Background: Isolated fallopian tube torsion is very rare during pregnancy .The reporter’s show that the right fallopian tube torsion is most common. Most of the cases have presented in the third trimester. The diagnosis of this torsion is very difficult. There are not pathognomonic symptoms; clinical, imaging, or laboratory findings. The diagnosis is proved during the operation.

Background: Gender inequalities continue in all walks of life for all women, urban rural. Objective: was to know gender differences in everyday life of women. Material methods: Thousand non-pregnant and thousand, pregnant women were interviewed. Results: The information revealed that around 90% pregnant, nonpregnant women, 25% men went to bed late, got up early. Women did all household chores, without any help from husbands. Grocery was brought by 269 nonpregnant, 78 pregnant women. Firewood was collected by 58% woman of 575, households where firewood was used 45% of 513 pregnant women’s families. Of women who worked outside 61% of 656 nonpregnant, 93% of 353 pregnant did all household work also Age, education, occupation did not make any difference in gender inequality of everyday life.

Numerous reports have surfaced over the past decade centering on the potential for complications when transfusing “new” versus “old” stored red blood cells (RBCs). The transfusion of whole blood and packed RBCs has been a standard medical treatment since Landsteiner in 1900 developed red cell ABO typing, leading to compatible transfusions from donor to recipient. Nearly fifteen million units of whole blood are donated in the United States each year by approximately eight million volunteer blood donors. These donor units are transfused to about four million recipients. Unfortunately, despite the great need and the generous contributions of volunteers, blood is always in short supply; and therefore, the need for donated blood continues. On any given day, approximately 35,000 units of blood are needed to treat surgical patients, accident victims, and patients who are anemic from leukemia, cancer, or other diseases.

The skeletal muscles are rarely affected by tuberculosis because they are not a favorable site for the survival and multiplication of Mycobacterium tuberculosis. A case of tuberculous abscess in rectus abdominis muscle is described in a 20- year- old female in an apparently healthy individual without any past history of tuberculosis. The diagnosis was made by ultrasound-guided fine-needle aspiration and cytological examination which revealed caseating granuloma with central necrosis, lymphocytes, and giant cells, consistent with tuberculosis. After four weeks’ antituberculous treatment, she responded well and the abscess regressed considerably. In most cases, the muscle involvement is secondary and is caused by either hematogenous route or direct inoculation from a tuberculous abdominal lymph node or extension from underlying tubercular synovitis and osteomyelitis. This case cautions the clinicians and radiologists about the possibility of tuberculosis in considering the differential diagnosis of any lesion even in any unlikely anatomical area, especially in those areas where tuberculosis is endemic.

Coarctation of the aorta is a relatively common defect that accounts for 5-8% of all congenital heart defects and is characterized by discrete medial thickening with superimposed neointimal tissue, leading to aortic lumen narrowing of different degrees. Today’s knowledge is that the majority of lesions are juxtaductal, with the classic coarctation located in the thoracic aorta distal to the origin of the left subclavian artery at about the level of the ductal structure [1]. However, a coarcted segment may be present in the distal descending thoracic or abdominal aorta and is referred as Middle Aortic Syndrome (MAS). This entity is extremely rare, representing only 0.5-2% of all aortic coarctation cases [2], with total number of published patients not exceeding three hundred. Congenital, acquired, inflammatory, and infectious etiologies have been proposed.

Compression of the airway by vascular anomalies is a co-morbidity occurring frequently in children with congenital heart diseases. Here we presented a cohort of 7 patients with respiratory distress who showed airway compression due to vascular anomalies on evaluated with multidetector computed tompgraphy. The anomalies detected were double aortic arch, left sided aortic arch with aberrant right subclavian artery, right sided aortic arch with aberrant left subclavian artery, left pulmonary artery forming a pulmonary sling and dilated right pulmonary artery compressing the right main bronchus.

Sevoflurane is considered a safe inhaled anesthetic of choice in patients with liver disease. Compared to other halogenated inhaled anesthetics, Sevoflurane is reported to lessen the severity of decreased hepatic blood flow and undergoes a different mechanism of hepatic metabolism. In patients with preexisting liver disease, there is potential for low-flow Sevoflurane to induce acute liver damage through other mechanisms. Limited data exists to guide clinical decision-making when quantifying the severity of cirrhosis in patients with hepatitis C and its relationship to anesthesia choice. Previous studies have found that exposure to general anesthesia during abdominal surgery may increase the risk of hepatorenal failure. This study has raised a concern that anesthetics may interfere with various hepatic functions secondary to viral infection. The generation of abnormal liver enzymes and hypercoagulation has provided further exploration for such toxicity.