Articles

Nasal Hemangioma and the Importance of Preoperative Embolization: Case Report and Literature Review

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Nasal hemangioma is a rare benign vascular neoplasm, yet clinically significant due to its hemorrhagic potential within a richly vascularized anatomical region. Its therapeutic management requires a multidisciplinary approach, particularly in cases indicated for surgical resection. Preoperative arterial embolization has proven to be an effective tool for controlling intraoperative bleeding, facilitating complete excision, and improving surgical outcomes. This review addresses the epidemiological, clinical, and therapeutic aspects of nasal hemangioma, with emphasis on the role of endovascular embolization as a fundamental component of pre-surgical strategy and in this case, as a definitive treatment.

A Rare Case of Perforated Meckel’s Diverticulum Coexisting with Acute Appendicitis

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Meckel’s Diverticulum is a common congenital anomaly of the gastrointestinal tract due to persistence of vitellointestinal duct. It is usually found as an incidental finding in approximately 2 to 4 % of population in patients undergoing appendicectomy or any other gastrointestinal pathology. Obstruction, gastrointestinal bleeding, diverticulitis and perforation are the various presentations of complicated Meckel’s diverticulum. Incidence of perforated Meckel’s diverticulum is only about 0.5%. Coexistence of appendicitis with perforated Meckel’s diverticulum is a rare presentation thus, making routine search for meckel’s diverticulum intraoperatively in all cases of appendicitis a mandatory practice. Here we report such a rare case of coexistence of perforated meckel’s diverticulum with acute appendicitis in a 12 year female patient.

Role of CT in Early Diagnosis of Small Bowel Lymphoma in a Patient with Presumptive Diagnosis of Adhesive Bowel Obstruction- A Case Report

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Small bowel obstruction is one of the commonly encountered disease state by surgeons all over the world and postoperative adhesions remain the most common cause of small bowel obstruction till date. Other rarer causes of small bowel obstruction include small bowel malignancies like lymphomas and adenocarcinoma, foreign bodies, intussusception, volvulus, hernias etc. Even though adhesions are the commonest cause behind bowel obstruction, these patients are also equally susceptible to be diagnosed with other rarer causes of small bowel obstruction. In such situations, a CT scan can aid in early diagnosis of these rarer causes and prevent unnecessary delays in surgical management. Here we report a case where a presumptive diagnosis of adhesive obstruction was made but a CT scan early in the course of treatment helped us diagnose small bowel malignancy immediately, to terminate conservative management and proceed with immediate laparotomy.