Madhvi Sanwalka

Abstract

Renal replacement lipomatosis (RRL) is a rare condition that occurs as an end result of renal atrophy or replacement of renal parenchyma by excessive lipomatous tissue in renal sinus and perinephric space. We reported a case of RRL presented in our tertiary health centre. Left Nephrectomy was performed kidney sent to our department for histopathology examination and after extensive literature search, a diagnosis of RRL was given. In majority of cases, RRL is associated with renal calculi. Idiopathic variety of RRL is not common. It is a rare entity and due to lack of experience the diagnosis may be missed. It has to be differentiated from other fat-containing tumors such as xanthogranulomatous pyelonephritis, renal lipomas, liposarcoma and angiomyolipoma. Keywords: RRL (Renal Replacement Lipomatosis), Idiopathic, Nephrectomy, Adipose tissue.

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Abstract

Introduction: Blood is a specialized bodily fluid that delivers necessary substances to the body’s cells, such as oxygen and nutrients and transports waste products away from these cells. It is composed of cells (red blood cells, white blood cells and platelets) and plasma. Till date no substitute of blood is formed therefore transfusion of donated blood is the mainstay of treatment in medical or surgical conditions. Blood must be transfused while keeping precautions because, blood and its components can cause side effects in recipient such as transfusion reactions or transmission of transfusion transmissible disease like HbsAg, HCV, HIV, Syphilis and malaria. It is very important for clinicians to be aware of these potential risks and hence blood should be transfused in conditions where it is needed only. This study aims to evaluate the pattern of blood component usage, its demand and utilization in a tertiary care hospital. Materials and Methods: This is a retrospective cohort study in which data concerning request and utilization of blood and its products from January 2019 to December 2019 in blood bank of tertiary care hospital were collected and analyzed. Results: The blood units issued were 5190. Packed red blood cell was the most utilized product. Supply of blood was maximum to the surgical wards followed by medicine ward. The patients of anemia followed by surgery required packed red blood cells mostly. Most common indication for blood products was anemia. Conclusions : Periodic review of blood component usage is important to assess the utilization pattern of blood in any hospital. Keywords: Packed red blood cells, Whole blood, Blood components, FFP, Wards.

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Abstract

Introduction: Odontogenic tumors are a heterogeneous group of lesions with variable clinical and pathohistological features. The purpose of this study was to investigate the epidemiological behavior of this heterogeneous group of tumors across a 2 year period and to compare these data with those in the literature. Materials and Methods: A retrospective study was made of cases of odontogenic tumors recorded at our institution between January 2021 to December 2022. The variables gender, age, anatomical site, histological type and symptoms were analyzed in 30 histopathology reports. Result: Out of 30 cases, males show predominant cases 60% (18/30 cases) and females show 40% cases (12/30 cases). Male: female ratio is 1.5:1. According to age, the most involved age group was found to be of 11-20 years which showed highest number of cases (36.7%). Out of 30 cases, most frequent odontogenic tumor was found to be ameloblastoma (46.7%). Conclusion: There is a slight predominance of odontogenic tumors in men and during the first decades of life; most of them occur in the mandible. There were statistically significant differences among the variables histological type and symptoms.   Keywords: Odontogenic tumor, Mandible, Maxilla, Ameloblastoma

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