Odontogenic keratocyst is one of the most aggressive odontogenic cysts owing to its relatively high recurrence rate and its tendency to invade adjacent tissues. Odontogenic keratocyst associated with unerupted tooth, surrounding the crown with the cyst lining attached to the neck of the tooth in a true dentigerous relationship, are termed as Follicular keratocyst. Follicular keratocyst accounts for 25-40% of all Odontogenic keratocyst’s. The aim behind bringing these cases is to help the clinician in modifying the final treatment plan after the final diagnosis, as Odontogenic keratocyst’s are potentially aggressive lesions with high recurrence rates in contrast to Dentigerous cysts.
Severe uterine malformations are usually associated with infertility. Furthermore, a term pregnancy in the case of a severe uterine malformation is rare because spontaneous abortions and uterine ruptures are not uncommon before the third trimester. Pregnancies in bicornuate uteruses are difficult to diagnose and manage when advanced; especially in low-resource settings with suboptimal antenatal care (ANC). Maternal and foetal outcomes in such cases are usually poor when the diagnosis is missed. A high index of suspicion, appropriate investigations and management should be provided not only to reduce the maternal and foetal complications but also to improve on the prognosis in subsequent pregnancies. We report a case of a term pregnancy in bicornuate uterus; its diagnostic, therapeutic challenges and outcome.
Aim: We present this case report to re-emphasize the importance of having a high index of suspicion for the presence of foreign body aspiration/impaction in children. And that foreign body aspiration/impaction may even occur in pre-ambulant children.
Presentation of Case: We write to report the case of foreign body impacted in the throat of a 3 months old child who was initially diagnosed as rhinitis with pneumonia. The foreign body was accidentally discovered and was subsequently extracted without any complications.
Discussion: Accidental foreign body ingestion, aspiration and impaction are common in the paediatric population because of various predisposing factors. It may also go unnoticed and may result in late presentation and mis-diagnosis as is the case in this infant that we are reporting.
Conclusion: This case report calls attention to the need to carefully and gently explore the mouths of children during examination, especially those with respiratory distress. Caregivers must also be vigilant in caring for their wards.
Dipsogenic primary polydipsia is a subset of primary polydipsia characterised by disordered thirst in which the osmotic threshold for thirst is below the threshold for Arginine Vasopressin (AVP) release in patients without underlying psychiatric illness.
We report a case of a 19-year-old male undergraduate referred on account of 16 years history of polydipsia and polyuria, with no history suggestive of psychiatric illness. General physical and systemic examinations revealed no abnormality. He was otherwise healthy. He has been normonatremic and polyuric, with low urine osmolality.
The result of his water deprivation test showed intact urinary concentrating ability, low-normal serum osmolality and effective diluting capacity, which was consistent with the diagnosis of dipsogenic primary polydipsia.
For symptomatic control, a low dose of intermittent desmopressin was given, the frequency of which was tapered down to usage as at when needed and strict water restriction was followed during drug dosing.
Making a clear distinction between dipsogenic primary polydipsia and partial central diabetes insipidus, it is required to guide effective therapeutic approach because of the fear of hyponatremia that could arise as a result of ingestion of excessive amount of fluid which can become more pronounced if the patient is on treatment with desmopressin.
Hyponatremia is the most common electrolyte imbalance in inpatients, but severe symptomatic hyponatremia has a higher mortality rate in compared to normal patients. Post-operative hyponatremia in children can usually occur following administration of hypotonic fluid. However, inappropriate secretion of the antidiuretic hormone can also be the cause of post-operative hyponatremia. The study presents a case of Sixyear girl, who developed symptomatic hyponatremia despite administration of lactated Ringer’s solution after tonsillectomy. After electrolyte correction with 3% saline, the child recovered well without any further complications.
