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INTRODUCTION AND IMPORTANCE: Lipomas are common benign tumors originating from adipocytes, often found in adipose-rich regions of the body. Lipomas in the fingers are rare, and their occurrence in acral areas is even more exceptional. We present a case of an elderly male with a lipoma on the middle finger of his left hand, highlighting the rarity of this presentation and the importance of surgical management. CASE PRESENTATION: A 70-year-old male presented with a painless swelling on the palmar aspect of his left middle finger. The mass had gradually enlarged over two years, without associated symptoms. Physical examination revealed a soft, painless mass between the proximal and distal interphalangeal joints, with intact finger function. Surgical excision was performed successfully, and histopathological examination confirmed the diagnosis of a benign lipoma. CLINICAL DISCUSSION: Lipomas are most commonly found in adipose-rich areas but rarely manifest in the fingers. Surgical intervention is considered when symptoms arise or for cosmetic reasons. In this case, the patient's desire for symptom relief and the potential for compression-related issues justified surgical excision. Surgical management of finger lipomas has shown positive outcomes with minimal complications and low recurrence rates. CONCLUSION: This case emphasizes the importance of considering lipomas in the differential diagnosis of painless finger swellings, even in atypical locations. Surgical intervention can provide effective symptom relief and prevent potential complications. While this case contributes to our understanding of finger lipomas, further research and long-term follow-up are needed to enhance our knowledge of these rare occurrences and their management.
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Introduction: Portal hypertension is increased pressure within the portal vein. A portal pressure gradient of more than 10 mmHg is defined as "clinically significant portal hypertension" due to manifestations such as splenomegaly, gastroesophageal varices, ascites, hepatorenal syndrome, hepatopulmonary syndrome, hepatic encephalopathy, and spontaneous bacterial peritonitis. The aim of this study was to find out the prevalence of portal hypertension among patients with chronic liver disease admitted to the Department of Internal Medicine of a tertiary care centre. Methods: A descriptive cross-sectional study was conducted among patients with chronic liver disease in the Department of Internal Medicine of a tertiary care centre from 1 January 2021 to 31 December 2022 after obtaining ethical approval from the Institutional Review Committee. Convenience sampling method was used. The point estimate was calculated at a 95% Confidence Interval. Results: Among 247 patients with chronic liver disease, the prevalence of portal hypertension was 38 (15.38%) (10.88-19.88, 95% Confidence Interval). A total of 16 (42.11%) patients were in the age group of 51-60 years and males were 36 (94.74%). Ascites as a complication were found in 4 (10.53%). Conclusions: The prevalence of portal hypertension among chronic liver disease inpatients in a tertiary care centre was found to be lower than other studies done in international settings. Keywords: inpatients; liver disease; portal hypertension; prevalence.