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EDITORíS CHOICE


I must congratulate the Guest Editors Dr. Begani and Dr. Agarwal of this issue on colorectal diseases. There have been many Issues in the past on different subjects compiled by the Guest Editors. They have been able to cover subjects like role of yoga in anorectal problems in pain management in colorectal diseases, lasers in the treatment of haemorrhoids, the plastic surgery for anal incontinence, utility of CEA monitoring or colorectal cancer pathology of colorectal polyps in addition to surgical treatment of more or less every possible disease from the anus to the colon including colorectal motility disorders. Anybody who goes through this issue will realise how much hard work the Guest Editors have put in and how much time they must have spent on collecting and coordinating so much academic work. We would wait to see if any future Guest Editors will break this record.

FNAC is becoming popular day by day. Though the patients undergoing this procedure are happy because the biopsy is avoided, we must have some more statistics to show how much we should rely on the results of this procedure and pronounce the final diagnosis. On pg. 373 Saluja and Ajinkya from Mumbadevi Homoepathic Hospital did FNAC in 150 cases of enlarged lymph nodes. The results were compared with histopathology studies. In 33% of cases the results were similar to the histopathological pictures. Also simultaneous smear study for AFB done on these patients was also positive. Thus although this aspiration method is cost effective, we should wait for some more reports in future when this percentage may be reported much higher.

On pg. 401 Rajeev Joshi et  al from BYL Nair Hospital present a very interesting case of benign duodeno colic fistula which is indeed a rare entity.

Shilpa Rao et al from Topiwala National Medical College on pg. 403 report a rare tumour of the breast-hamartoma which is often misdiagnosed in private practice.

Rajeev Joshi et al from Nair Hospital on pg. 405 report a case of transdiaphragmatic hydatid disease. It is very interesting to note that rarely a hydatid cyst involving the liver can burst in the chest like an amoebic abscess. It is indeed a very rare and interesting presentation of hydatid disease which they have seen and reported, not only that they managed to remove the pulmonary and hepatic cysts with a single incision, for which they deserve to be complimented.

Jayashri S Pandya and J Rodrigues from Nair Hospital on pg. 407 have reported angiodysplasia of the terminal ileum. This seems to be very interesting because till now we were only looking out for these lesions only in the colon.

V Kulkarni et al from TN Medical College on pg. 413 report a case of Budd Chiari Syndrome in a patient having falciparum malaria. Now that the doppler studies are freely available in all the hospitals, we should be on the lookout for such cases in patients suffering from tropical diseases. The syndrome has already been described in cases of Amoebic liver abscess and was reported in our Journal.

S Singh et al from KJ Hospital, Chennai on pg. 416 report a rare case of right sided diverticular disease on colon. This is an interesting report because at the age of 40 it will be quite difficult to exclude pathological appendix. More the reason that as suggested by the authors, CT scan (preferably Spiral CT scan) should be used to make an early diagnosis.

Finally, Rajeev Joshi et al from TN Medical College on pg. 419 reported a case of carotid body tumour where the patient presented with upper neck swelling. Usually these tumours present lower down over the region of carotid bifurcation.



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