CONSTRICTIVE PERICARDITIS is an uncommon disorder with a wide varietv of manifestations. This communication documents two patients who presented with features of a cardiac murmur indicative of tricuspid valve stenosis. In both, exploratory surgery revealed a large cyst within scarred pericardium, narrowing the tricuspid valve. The first patient had generalized constrictive pericarditis. The sec...

Background: The objectives of this study were to determine the etiologic causes of amenorrhea, the prevalence of müllerian anomalies as a cause of primary amenorrhea and the different varieties of müllerian anomalies causing primary amenorrhea. Methods: This study included all the women presenting with primary amenorrhea who presented to the department of obstetrics and gynecology, Nalanda Medi...

Constrictive and effusive-constrictive pericarditis are rare cardiac disorders. Only rarely are the conditions caused by purulent infection, and even more infrequently by anaerobe bacteria. We describe a case of constrictive - and effusive-constrictive pericarditis due to Cutibacterium (formerly Propionibacterium) acnes in a 75-year old, immunocompetent and previously healthy patient without an...

THE COMBINATION of two physical signs, increasing venous pressure and palpable decrease in arterial systolic and pulse pressure with inspiration in constrictive pericarditis was pointed out by Kussmaul.1 Wood2 alluded to these signs as evidence for pericardial effusion and attributed the rise in venous pressure to an inspiratory rise in intrapericardial pressure. Dock3 subscribed to this view, ...

Although it is now recognised as a rare complication of cardiac surgery, constrictive pericarditis was diagnosed in three patients after coronary artery bypass surgery. The time interval between cardiac surgery and the development of constrictive features varied from two to six weeks. All three patients presented with severe congestive heart failure. Haemodynamic findings were characteristic of...

Introduction: During puberty, menarche represents the most important event in females. Amenorrhea is defined as the absence of menstruation during puberty. Aim: To evaluate the adolescents with amenorrhea and to analyzed the management of these patients. Material and method: We analyzed 216 patients admitted to the Endocrinology Department over a period of five years, from 2007 to 2012. The stu...

Syndactyly, webbing of adjacent digits with or without bony fusion, is one of the most common hereditary limb malformations. It occurs either as an isolated abnormality or as a component of more than 300 syndromic anomalies. There are currently nine types of phenotypically diverse nonsyndromic syndactyly. Non-syndromic syndactyly is usually inherited as an autosomal dominant trait, although the...

Menstrual irregularity is a common occurrence during adolescence, especially within the first 2-3 years after menarche. Prolonged amenorrhea, however, is not normal and can be associated with significant medical morbidity, which differs depending on whether the adolescent is estrogen-deficient or estrogen-replete. Estrogen-deficient amenorrhea is associated with reduced bone mineral density and...