Dear friends
Greetings from IMA Kauvery and we wish everyone an Iniya Tamil Puthaandu Vazthkukkal. May we all stay healthy.
The continuous medical education gives a monthly opportunity to get in touch with IMA members and to refresh our medical knowledge.
This month’s edition carries a mixed platter of interesting articles.
We extend our thanks to all the authors and co-authors.
Yours in IMA service, Dr S Sivaram Kannan President
Dear IMA members,
Let the new year bring brightness and good health to all.
In the peak of summer, Kauvery IMA Journal is here to quench the knowledge thirst with a variety of interesting cases.
Yours in IMA service, Dr. Bhuvaneshwari Rajendran Secretary.
Ed Mubarak and New year wishes to you all.
Glad to meet you all once again through this IMA JOURNAL.
Contributions from Radiology , Anesthesiology, Neurosurgery and Diabetology figured in this edition.
Thanks to Editorial and branding teams.
Your comments and suggestions are welcome.
With best regards Dr. R. Balasubramaniyam Editor
Brain metastases are the most frequently seen intracranial tumors in terms of patient incidence. Studies indicate that approximately 15% to even 30% of individuals diagnosed with malignancies ultimately develop metastatic lesions within the brain over the course of their illness. The most common primary tumours causing intracranial spread are lung, breast, melanoma, renal and colon cancers – in the order of frequency. Notably, around 70% of patients presenting with symptomatic brain metastases exhibit multiple lesions upon MRI examination. Fortunately, with the increasing accessibility of advanced imaging technologies in recent years, early detection has become more achievable.
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Abstract:
Necrotizing fasciitis is a necrotizing soft tissue infection that can result in fast tissue loss, necrosis, and potentially fatal acute sepsis. Diabetes, cancer, alcohol abuse, and chronic liver and renal disease are all risk factors for necrotizing fasciitis.
Clinical presentation:
A 70-year-old female was admitted with complaints of chronic right leg pain and swelling. She was a known diabetic, obese and non- ambulant. There was no prior history of trauma.
A 57-year-old male patient presented to our radiology department with complaints of pain during prolong sitting or during defecation. An outside MRI report indicated coccydynia with a posterior spicule spur and degenerative changes in the sacrococcygeal joint.
Along with orthopaedic department, we decided to perform a CT-guided ganglion impar block due to the failed conservative management. During the procedure, the patient was positioned prone on the CT gantry, with their hips slightly flexed by placing a pillow beneath their abdomen and their legs internally rotated.
A 45-year-old female with a history of fever, sepsis and acute kidney injury, presented to our radiology department with acute abdominal pain and distension. A MDCT abdominal angiogram with oral Gastrograffin scan was performed, revealing multiple segments of non-enhancing, severely thinned out small bowel walls and foci of intramural gas pockets with intervening normal enhancing segments in the right lower abdomen involving the ileal loops. Of significant concern was the absence of vasa recta adjacent to the ischemic bowel wall, highlighting the ischemic nature of the findings.
Introduction
Chronic anal pain is difficult to diagnose and treat, especially with no obvious anorectal cause apparent on clinical examination. In chronic anal pain there are 3 main categories, those are localized causes, functional causes, and neuropathic pain. The most common category is local anorectal causes and includes a textbook list of anal conditions and chronicity of these conditions can also cause chronic anal pain. Neuropathic pain syndromes are rare but can be positively diagnosed to allow specific management. The diagnosis of pudendal neuralgia is primarily clinical and should be reviewed in the light of the course of the disease.
