Pneumothorax and pneumomediastinum complicating acute miliary tuberculosis

Five adult cases of acute miliary tuberculosis are described. Four were complicated by pneumothoraces and 1 by pneumomediastinum. In 2 cases pneumothorax occurred on the left side while in 2 it was bilateral. None of the 5 patients died.

Propagation of a gaussian beam through a circularly curved selfoc fiber

This paper is devoted to the study of electromagnetic wave propagation (having Gaussian intensity distribution) through a curved Selfoc fiber. The effect of radius of curvature on the positions of foci and the corresponding intensity distributions has been obtained. It has been shown that Selfoc fibers have a good tolerance toward bending compared to gas lenses.

A rare case of virilizing adult granulosa cell tumor

A twenty eight year old lady, married for two years with no issue, presented at WesternRegional Hospital Pokhara on 8th July, 1999 with a history of amenorrhea for 1½years, lump abdomen 1 year, hoarseness of voice for 1 year and signs of hirsutism forthe same duration. She was taken up for laparotomy wherein a left ovariectomy withsalpingectomy was done and a large cystic ovarian tumor was removed. Post operativeperiod was uneventful and she was advised follow up. The histopathological diagnosiswas Adult Granulosa Cell Tumor. What made this case interesting is that mostGranulosa Cell Tumors (about 3/4th) are estrogenic or feminizing, but rare examples,including a disproportionate number of large thin walled cystic tumors are androgenic.This was one of those rare virilizing tumors with classical features of infertility,amenorrhea, hoarseness of voice, clitiromegaly, and breast atrophy, but we could notestimate testosterone levels due to lack of facilities available.Key Words: Granulosa Cell Tumor, Virilizing Ovarian Tumors, Sex Cord stromal tumors.