Abstract A 55-year-old man presented with intermittent episodes of urinary leak through the right groin following an abscess drainage at that site 2 months back. Since then, he had been suffering from recurrent urinary tract infection and urinary leak, which used to be treated symptomatically and by catherization. Intravenous urogram (IVU), voiding cystourethrogram (VCU), and cystoscopy done in our institution revealed a bladder diverticulum with benign prostate hyperplasia, which was communicating with the fistulous opening located in the right groin. Conservative management by catherization completely healed the fistula followed by transurethral resection of prostate. Patient was discharged after 14th day of TRUP and he is now regularly followed up. A long-standing fistula arising from a bladder diverticulum at relatively distant site is of extreme rarity. Vesicocutaneous fistula from an iatrogenic injury to vesical diverticulum resulting from a groin surgery has not been reported so far.
Archive for March, 2013
ABSTRACT :In most of the Medico legal cases for establishing the identity of the diseased the material brought are either decomposed or disintegrated body parts, the only material relied then can be only bones.Determination of sex by 100 % accuracy is needed to confirm identity. A number of studies using Demarcating point methods are available, but most of the times their efficiency in sorting the sex is very less. If more than one parameter is used for a bone at least one of the parameters may work and can help in determination of sex.Present study is an attempt to use combination of parameters for determination of sex by using demarcating point method. 203 Human adult femora of known sex (133 males & 66 females) available in Bone Bank of Department of Anatomy Government Medical College Aurangabad were used for the present study.Parameters of femur like Vertical diameter of head, Transverse diameter of head, Biepicondylar width and Mid shaft circumference were measured tabulated and analyzed statistically.Mean, SD, P value Demarkating point of all parameters were evaluated, Demarkating points were cross validated singly and in combination.It was observed that the above parameters were statistically significant and the percentage of femora sorted by combination of parameters was far more than when the parameters were individually used. Thus combination of parameters can be used to get better efficiency in sorting of sex from bones.