Dermatomyositis in a patient with high grade papillary urothelial carcinoma of urinary bladder

Inflammatory myopathies like dermatomyositis are associated with increased incidence of malignancies. This association has been commonly reported with malignancies of ovaries, gastro‐intestinal tract, breast and non‐Hodgkin's lymphomas but occurrence of dermatomyositis with bladder cancer has been rarely reported. We report a patient with carcinoma bladder who developed dermatomyositis while being treated for the bladder cancer.     

VENTILATORY EFFECTS OF LAPAROSCOPY UNDER GENERAL ANAESTHESIA

We have studied 14 female patients undergoing elective laparoscopyunder general anaesthesia with peritoneal insufflation of carbondioxide in order to examine changes in physiological deadspace(\/D^phys), arterial to end-tidal carbon dioxide partial pressuredifference (Pa_CO2-PE'_CO2) and Pa_CO2. V_CO2 increased after insufflationof carbon dioxide with a mean (SD) maximum increase of 32 (28)% compared with thepreinsufflation value. Pa_CO2increased also,with a mean (so) maximum increase of 0.6 (0.58) kPa immediatelybefore carbon dioxide deflation. VD^phys and (Pa_CO2- PE_CO2) increasedduring laparoscopy, but this was not significant (P > 0.05).