Www.drsarma.in EACH PATIENT - AN OPEN BOOK Interesting Clinical Cases Dr. R.V.S.N.Sarma., M.D., M.Sc., (Canada) 5 Jayanagar, Tiruvallur 602 001 Mobile.

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EACH PATIENT - AN OPEN BOOK Interesting Clinical Cases Dr. R.V.S.N.Sarma., M.D., M.Sc., (Canada) 5 Jayanagar, Tiruvallur Mobile Visit us at :

Misery of a lady 40 years lady suffered severe bilateral broncho- pneumonia in May 05 and was treated - recovered Barely two months later she fell down from a scooter while her son was about ride her to market First few hours no significant symptoms – routine work By evening 5 she has excruciating pain left lower chest USG revealed fluid in peritoneal cavity, spleen outline ? CT by 10 p.m. revealed splenic rupture and liver LL tear Emergency splenectomy, liver, mescentric tear repair Is there any thing underlying her miseries ? Is it the manifestation of some thing more serious ? Case 11