ISSN: 2077-9143
E-ISSN: 2077-9151
Publisher: Punjab Medical College
Country: Pakistan
Language: English
Subject Areas: Health Professions (miscellaneous)
Frequency: Monthly
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Abstract: Objectives: To compare the role of adjuvant topical oxygen therapy versus conventional methods in the management of non-healing infected wounds. Study Design: Simple comparative study. Setting: The study was carried out in one year duration from January 2010 to December 2010 in Surgical unit-1 Allied Hospital Faisalabad. Sample Size: 60 patients.  Methods: Total of 60 patients was divided into two groups. In one group (A) topical oxygen therapy was given along with conventional measures for management of wound. In second group (B) only conventional methods were used for wounds. Results: 60 cases included in this study,30 in group A and 30 in group B. From patients of group A, 16(53.3%) showed clinical improvement in first week and 25(83.3%) showed clinical improvement in second week. While in group B 5(17%) and 11(36.7%) showed clinical improvement in first and second week respectively.5(17%) patients in group A developed granulation tissue in first week and 19(63%) in second week. While in group B 2 (7%) developed granulation tissue in first week and 8(27%) in second week. From group A 10(33.3%) and 24(80%) patients showed complete wound healing in second and third months respectively. In group B 3(10%) patients showed complete wound healing in two months and 12(40%) in three months.1(3.3%)patient in group A deteriorated in first week and 2(7%) in second week.8(27%)patients from group B deteriorated in first week and 4(13.3)in second week. Conclusion: Use of TOPOX along with conventional method is more safe and effective in the management of non-healing infected wound than conventional methods alone.
Authors: Fakhar Hameed, Muhammad Dilawaiz Mujahid, Muhammad Saleem Iqbal, Osman Riaz, Riaz Hussain
Abstract: Congenital ureteropelvic junction obstruction is an important and treatable cause of neonatal hydronephrosis. It may be due to congenital absence of nerves leading to adynamic segment causing functional obstruction. It may also be due to defective muscular arrangement and replacement of muscles by fibrosis leading to anatomical obstruction or it may be caused by extrinsic compression by aberrant lower polar vessel. The aim of the present study is to define the etiological determinants of congenital PUJ obstruction. Objectives: To study the macroscopic abnormalities of congenital PUJ obstruction and correlating theses abnormalities with the microscopic and immunohistological findings. Material and Methods:   It was a cross sectional observational study and patients presenting to outpatients department, irrespective of age and sex, with the diagnosis of PUJ obstruction and needing surgery were included in the study. Anderson Hynes Pyeloplasty was done in all cases and resected portion of redundant pelvis and narrow segment was submitted for histopathological and immunohistological examination. Results: Congenital PUJ obstruction was more common in  males with a male to female ratio of 2:1 and it   was common on left side in 55.55% cases. Presentation was in wide age range patients (2-40 years). In 33.33% patients it was structural abnormality where we were unable to pass feeding tube and in 66.66% patients it was functional abnormality where it was distensible PUJ. Predominantly circular muscle arrangement was seen in 15(57.69%) cases. Varying degree of replacement of muscle fibers with fibrous tissue was seen in all cases and total replacement in those where kidney was nonfunctional due to PUJ obstruction. Nerves were present in 5/26 (19.23%) cases. In 4/5 (80%) cases of crossing vessels, nerves were present. Conclusion: Most cases of congenital PUJ obstruction are due to functional obstruction but anatomical obstruction also has a significant contribution (33.33%).Predominant circular muscle arrangement is the abnormality leading to impaired peristalsis. Absence of nerves leading to functional obstruction is the major defect in congenital PUJ obstruction. Crossing vessel is the real cause of PUJ obstruction mechanically compressing the PUJ in vascular tangle cases.
Authors: Fayyaz Ahmed Malik, Ghulam Mahboob Subhani, Khalid Mehmood, Muhammad Irfan Munir, Safdar Hassan Javed, Sajjid Mushtaq, Tahir Bashir Malik, Zahid Iqbal
Keywords: DTPA renal scanIVPPUJPyeloplasty
Abstract: Objectives: This dermatoglyphic study was focused on to evaluate bilateral dermatoglyphic dimorphism, gender dermatoglyphics dimorphism, pattern occurrence and difference from mean pattern occurrence.  Study Design & Method: It was conducted at PMC Faisalabad, 152 students of 2nd year MBBS (session2009-2010) took part as subjects. Data was obtained with use of ink pad. Patterns were recorded, classified, statistically analyzed and discussed. Results & Conclusion: Arithmetic mean, percentage and mode of data were calculated. Analysis showed that loop pattern has the highest frequency (51.1%) followed by whorl pattern (36.8%). Arch pattern is the rarest pattern (7.8%). There is more predominance of arch and loop pattern than average values in this study.  
Authors: Imtiaz Ahmad, Irfan Yasin
Abstract: Objectives: To assess the self-directed learning readiness of entry level medical students in public and private medical colleges of Faisalabad. Study Design: Cross sectional study. Place and Duration of Study: All three Medical colleges of Faisalabad (One public and two private) during March, 2010. Methodology: A questionnaire based on 58 items Guglielmino scale for self-directed learning readiness was distributed to Year I students of Medical Colleges in Faisalabad. The forms contained a demographic data portion at the end. The questionnaires were distributed at the end of regular lecture and completed by students in 30 minutes. Incomplete questionnaires were excluded from the analysis. Data Analysis: Analyzed by using statistical software SPSS version 15. Results: Out of received 307 questionnaires 220 contained complete fields.  These included 150(50% of the class) students from Punjab Medical College (PMC), 43 (43% of the class) from University Medical College (UMC) and 27(54% of the class) from Independent Medical College (IMC). The mean score at Guglielmino scale was 203. While there was no statistical difference in the mean scores of the colleges (PMC=205, UMC=208, IMC=196) the score was in Category “Average” for PMC and UMC and “Below Average” for IMC as described in  “Guglielmino scale”. There were 16 out of 58 items which showed significant statistical difference among colleges. Conclusion: The self-directed learning readiness of entry level medical students as assessed by Guglielmino scale is shown to be border-line. This factor needs consideration before adoption of the problem based learning. Addition of a component for enhancement of this skill appears to be required in the reformed curriculum of undergraduate medical education for maximizing learning.
Authors: Abid Bashir, Anila Umber, Musarrat ul Hasnain, Tanzila Khalid, Tasneem Ahmad Cheema
Keywords: PakistanProblem Based Learning (PBL)Self-directed learning readiness (SDLR)Undergraduate medical education
Abstract: Objectives: To study merits and demerits of autologous cartilage grafts used in augmentation rhinoplasty. Design:  Comparative. Setting: Study carried out in the department of ENT Allied Hospital Faisalabad. Period: From June 2005 to June 2010. Material and Methods: The majority of patients were admitted through ENT out patient department. The data was collected on the basis of history, physical examination, investigations, photography,  management and follow up. Results: Total 50 patients 35 males (70%) and 15 females (30%). The majority of patients were from 3rd decade of life (53%). The duration of deformity in majority of patients was with in 2years (73%). Majority of patients were belonging to the lower class (60%). In many of the patients indication for augmentation rhinoplasty was cosmetic (100%). In all patients autologus cartilage graft was used (100%). The etiological factor for saddle deformity in majority of cases was trauma (67%). Overall success rate was 94%.  Conclusion: The autologus cartilage grafts because of their lower rate of infection, rejection, resoropton, extrusion, donor site morbidity, easy reshaping and due to their natural look should be regarded as the graft of choice in augmentation rhinoplasty. 
Authors: Farooq Ahmad Mian, Muhammad Saeed
Abstract: Objectives: Ethambutol (EMB) induced ocular toxicity The current study was designed to check the ethambutol (EMB) induced histological changes in optic nerve of rabbit.  Study Design: An experimental Randomized Control Trial (RCT). Place and Duration: The study was conducted in the experimental research Laboratory of University of Health Sciences, Lahore from January 2009 to December 2009. Material & Method: Ten, New Zealand white, albino rabbits of either sex, 6-12 month old, weighing 1- 2 kg were randomly divided in to two groups comprising five animals in each. Group A served as control, while Group B was given ethambutol 100 mg/kg/day for four weeks. At the end of experimental period, each animal was sacrificed under chloroform and both optic nerves along with chiasma were taken out and preserved. In this way, twenty optic nerve specimens (ten for each group) were collected from ten albino rabbits Results: The histological study showed that optic nerves of group A were quite normal, while the histological preparation of group B showed decrease diameter of optic nerves and cytoplasmic vacuolations. Statistical analysis was done using Independent “t” test for measurement of diameter of optic nerve and counting the number of vacuoles. The results showed an immense vacuolations (p < 0.05) and decrease in diameter of optic nerve (p > 0.05) in the sections from group B as compared with that in the group A. However, there was no evidence of inflammatory changes and myelin-like structure in any preparation from the two groups Conclusion: Ethambutol(EMB) induced histological changes produce vacuoles, representing damage to the optic nerve.
Authors: Imran Ahmad, Khalid Mahmood Akhtar, Muhammad Zubair, Muhammad Habib ur Rehman
Keywords: cytoplasmic vacuolationsEthambutol (EMB)optic chiasmaOPTIC NERVE
Abstract: This prospective analytical clinical study was carried out to determine if a modification of the triple test score in which ultrasonography is substituted for mammography could be developed to rapidly and accurately assess breast mass in women under 40 years of age. Total hundred women were included in this study. Women younger than 40 years with palpable masses were evaluated utilizing modified triple test scoring. Surgical oncologist performed physical examination radiologist performed ultrasonography and cytopathologist did FNAC. All the patients were below age 40; about 50% were between 25-29 years. The youngest patients were of 20 years of age. Seventy-five patients were married and 25 were unmarried. Eleven % of the patients gave history of breast cancer in one of their family members. All the patients have a breast lump; most of the patients found their lumps incidentally while palpating them; however 38% of the patients had associated pain. Weight loss and anorexia was present in 3(3%) cases. Most of the patients 53(53%) presented with breast problem of less than three month duration, 26(26%) presented with complaints of 4-6 months duration while 21(21%) having duration of complaints more than 6 months. Fifty-five cases (55%) of breast lump were found on left side as compared to right 45(45%). We thus conclude that to minimize delay and, therefore, reduce anxiety in majority of patients presenting to hospital and to avoid unnecessary out patient follow up and open biopsy, a policy of modified triple assessment (where ultrasonography is substituted for mammography especially female under the age of 40 years) with immediate reporting to provide a “one stop” diagnostic service proved highly beneficial for patients. The triple test score thus modified and named as modified triple test score (MTTS).
Authors: Afsar A Bhatti, Muhammad M Gilani, Muhammad Tanveer Anwar, Sikander H Gondal, Zia Ullah
Keywords: BenignMalignantModified triple test score (MTTS)Palpable breast masses
Abstract: Objectives: To find out frequency of depression among Tuberculosis (TB) patients, to study the causes of depression in them and its effect on treatment and prognosis of T.B. Study Design:   Cross-Sectional Study. Study Area: Department of Chest Medicine District Head Quarters and Red Crescent T.B Hospital, Faisalabad. Duration of Study: March – May 2009. Study Population: TB patients admitted in Department of Chest Medicine DHQ & Red Crescent T.B Hospital, Faisalabad. Sample Size: Sample size was 60 TB patients. Sampling Technique: Convenience sampling technique. Data Collection Tool: Beck’s Depression Inventory–II(BDI-II in Urdu)  semi-structured  questionnaire was used for data collection for  all TB patients who were able to understand it. Diagnosis was made as per Diagnostic and Statistical Manual of Mental Disorders, Fourth edition (DSM-IV). Results:  Depression was present in about 80% of the hospitalized TB patient It was more common in males about 86%, while in the females it was about 71%. According to age, young and elderly patients were found to be more affected. Majority of the TB patients had moderate depression, while some had severe and mild depression. Main causes of depression among the male TB patients 24.7% were due to altered social relationship and among female TB patients 23.33% were due to TB stigma.Conclusion: It is concluded from this study that 80% patients were suffering from depression. The frequency of depression was found to be 86% among males; while 71% of the female patients were found to be depressed. Main causes of depression among the male TB patients were altered social relationship and among female patients TB stigma. Depression had adverse effect on drug compliance and TB treatment.
Authors: Hamza Sohail, Imtiaz Ahmad Dogar, Istikhar Ali Sajjad, Muhammad Azam, Muhammad Anwar Sulehri, Muhammad Sheraz Javed, Obaid Niaz, Zahid Iqbal, Zain Mehdi
Abstract: Objectives: To evaluate the efficacy of amniotic membrane in the management of painful bullous Keratopathy. Material and Method: Amniotic membrane transplantation was performed at Ophthalmology Department Bahawal Victoria Hospital, Bahawalpur. The study included 15 eyes (15 patients) with symptomatic bullous keratopathy and poor visual potential. The underlying causes of bullous keratopathy included aphakia (4 eyes), pseudophakia(9 eyes), and others (2 eyes). Results: During the follow-up period of 6 weeks after amniotic membrane transplantation, 13 0f the 15 eyes with intolerable pain preoperatively became pain free postoperatively. Among the 2 eyes with residual pain, 1received repeated amniotic membrane transplantation and 1 had reduced pain. Epithelial defects in 13 of the 15 eyes created and covered by amniotic membrane healed rapidly within 2 weeks. Only 2 eyes showed recurrent surface breakdown. Epithelial edema or bullae recurred in a smaller area in only 1 eye and that was effectively controlled with medical treatment. Conclusion: Amniotic membrane transplantation is a good treatment option for alleviating pain, promoting epithelial healing, and preserving cosmetic appearance in patients with symptomatic bullous keratopathy and poor visual potential.
Authors: Soufia Farrukh
Keywords: AmnionBlisterBullaeCorneal Edema
Abstract: Objectives: To report the series of cases of penile strangulation injuries which were managed in our setting. Patients and Methods:  5 cases of penile strangulation were managed in our department during last five years. Three patients were admitted through emergency and 2 patients were admitted through out patient department. Complete history was taken and physical examination done. Type of strangulating agent and duration of strangulation were documented. Treatment was individualized for every patient. Results: The age range of the patients was 17 to 58 years. Duration of strangulating agent was from 24 hours to 6 months. In 1 patient, who had strangulation due to string, constricting agent divided and recovery was uneventful. Two cases having strangulation due to wheel bearing, one needed debridement of the glans and later on skin grafting of penile shaft, results were satisfactory. Other case, whose penile shaft wound was debrided, was planned for grafting but he left against medical advice. Two patients, who had amputation of glans showed satisfactory outcome after revision of stumps. Conclusion: Penile strangulation injuries are very serious leading to even loss of organ. These should be recognized early and prompt removal of strangulation agent is necessary to prevent serious complications.
Authors: Fayyaz Haider Ali, Muhammad Akram, Muhammad Naeem
Abstract: Objectives: The purpose of the study was to determine the role of plain x-ray abdomen KUB and renal ultrasound in evaluation of patients with renal colic. Methods: This study was conducted in the Urology Unit of surgical department at District Headquarter Hospital Rawalpindi from January to March 2009. A total of 76 patients with the clinical diagnosis of renal colic were included in this study. All these patients initially presented in emergency with renal colic and then followed up in outdoor. After complete history and clinical examination they were investigated with, plain x-ray KUB and renal ultrasound. Findings were noted and compared with each other. Results: Out of 76 patients 57 patients (75%) were male and 19 patients (25%) were female.Male to female ratio was 3:1.Sixty three patients(83%) presented between 3rd to 5th decades of life.  Forty three patients (57%) presented with left renal colic while 33 patients (43%) presented with right renal colic. Thirty patients (40%) were diagnosed by plain x-ray KUB while 37 patients (47%) were diagnosed by renal ultrasound. When x-ray KUB and renal ultrasound were combined, diagnosis was possible in 46 patients (60%). Urolithiasis in 46 patients (60%) out of 76 patients with renal colic was diagnosed by performing x-ray KUB and renal ultrasound Conclusion: Urolithiasis, the most common cause of renal colic can be effectively diagnosed with x-ray KUB and renal ultrasound. 
Authors: Mumtaz Ahmad
Keywords: enal ultrasoundRenal ColicX-Ray KUB
Abstract: Objectives: To determine the pattern of fatal homicidal violence involving the women & girls as victims in Faisalabad regarding the variables of rate, age of victim, methods used for violence and seasonal variation. Study Design: Non interventional, Descriptive. Place and Duration of Study: The study was conducted at the Department of Forensic Medicine, Punjab Medical College Faisalabad over a period of three years (2007 to 2009). Methodology: 177 subjects were selected from victims brought for autopsy at the Postmortem unit of Department of Forensic Medicine, Punjab Medical College Faisalabad. Only those cases were included in the study where death of the woman or  girl was result of homicidal violence. Manner of death was decided on the basis of the police inquest, autopsy examination and an interview with the relatives of the victim. Victims having some inter sex state were excluded. The data was tabulated and analyzed. Results: Fatal homicidal violence against the women and girls is increasing day by day. Rate of homicide in Faisalabad increased from 2.0 in 2007 to 3.3 per 100,000 females in 2009. Majority of the victims were between the ages of 10-39 years.  The commonest weapon of offence used for causing death was firearm. The peak incidence was in the months of March, April and May.
Authors: Ahmad Saeed, Humera Parveen, Tanveer Zafar
Abstract: Objectives: The aim of this study was to compare the outcome of solid versus cannulated interlocking nails as a method of internal fixation in closed femoral shaft fractures in adults.  Study Design: Quasi Experimental.  Place and Duration of Study: Orthopaedic Department Allied Hospital, Faisalabad a teaching hospital affiliated with Punjab medical college, Faisalabad. Duration of study was from Jan 2007 to Dec 2008.  Patient & Methods: The study was based on sixty cases. Thirty cases were included in either group of solid and cannulated intramedullary interlocking nails. The solid interlocking nailing group was designated as group A, the cannulated as group B. The most common cases were road traffic accidents. The average hospital stay was 6 days. The follow up time was 9 months. Results: : In group A we have union time within 3 months in 26(86.66%) patients, delayed union in 3(10%) patients & non union in one patient(3.33°%).Three patients in group B(10%) went into non union, one due to deep infection, onedue to implant failure & breakage of nail & one with no apparent cause. Regarding infection we had superficial infection in one patient of group A & two patients of group B which was corrected with appropriate antibiotics. No case of deep infection occurred in group A but one in group B which went into non union. Regarding implant failure, we had no implant failure in group A & four cases of implant failure in group B with one nail breakage, two  distal locking screw breakage &one proximal locking screw breakage.   Conclusion: The most common cause of femoral shaft fractures is road traffic accident with male adult population affected the most. There was no statistical difference in union & infection in both groups. (p value >0.05).There was significant difference in implant failure in both groups with no patient in group A & four in group B (p value <0.05). So solid interlocking nail is stronger than cannulated one.
Authors: Ajmal Yaseen, Muhammad Javaid Iqbal, Rasul Ahmad Chaudhry, Sajjid Rasool
Keywords: Fracture shaft femurInterlocking Nail
Abstract: Objectives:  The study was designed to examine anxiety, depression and self-esteem among patients of chronic skin diseases and to explore the split up of patients as per gender. Study Design: Correlational Study. Duration and the Place of the Study: The study was conduced from February 2010 to April 2010 in outdoor of dermatology DHQ hospital Faisalabad and Nishtar Hospital Multan. Patients and Methods: All patients who consented (in case of minors consent taken from guardians/ parents) were included in this correlational study. All patients who refused to participate in the study were excluded and patients who suffering from chronic medical or surgical problems were also excluded.160 patients with different skin diseases participated in it through purposive convenient sampling technique. Anxiety, depression and self-esteem were assessed by using test booklet was comprised of Zung Self-Rating Anxiety Scale, Zung Self-Rating Depression Scale, Rosenberg Self-Esteem Scale and Informed Consent form. The diagnostic criteria of DSM IV TR were employed while demographic variables were recorded on a demographic sheet. SPSS version 10 was used to analyze the raw data by correlation coefficient and the independent-samples t-tests. Results: Results showed that there were positive relationship between anxiety and depression (P<0.05) and negative relationship between depression and self-esteem among chronic skin patients (P<0.01). It was also found that there is significant difference on anxiety scale among female patients of chronic skin diseases (M=43.18, SD=5.72), and male patients of chronic skin diseases (M=44.71, SD=4.86), where t (158) = 1.798, p=0.037, N=160. Results also showed that female patients of chronic skin diseases have higher level of depression as compared to male patients of chronic skin diseases (M=56.89, 53.81), (SD=5.08, 4.13), where (t=-4.118, df=158, p=0.001) and female patients of skin diseases have lower level of self-esteem as compared to male patients of chronic skin diseases (M=10.64, 11.91), (SD=2.67, 2.66), where (t=2.990, df=158, p=0.0015). Conclusion: As the psychiatric co morbidity anxiety, depression and self-esteem in patients suffering from chronic skin diseases is so frequent hence the doctors dealing with such patients should be better trained in assessment and management of these disorders. 
Authors: Ayesha Saddiqua, Muhammad Arif Maan, Saadiا Naureen
Keywords: AnxietychronicDepressionSelf-esteem
Abstract: Objectives: Traumatic Subarachnoid Hemorrhage (Tr SAH) is a part of traumatic brain injury (TBI). Traumatic brain injury has worst impact on society converting useful citizens to severely disabled and vegetative patients. Traumatic subarachnoid hemorrhage is a negative prognostic factor. We have tried to study the contribution of traumatic subarachnoid hemorrhage to this lethal entity. Methods: Thirty patients with head injury with traumatic subarachnoid hemorrhage, diagnosed in emergency ward, were included and managed. They were assessed by GCS and Fissure grading at admission. Outcome was assessed by Glasgow outcome scale at the time of discharge and at thirty days after discharge. Results: Traumatic subarachnoid hemorrhage is a negative prognostic factor. Outcome depends upon clinical condition at time of admission (mild head injury & severe head injury p<0.05), distribution of the blood in the brain (F2 & F4, F2 & F3 p <0.05) and associated brain injury (p<0.05).
Authors: Muhammad Akmal Husain, Nazar Husain, Tariq Ahmad
Keywords: HydrocephalusTraumatic brain injuryTraumatic subarachnoid hemorrhageVasospasm
Abstract: Objectives: Objectives: The study was designed to assess the level of self Esteem of juvenile delinquents and to find the psychosocial factors associated with delinquency. Study Design: Cross sectional study. Duration and Place of Study: This study was conducted in Borstal jail of Faisalabad, Pakistan during a period of three months from February, 2008 to April, 2008.  Subjects and Methods: A sample of 100 male juvenile delinquents was drawn from Borstal jail Faisalabad through Purposive Convenient Sampling technique. Data were collected from participants by using informed consent with the permission of the jail authorities. Result: In the over all picture of the data 56 (56%) of the total sample reported low self esteem. Mean of delinquents labeled as having low self esteem could only reach 13.46 on Rosenberg self esteem scale. High frequency of delinquent behavior was related to feeling of revenge with the mean of 6.00 and high frequency was also associated with love affairs with the mean of 2.80 in delinquents with low self esteem.  Conclusion: Research findings concluded that low self-esteem, revenge and lack of supportive relationships are associated with delinquency. 
Authors: Alia Asmat, Asma Bajwa, Imtiaz Ahmad Dogar, Nighat Haider, Wajid Ali Akhwanzada
Keywords: Juvenile DelinquentsSelf-esteem
Abstract: Purpose of Study: To study the outcome of therapeutic penetrating keratoplasty in non healing microbial keratitis. Materials and Methods: This prospective, interventional case series was done in Ophthalmology department, Madina Teaching Hospital, Faisalabad. The duration of this study was 3 years, from 1st April 2007 to 31st March  2010. The patients were selected from the out patient department of Madina Teaching Hospital Faisalabad. Penetrating keratoplasty was performed in these patients. In the postoperative period the patients were assessed on the basis of (1) eradication of infection, (2) graft clarity, (3) post-operative visual acuity and (4) complications. Results: Out of 32 patients 20 (62.5%) were males and 12(37.5%) were females. Among the etiological agents16(50%) were bacteria, 8(25%) were fungi, 2(06%) were viral and in 6(19%) of the patients no growth was found. The pre-operative visual acuity in 22(68.75%) patients was less than 6/60, in 07(21.87%) was 6/60-6/18 and in 3(9.37%) patients it was more than 6/18. The post-operative visual acuity in 7(21.87%) patients was less than 6/60, in 20(62.50%) was 6/60-6/18 and in 5(15.62%) patients it was more than 6/18.Clear grafts were obtained in 20(62.5%) of the patients. Therapeutic success was achieved in 29(91%) patients while recurrence of infection occurred in 03(9%) of the patients. Conclusion: This study confirmed that therapeutic penetrating keratoplasty is an effective procedure for the management of microbial keratitis not responding to the medical therapy.
Authors: Aamir Ali Choudhry, Muhammad Zahid Siddiq, Nasir Choudhry
Abstract: We report case of malrotation of gut with horse shoe kidney. Plain abdominal x ray reveals no pneumo-peritoneum, abnormal calcification, and abnormal gut loop seen. Where as on barium study, small gut situated in right side of abdomen with ileo-cecaljunction located in Left iliac fossa. Complementary gray scale ultrasound done, no gut mass/dilatation, vicero-megaly appreciated however it showed horse shoe kidney. CT showed also horse shoe kidney.
Authors: Amir Hayat, Irshad Ahmed, Nayab Alia, Nazia Perveen
Keywords: horse shoe kidneyIntestinal obstructionMalrotation of gutVolvulus
Abstract: On Nov 26th to 28th 2010, International ENT Conference was held in Faisalabad under the Chairmanship of Prof. Dr. Farooq Ahmad Mian, Head of ENT Department, PMC, Faisalabad.  It was the first International Conference in ENT ever held in the city of Faisalabad. Pre-conference workshop was arranged on Friday 26th Nov, 2010 in ENT & Eye Department, Allied Hospital, Faisalabad on the following topics, which was moderated by Dr. Muhammad Saeed, Associate Professor of ENT, PMC, Faisalabad
Authors: Davinder Rai, Iqbal Khan, Kamal Muzaffar, P S Saharia