Khulna Medical College

About: Khulna Medical College is a healthcare organization based out in Khulna, Bangladesh. It is known for research contribution in the topics: Pregnancy & Hysterectomy. The organization has 266 authors who have published 203 publications receiving 964 citations. The organization is also known as: Khulna Medical College, Khulna & KMC.

A giant femoral pseudo aneurysm secondary to arteriovenous fistula following stab injury

Abstract: Pseudo aneurysm wall is not formed by vascular tissue but develops from organized thrombus, associated fibrosis and surrounding tissue. Post stab injury pseudo aneurysm associated with arteriovenous fistula of lower limb is exceptional. Here one such case is reported who was operated 4 months after the incidence of stab injury in his way back home at an incidence of robbery. The patient was very poor and did not have the ability to seek higher medical care. He was moving everywhere with a big pulsatile mass on supero medial part of his left thigh. Lastly surgical intervention was done and the patient got well. Bang Med J (Khulna) 2015; 48 : 34-36

Angular Pregnancy Presenting as Cornual Ectopic Pregnancy

Abstract: Angular pregnancy is a rare obstetric complication that can be life threatening. In this situation, gestational sac is implanted in the lateral angle of the uterine cavity, medial to the uterotubal junction and round ligament. Angular pregnancy is distinguished from interstitial pregnancy by anatomically, where embryo is implanted lateral to round ligament. The report presented here describes a case of angular pregnancy that was suspected by ultrasound and confirmed during surgery. Laparoscopy can be useful for guiding dilatation & curettage in angular pregnancy and may circumvent the need for invasive surgery or hysterectomy. It has an impact on future fertility. DOI: http://dx.doi.org/10.3329/medtoday.v26i1.21318 Medicine Today 2014 Vol.26(1): 63-65

Fluid and Nutritional Management Can Significantly Reduce the Mortality of Patients with Eclampsia in Resource Poor Settings

Abstract: Objective: To observe fluid and nutritional management along with specific management and close clinical monitoring without intensive care management improve the condition of unconcious eclamptic patients in the resource poor setting. Method: Six hundred and nine(609) eclamptic patients were admitted in Mymensingh Medical College Hospital from January to December 2008. Twenty four (24) unconscious eclamptic patients were enrolled for this clinical trial study. These patients were managed in eclampsia ward with fluid therapy of 0.9% sodium chloride, 25% glucose, 5% aminoacids along with hydrocortisone and in some cases nasogastric feeding in addition to other regular medications. They were compared with 26 eclampsia patients treated with normal regular hospital management. A systematic guideline was followed and patients were closely monitored until the outcome. Results: The mean age of 23 years, 18 cases were primi-gravida; 16 had intrapartum, 6 had postpartum and 2 had antepartum eclampsia. The mean number of convulsion before admission was 12. The mean Glasgow Coma Scale (GCS) of these patients during admission was 5, which improved to 10.3 in 24 hours and 14.5 in 36 hours. None of these patients had fatal outcome in compare to observation group where three patients died following complications. Conclusion: Close monitoring with fluid and nutritional management can significantly reduce the mortality of unconscious eclamptic patients in resource poor settings where intensive care facility is limited. Development and adaptation of feasible systematic guideline for the management of unconscious eclamptic patient should be scaled up for the resource poor settings of developing and under developed countries. Bangladesh J Obstet Gynaecol, 2012; Vol. 27(1) : 18-20

Pseudomyxoma Peritonei: A Case Report

Abstract: Pseudomyxoma peritonei (PMP) is an uncommon condition characterized by abundant extracellular mucinous material in the peritoneal cavity and tumoural implants on the peritoneal and epiploic surfaces. Aim of this case report is to create awareness among the clinicians regarding this uncommon disease presented with ascites and irregular masses in the abdomen. PMP is a rare disease, may be benign or malignant, presented with ascites and irregular masses in the abdomen which is infrequently encountered in our clinical practice. Key words: Pseudomyxoma peritonei; mucinous carcinomatosis; hyperthermic chemotherapy; gelatinous material; irregular masses DOI: 10.3329/fmcj.v6i1.7415 Faridpur Med. Coll. J. 2011;6(1): 61-63

Juvenile granulosa cell ovarian tumor- a rare presentation

Abstract: Juvenile granulosa cell tumor is a rare gynecologic malignancy. A fourteen year old girl was brought to the emergency with acute abdominal pain with distension of abdomen and admitted in surgical unit, clinically suspected perforation of gut. Transabdominal ultrasonography revealed a right adenexal irregular mass with a moderate amount of ascitic fluid. On laparotomy, it was suspected malignant ovarian tumor stage Ic, and then ipsilateral salphingoophorectomy was done considering the age of the patient. It was juvenile Granulosa cell tumor which confirmed by histo-pathologically. The epidemiology, natural history, presentation, histological and imaging appearances, prognosis and treatment of this malignancy were reviewed. DOI: http://dx.doi.org/10.3329/mediscope.v1i1.21636 Mediscope Vol. 1, No. 1: 2014, Pages 36-39