https://digitallibrary.bldedu.ac.in/xmlui/handle/123456789/4733 2026-08-05T14:51:33Z https://digitallibrary.bldedu.ac.in/xmlui/handle/123456789/6327 Title: Management of traumatic tractional corectopia Authors: Keerti Wali, Vaishnavi Patil, Vallabha K Abstract: Corectopia is the displacement of the pupil. It can be isolated congenital anamoly or associated with syndromes like Ectopia lentis et pupillae or Axenfeld–Reiger anamoly. [1] Aquired corectopia is often caused by trauma, surgery, or anterior chamber inflammation.[2] It is caused by a fibrous band exerting traction on the iris and may be either stationary or progressive.[2] Treatment is tailored considering the site of traction and associated comorbidities. We present a case of traumatic tractional corectopia and its management. 2026-02-01T00:00:00Z https://digitallibrary.bldedu.ac.in/xmlui/handle/123456789/6326 Title: Adult Adenoid Hypertrophy Mimicking a Nasopharyngeal Mass: A Diagnostic Challenge Authors: Soumya Kori, Rupali Kumari , Savitri M. Nerune Abstract: The adenoids, also known as the nasopharyngeal tonsils, come from lymphoid tissue in the pharyngeal mucosa. They are part of Waldeyer’s ring, which is a circular arrangement of lymphoid tissue. This ring includes the pharyngeal (adenoid), palatine, lingual, and tubal tonsils. These tonsils are located at the entrance of the aerodigestive tract. They play an important role in mucosal immunity during early life by trapping inhaled pathogens and helping with antigen presentation. This contributes to both humoral and cell-mediated immune responses. Adenoid hypertrophy is predominantly a pediatric condition and rarely persists into adulthood due to physiological involution after puberty. When present in adults, it may clinically and radiologically mimic various nasopharyngeal pathologies, including malignancy. We report a case of a 51-year-old woman presenting with long-standing left-sided nasal obstruction. She also presented with snoring, mouth breathing and headache. Clinical examination revealed a deviated nasal 2026-03-01T00:00:00Z https://digitallibrary.bldedu.ac.in/xmlui/handle/123456789/5475 Title: Spontaneous occurrence and expulsion of a massive Steinstrasse. Authors: Kundargi, Vinay; Patil, Santosh; Shukla, Vikas; Patil, Siddanagouda B 2024-01-01T00:00:00Z https://digitallibrary.bldedu.ac.in/xmlui/handle/123456789/5466 Title: A Rare Case of Nicolau’s Syndrome (Embolia Cutis Medicamentosa) Following Intramuscular Diclofenac Sodium Injection in a Young Adult Authors: M. S. Kotennavar, Aravind V. Patil; Pradeep Jaju, Narendra Ballal Abstract: Nicolau syndrome (embolia cutis medicamentosa) is a condition where we see variable degrees of tissue necrosis including the skin and deeper tissues, due to an iatrogenic cause, intramuscular, subcutaneous, intra-articular injections, could be some of them. It occurs due to intravascular inoculation leading to crystal embolization causing thrombotic occlusion, vasospasm, and marked inflammation and surrounding necrosis. Here, we present a case of a 35-year-old gentleman who presented to us with bluish-purple discoloration of the skin followed by a necrotic patch and ulceration with multiple hyperpigmented spots over the back and lower limb post intramuscular diclofenac sodium injection. Routine investigation showed neutrophilia and thrombocytosis with increased creatinine. A diagnosis of Nicolau’s syndrome (embolia cutis medicamentosa) was made clinically, which was confirmed by histopathology following biopsy. Adequate surgical debridement and a combination therapy of analgesics, intravenous antibiotics, intravenous anticoagulants, and vasoactive therapy were administered. Split thickness skin grafting was done once the wound was healthy with rich granulation tissue, after 4 weeks of index surgery in this case. Patient recovered uneventfully. 2024-01-01T00:00:00Z