Dear Esteemed IMA Members,
Greetings from Kauvery IMA!
November is a time to express heartfelt gratitude, and we’re thankful for your dedication to quality healthcare.
Your contributions are vital to India’s health ecosystem.
IMA journals are a valuable resource for knowledge sharing, and together, let’s build a healthier, happier India!
Thank you to all our healthcare heroes, members, and supporters for your unwavering commitment!
Yours in IMA service, Dr S Sivaram Kannan President
Dear friends,
Happy to share this month’s IMA Journal with you!
Academic work drives institutional growth, and we’re excited to share some interesting cases from our hospital.
Thanks to the editorial and marketing teams, IMA Journal is a great platform to share knowledge with colleagues. Your feedback and suggestions are welcome!
November is the month of Thanksgiving – a special time to appreciate healthcare professionals.
Yours in IMA service, Dr. Bhuvaneshwari Rajendran Secretary
Dear IMA members,
Kauvery Hospital, Alwarpet extends heartfelt gratitude to all IMA members this Thanksgiving November.
IMA Journal shares medical articles and case reports as part of CME drive sharing knowledge with you!
Long live IMA.
With regards Dr. R. Balasubramaniyam Editor
Abstract:
Ectopic pregnancy remains a life-threatening emergency in women of reproductive age. However, atypical presentations can obscure diagnosis and delay life-saving interventions. This case highlights a 40-year-old woman who presented with acute urinary retention and abdominal distension, initially misinterpreted as a cervical neoplastic lesion on CT imaging. Subsequent evaluation in the Emergency Department revealed a ruptured ectopic pregnancy with hemoperitoneum. This case underscores the critical importance of structured emergency assessment and a high index of suspicion for ectopic pregnancy in atypical presentations.
Read Full Article
Magnesium is an essential electrolyte involved in neuromuscular function, cardiac conduction, and enzymatic reactions. Oral magnesium supplements and magnesium-containing antacids/laxatives are widely available as over the counter medications. When taken in excess or when excretion is impaired, magnesium can accumulate and produce a spectrum of toxicity. This case report reviews pathophysiology, clinical presentation, diagnostic approach, electrocardiographic (ECG) findings, differential diagnosis, and management of magnesium tablet (oral) overdose, centred on a prototypical case: a young male presenting with profuse loose stools and new-onset arrhythmia. Key decision points (when to give calcium, when to dialyze) and pitfalls (confusing ECG changes with hyperkalaemia, missing co-ingestions, or failing to recognise renal impairment) are emphasised.
Introduction:
Carotid body tumors (CBTs) are rare, highly vascular neoplasms arising from paraganglionic tissue at the carotid bifurcation. These tumors may present as a slow-growing neck mass but pose major intraoperative challenges due to proximity to vital vascular and neural structures, including the internal and external carotid arteries and cranial nerves IX, X, XI, and XII. Surgical excision is the definitive treatment. However, the risk of massive blood loss, hemodynamic instability from carotid sinus manipulation, and potential cranial nerve injuries makes anesthetic management complex. Preoperative embolization of feeding vessels is commonly performed to reduce intraoperative bleeding and facilitate dissection.
Case Presentation:
A 32-year-old male presented with constipation, painful defecation, and streaks of blood in stools on and off. He also complained of abdominal discomfort, generalized weakness, and easy fatiguability for three months, along with loss of appetite and weight. There was no history of diarrhea, fever, or drug intake.
On examination, he was conscious and oriented with stable vitals. Pallor and mild icterus were present. Abdominal examination revealed mild tenderness in the left iliac fossa without organomegaly.
Acute mesenteric ischemia (AMI) is a life‑threatening vascular emergency caused by sudden reduction in blood flow to the small bowel. Early diagnosis is crucial to prevent irreversible bowel necrosis and associated morbidity and mortality. Computed tomography (CT), especially contrast‑enhanced CT (CECT), plays a pivotal role in rapid diagnosis. We present a case of small bowel ischemia in an elderly female detected on CT, highlighting the importance of early imaging and recognition of key radiological signs.
Background: Multiple myeloma (MM) is a plasma-cell malignancy characterized by anemia, bone pain, renal dysfunction, and hypercalcemia. It may rarely present acutely with nonspecific complaints such as body ache or vomiting.
