [Pages No:32-35] [No. of Hits: 230]
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  • [Abstract]
  • [DOI : 10.5005/jp-journals-10050-0013]

ABSTRACT

The most common odontogenic tumor is odontoma comprising 22% of all the cases. They show no gender predilection, are most often diagnosed in the second decade of life. They are preferentially located in the upper maxilla, particularly in the anterior sector. These are of two types complex and compound. Complex odontoma is a less prevalent than compound (1:2). Their apparent eruption in the oral cavity is rare. We hereby report a rare case of complex odontoma (intraosseous type) associated with impacted lower permanent second molar. These lesions are mostly asymptomatic and constitute casual finding on X-ray indicated for other reasons. The most common clinical manifestation is absence of impacted tooth and the presence of tumor. Treatment consists of surgical removal of tumor with impacted tooth. The prognosis is very good with least tendency toward relapse.

Keywords: Cemento-ossifying, Odontoma, Odontogenic tumor.

How to cite this article: Gangwar A, Pant B, Garkoti PD. Complex Odontoma (Intraosseous type) Associated with Mandibular Impacted Permanent Second Molar. Int J Adv Integ Med Sci 2016;1(1):32-35.

Source of support: Nil

Conflict of interest: None

15.Case Report

Rasmussen’s Aneurysm: Rare Cause for Massive Hemoptysis in Pulmonary Tuberculosis Patients

Vijayesh Kumar Tiwari, Sanjay Bansal, Abhishek Kumar, Amit Kumar
[Year:2016] [Month:January-March] [Volume:1 ] [Number:1] [Pages No:36-37] [No. of Hits: 180]
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  • [Abstract]
  • [DOI : 10.5005/jp-journals-10050-0014]

ABSTRACT

Rasmussen’s aneurysm is a rare phenomenon and should be considered in patients with massive hemoptysis especially with old history of pulmonary tuberculosis (PTB). We present a case report of 62 years old diabetic lady with previous history of PTB which ended with diagnosis of Rasmussen’s aneurysm.

Keywords: Cardiopulmonary resuscitation, Hemoptysis, Rasmussen’s aneurysm.

How to cite this article: Tiwari VK, Bansal S, Kumar A, Kumar A. Rasmussen’s Aneurysm: Rare Cause for Massive Hemoptysis in Pulmonary Tuberculosis Patients. Int J Adv Integ Med Sci 2016;1(1):36-37.

Source of support: Nil

Conflict of interest: None

16.Case Report

Atypical Cases of Blowout Fracture with Retained Naso-orbital Foreign Bodies: Case Series and Review of Literature

Bhawana Pant, Sanjay Gaur, Tusshar Sharma
[Year:2016] [Month:January-March] [Volume:1 ] [Number:1] [Pages No:38-41] [No. of Hits: 189]
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  • [Abstract]
  • [DOI : 10.5005/jp-journals-10050-0015]

ABSTRACT

An orbital blowout fracture is a fracture of any wall of the orbit, including the medial, lateral, posterior, the floor, or the roof. The most common injury site is the floor or the medial wall. Any blow to the face or eye, especially the orbital rim, can cause this injury. Vision threatening complications like permanent diplopia and cosmetically unacceptable enopthalmos make this an important injury to be identified quickly. Here, we present two atypical cases of orbital blowout fractures with retained nasoorbital foreign bodies where mechanism of injury was different but resulted in permanent vision loss due to delay in diagnosis. These type of injuries need prompt management including proper radiological diagnosis and treatment.

Keywords: Naso-orbital Foreign body, Orbital blowout, Orbital emphysema.

How to cite this article: Pant G, Gaur S, Sharma T. Atypical Cases of Blowout Fracture with Retained Naso-orbital Foreign Bodies: Case Series and Review of Literature. Int J Adv Integ Med Sci 2016;1(1):38-41.

Source of support: Nil

Conflict of interest: None