A Parasitic Fibroid.

Parasitic fibroids are rare tumors and difficult to diagnose. It is related with variable symptoms or can be asymptomatic. A case of large parasitic fibroid acquiring its blood supply from omentum and small gut mesentry is reported. Its clinical and histopathological presentation and management is dicussed in the current case.

Role of Hysteroscopy and Laparoscopy in Evaluation of Abnormal Uterine Bleeding

Abnormal uterine bleeding poses a real challenge for the gynecologists Dilatation and curettage has been the gold standard for differentiating benign from malignant endometrium. Hysteroscopy and laparoscopy are the recent addition to the armamentarium of investigations for abnormal uterine bleeding. This study was done to evaluate the role of hysteroscopy and laparoscopy in 75 women with abnormal uterine bleeding. Hysteroscopy findings were compared with histopathology in the diagnosis and etiology of abnormal uterine bleeding. Majority of the patients presented with menorrhagia (40%) and metrorrhagia (20%). Hysteroscopy showed abnormality detection rate of 66% as compared to 26.6% with traditional curettage. Diagnostic accuracy of hysteroscopy was higher in patients with polyps and myoma. Hysteroscopy allows the exclusion of intra uterine pathology with greater precision. Hysteroscopy is superior to curettage, though not a substitute for tissue diagnosis. Laparoscopy was performed in 50 cases including 16 of coexistent infertility, 25 cases with normal hysteroscopy findings and in 9 patients symptoms and signs indicative of pelvic inflammatory diseases were present. An abnormaliity was detected in 40% of these cases in the form of adhesions, leiomyomas, ovarian cysts, misplaced IUCDs and endometriosis. Thus laparoscopy can be complimentary to hysteroscopy in evaluation and management of patients with abnormal uterine bleeding.

Malignant Gastrointestinal Stromal Tumour Presenting as Ovarian Cyst

A rare case of malignant gastrointestinal stromal tumour presenting as ovarian cyst on clinical and radiological diagnosis is discussed with its presentation and management.

Ultrasound Evaluation of Gallbladder Disease in Pregnancy

The study was carried out to find out the incidence of gallbladder disease in pregnancy in patients reporting at SMGS Hospital, Jammu (J&K). A total of 200 pregnant females, 100 from symptomatic and 100 from asymptomatic group in the age range of 16-40 year were studied. The incidence of gallstones during pregnancy was found to be 6%. The incidence of gallstones in pregnancy in the asymptomatic group was found to be 3% while it was higher (9%) in the symptomatic group. Nine percent of patients from the asymptomatic group while 27% of patients from the symptomatic group had biliary sludge. The incidence of gallbladder disease was higher in patients with high parity, higher body mass index, having used oral contraceptives and with family history of gallbladder disease. Thus, young pregnant patients specially with risk factors mentioned above should be subjected to ultrasonographic examination to rule out gallbladder disease.

Ectopia Cordis with Association Foetal Anmalies: Antenatal, Ultrasonographic Detection.

A rare case of ectopia cordis with unusual associated anomalies detected during antenatal ultrasonographic examination is presented.