https://digitallibrary.bldedu.ac.in/xmlui/handle/123456789/4732 Sat, 15 Aug 2026 07:28:22 GMT 2026-08-15T07:28:22Z https://digitallibrary.bldedu.ac.in/xmlui/handle/123456789/6327 Management of traumatic tractional corectopia Keerti Wali, Vaishnavi Patil, Vallabha K 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. Sun, 01 Feb 2026 00:00:00 GMT https://digitallibrary.bldedu.ac.in/xmlui/handle/123456789/6327 2026-02-01T00:00:00Z https://digitallibrary.bldedu.ac.in/xmlui/handle/123456789/6326 Adult Adenoid Hypertrophy Mimicking a Nasopharyngeal Mass: A Diagnostic Challenge Soumya Kori, Rupali Kumari , Savitri M. Nerune 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 Sun, 01 Mar 2026 00:00:00 GMT https://digitallibrary.bldedu.ac.in/xmlui/handle/123456789/6326 2026-03-01T00:00:00Z https://digitallibrary.bldedu.ac.in/xmlui/handle/123456789/5475 Spontaneous occurrence and expulsion of a massive Steinstrasse. Kundargi, Vinay; Patil, Santosh; Shukla, Vikas; Patil, Siddanagouda B Mon, 01 Jan 2024 00:00:00 GMT https://digitallibrary.bldedu.ac.in/xmlui/handle/123456789/5475 2024-01-01T00:00:00Z https://digitallibrary.bldedu.ac.in/xmlui/handle/123456789/5466 A Rare Case of Nicolau’s Syndrome (Embolia Cutis Medicamentosa) Following Intramuscular Diclofenac Sodium Injection in a Young Adult M. S. Kotennavar, Aravind V. Patil; Pradeep Jaju, Narendra Ballal 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. Mon, 01 Jan 2024 00:00:00 GMT https://digitallibrary.bldedu.ac.in/xmlui/handle/123456789/5466 2024-01-01T00:00:00Z