Nilanjan Panda

Retropancreatic Ovarian Tumor

Retroperitoneal mucinous cystadenomas are rare lesions (less than 50 reported) characterized by presence of ovary like stroma of unknown origin. However, germinal component of ovary has never been found in them. The pancreas occasionally gives rise to mucinous cystadenomas, but they are always intrapancreatic. We report a unique case of a rare retroperitoneal mucinous cystadenomas with presence of ovarian follicles in a 45-year-old lady who presented with an abdominal mass. This was successfully excised. Though retroperitoneal mucinous cystadenomas are rare, presence of ovarian follicle (germ cell) in them has never been reported before.

Laparoscopic Cholecystectomy in a Patient with Portal Cavernoma

Portal cavernoma (network of collateral vessels around the portal vein) is found in one-third of patients with thrombotic portal vein. Management of Cholecystitis in such a patient is problematic. Laparoscopic cholecystectomy is usually contraindicated due to risk of haemorrhage. A 32 year old female presented with symptomatic calculous cholecystitis and portal cavernoma without portal hypertension. Liver functions were normal (non-cirrhotic, no jaundice). Conservative treatment failed. Imaging assessment was by Ultrasound Doppler, followed by CT and MRCP, MRI and MRA. We performed laparoscopic cholecystectomy was successfully performed. Operative time 210 minutes, blood loss 50 ml. Extreme caution and painstakingly meticulous dissection around the cavernoma was the key to success. Although open cholecystectomy may assume to be safer in such patients; enhanced magnified vision, access and maneuverability made laparoscopy a preferred option. Standby laparoscopic and open vascular instruments facility is essential.

Health-Risk Behaviours and its Correlates among Schoolgoing Adolescents in an Urban Town of Eastern India

Default is a serious problem among tuberculosis patients who are on treatment under RNTCP, leading to persistence of infection and drug resistance in society. A multi centric retrospective observational study was under taken, to find out risk factors and reasons accountable for the default of patients registered under Category- I of RNTCP in tuberculosis unit CANTT Meerut.