Pub Date : 2023-01-01DOI: 10.5455/ijmrcr.172-1667981921
Nupur Ghosh, R. De, K. Patra, P. Sengupta, Kishore P Madhwani
Background: Postpartum Haemorrhage is a leading cause of maternal death responsible for approximately 68,500 deaths a year, 99.7% occurring in developing countries. It therefore represents a significant global health burden, disproportionately affecting those in the world’s poorest countries. However deaths from PPH can be prevented. The aim of this study was to determine the prevalence, probable cause and risk factors and management of primary postpartum haemorrhage in patients who delivered at a tertiary health care hospital in West Bengal, India. Methods: This study was prospective observational study, conducted in the Department of Obstetrics & Gynaecology of Burdwan Medical College and Hospital, Burdwan, West Bengal from April 2020 to September 2022 after getting approval from the Institutional Ethical Committee. 100 cases of PPH were chosen randomly after applying exclusion criteria. Template was generated in MS excel sheet and analysis was done on SPSS. Results: In the present study most common age group developed PPH was 21-30 years. Multiparas are at higher risk of developing PPH. In this study 77% of the population are multipara. In the present study 52% of study population had blood loss due to PPH was less than 1L. only 6% had blood loss of more than 2L. Most common cause of PPH. In this study 70% of study population had Atonic Uterus, 19% had traumatic PPH and 11% had Retained product of Conception. Most of the cases of study population were managed by medical management (58%). 42% of the study population were managed surgically. Conclusions: Mostly the women who delivered vaginally developed PPH. Every effort should' be made to create awareness. regarding maternal health, so that associated Fetal and maternal morbidity can he reduced.
{"title":"A study on postpartum haemorrhage at a tertiary care hospital of West Bengal, India","authors":"Nupur Ghosh, R. De, K. Patra, P. Sengupta, Kishore P Madhwani","doi":"10.5455/ijmrcr.172-1667981921","DOIUrl":"https://doi.org/10.5455/ijmrcr.172-1667981921","url":null,"abstract":"Background: Postpartum Haemorrhage is a leading cause of maternal death responsible for approximately 68,500 deaths a year, 99.7% occurring in developing countries. It therefore represents a significant global health burden, disproportionately affecting those in the world’s poorest countries. However deaths from PPH can be prevented. The aim of this study was to determine the prevalence, probable cause and risk factors and management of primary postpartum haemorrhage in patients who delivered at a tertiary health care hospital in West Bengal, India. Methods: This study was prospective observational study, conducted in the Department of Obstetrics & Gynaecology of Burdwan Medical College and Hospital, Burdwan, West Bengal from April 2020 to September 2022 after getting approval from the Institutional Ethical Committee. 100 cases of PPH were chosen randomly after applying exclusion criteria. Template was generated in MS excel sheet and analysis was done on SPSS. Results: In the present study most common age group developed PPH was 21-30 years. Multiparas are at higher risk of developing PPH. In this study 77% of the population are multipara. In the present study 52% of study population had blood loss due to PPH was less than 1L. only 6% had blood loss of more than 2L. Most common cause of PPH. In this study 70% of study population had Atonic Uterus, 19% had traumatic PPH and 11% had Retained product of Conception. Most of the cases of study population were managed by medical management (58%). 42% of the study population were managed surgically. Conclusions: Mostly the women who delivered vaginally developed PPH. Every effort should' be made to create awareness. regarding maternal health, so that associated Fetal and maternal morbidity can he reduced.","PeriodicalId":13694,"journal":{"name":"International Journal of Medical Reviews and Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82248625","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.5455/ijmrcr.172-1660639481
Neha Singh, T. Khanna, G. Raj, D. Singh
Introduction: Prostatic utricle cyst (PUC) is a rare entity associated with congenital urogenital anomalies. In some cases, prostatic utricle is strikingly enlarged and present as a cystic lesion in perineum or in pelvic cavity posing diagnostic dilemma. Very few case reports are available in the published literature. Case report: We report a case of 12 year old male with complaints of post void dribbling of urine since birth and feeling of incomplete emptying. Clinical examination revealed ambiguous genitalia with perineal hypospadias and bilateral undescended testes. Ultrasound pelvis revealed a well-defined midline cystic lesion posterior to the urinary bladder with an intra-lesional calculus. MRI demonstrated a narrow communication tract between the cystic lesion and posterior urethra suggesting the possibility of PUC. Complete excision of the cyst was performed with ligation of the communicating tract and subsequent histo-pathological examination confirmed prostatic utricle cyst. Postoperative period was uneventful with complete resolution of the pre-operative symptoms. None of the symptoms recurred on follow up of the patient after three month of surgery. Conclusion: Prostatic utricle cyst should always be kept in the differential diagnosis of midline cystic lesions in young males specially if associated with uro-genital anomalies. Thorough clinical and imaging evaluation is needed to establish the diagnosis. MRI is the imaging modality of choice to differentiate utricle cyst from other midline cystic lesions of the pelvis.
{"title":"Large prostatic utricle cyst with calculus in a child: a rare entity","authors":"Neha Singh, T. Khanna, G. Raj, D. Singh","doi":"10.5455/ijmrcr.172-1660639481","DOIUrl":"https://doi.org/10.5455/ijmrcr.172-1660639481","url":null,"abstract":"Introduction: Prostatic utricle cyst (PUC) is a rare entity associated with congenital urogenital anomalies. In some cases, prostatic utricle is strikingly enlarged and present as a cystic lesion in perineum or in pelvic cavity posing diagnostic dilemma. Very few case reports are available in the published literature. Case report: We report a case of 12 year old male with complaints of post void dribbling of urine since birth and feeling of incomplete emptying. Clinical examination revealed ambiguous genitalia with perineal hypospadias and bilateral undescended testes. Ultrasound pelvis revealed a well-defined midline cystic lesion posterior to the urinary bladder with an intra-lesional calculus. MRI demonstrated a narrow communication tract between the cystic lesion and posterior urethra suggesting the possibility of PUC. Complete excision of the cyst was performed with ligation of the communicating tract and subsequent histo-pathological examination confirmed prostatic utricle cyst. Postoperative period was uneventful with complete resolution of the pre-operative symptoms. None of the symptoms recurred on follow up of the patient after three month of surgery. Conclusion: Prostatic utricle cyst should always be kept in the differential diagnosis of midline cystic lesions in young males specially if associated with uro-genital anomalies. Thorough clinical and imaging evaluation is needed to establish the diagnosis. MRI is the imaging modality of choice to differentiate utricle cyst from other midline cystic lesions of the pelvis.","PeriodicalId":13694,"journal":{"name":"International Journal of Medical Reviews and Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89548978","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.5455/ijmrcr.172-1682359970
Virendra Pal, R. Mathur, Harsimran Singh
{"title":"To compare the antioxidant enzyme superoxide dismutase level in patients with depression and healthy controls","authors":"Virendra Pal, R. Mathur, Harsimran Singh","doi":"10.5455/ijmrcr.172-1682359970","DOIUrl":"https://doi.org/10.5455/ijmrcr.172-1682359970","url":null,"abstract":"<jats:p />","PeriodicalId":13694,"journal":{"name":"International Journal of Medical Reviews and Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90081997","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.5455/ijmrcr.172-1669868821
Aditya Thakur, M. Toppo, D. Pal
Introduction- Irrational and unsafe injection practices are Insidious in developing countries harming the patient and alluring risks to the health care workers. Poor injection practices, including injection overuse and unsafe practices have been reported in many developing and transitional countries Objective - To determine the proportion and predictors of unsafe injections practices in government health facilities. Material and method - It was a descriptive cross-sectional study done in duration of 6 months A sample of 280 was calculated and 83 injection units of 11 government health care facilities were considered for the assessment. Generation of descriptive Statistics was done. Chi-square test and multivariate logistic regression analysis was used to identify potential risk factor of unsafe injection practices. Result- 45 % of the injection practices out of total 280 observed injection practice in all the 11 facilities selected in study is found to be unsafe. Primary health care facilities were 2.13 times more likely to exhibit unsafe injection practice while secondary health care facilities were 1.45 times more prone to unsafe injection practice as compare to tertiary health care facilities. Conclusion- High frequency of noncompliance to best injection safety practices are widespread in the government facilities. This Situation is even worse in the primary health center and community health center.
{"title":"Unsafe injection practices and its predictors in Government health care facilities of Central India.","authors":"Aditya Thakur, M. Toppo, D. Pal","doi":"10.5455/ijmrcr.172-1669868821","DOIUrl":"https://doi.org/10.5455/ijmrcr.172-1669868821","url":null,"abstract":"Introduction- Irrational and unsafe injection practices are Insidious in developing countries harming the patient and alluring risks to the health care workers. Poor injection practices, including injection overuse and unsafe practices have been reported in many developing and transitional countries Objective - To determine the proportion and predictors of unsafe injections practices in government health facilities. Material and method - It was a descriptive cross-sectional study done in duration of 6 months A sample of 280 was calculated and 83 injection units of 11 government health care facilities were considered for the assessment. Generation of descriptive Statistics was done. Chi-square test and multivariate logistic regression analysis was used to identify potential risk factor of unsafe injection practices. Result- 45 % of the injection practices out of total 280 observed injection practice in all the 11 facilities selected in study is found to be unsafe. Primary health care facilities were 2.13 times more likely to exhibit unsafe injection practice while secondary health care facilities were 1.45 times more prone to unsafe injection practice as compare to tertiary health care facilities. Conclusion- High frequency of noncompliance to best injection safety practices are widespread in the government facilities. This Situation is even worse in the primary health center and community health center.","PeriodicalId":13694,"journal":{"name":"International Journal of Medical Reviews and Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90441593","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.5455/ijmrcr.172-1683466769
L. Meng
Installing a ventriculoatrial shunt (VAS) is a common surgical procedure for the treatment of hydrocephalus, though whether it should be the preferred surgical procedure for the treatment of hydrocephalus is controversial. However, should it be the preferred remedial procedure after a failed ventriculoperitoneal shunt (VPS)? This study aimed to investigate the clinical application value of a VAS in refractory hydrocephalus. We performed a retrospective analysis of a patient with refractory hydrocephalus admitted to the First Hospital of South China University in July 2022 who underwent revision surgery twice with poor postoperative shunt results. We gave the patient a VAS, and the patient recovered well after surgery and was followed up for 2 months without complications or recurrence of hydrocephalus. VAS is a remedy for refractory hydrocephalus. Its advantages include that it is a simple and easy operation to perform; most patients recover well after surgery; it is safe and effective; and it has a low recurrence rate. With the improvement of the surgical method and the advancement of equipment, VAS did not show a higher probability of complications and serious events compared with a ventriculoperitoneal shunt in the literature reviewed in this paper.
{"title":"Ventriculoatrial Shunt in Refractory Hydrocephalus: A Case Report and Review of the Literature","authors":"L. Meng","doi":"10.5455/ijmrcr.172-1683466769","DOIUrl":"https://doi.org/10.5455/ijmrcr.172-1683466769","url":null,"abstract":"Installing a ventriculoatrial shunt (VAS) is a common surgical procedure for the treatment of hydrocephalus, though whether it should be the preferred surgical procedure for the treatment of hydrocephalus is controversial. However, should it be the preferred remedial procedure after a failed ventriculoperitoneal shunt (VPS)? This study aimed to investigate the clinical application value of a VAS in refractory hydrocephalus. We performed a retrospective analysis of a patient with refractory hydrocephalus admitted to the First Hospital of South China University in July 2022 who underwent revision surgery twice with poor postoperative shunt results. We gave the patient a VAS, and the patient recovered well after surgery and was followed up for 2 months without complications or recurrence of hydrocephalus. VAS is a remedy for refractory hydrocephalus. Its advantages include that it is a simple and easy operation to perform; most patients recover well after surgery; it is safe and effective; and it has a low recurrence rate. With the improvement of the surgical method and the advancement of equipment, VAS did not show a higher probability of complications and serious events compared with a ventriculoperitoneal shunt in the literature reviewed in this paper.","PeriodicalId":13694,"journal":{"name":"International Journal of Medical Reviews and Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78401901","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.5455/ijmrcr.172-1674644074
Sofia Drouri, Meriem Mouhibi, S. Dhaimy, M. Jabri, H. Merini
Objective: To evaluate the effect of LASER (Light Amplification by Stimulated Emission of Radiation) in endodontics and its effectiveness compared to conventional techniques and methods currently used. Material and method: The electronic databases PubMed, Science direct and Cochrane library, were searched from 2010-2022 to identify clinical trials and in vitro/in vivo trials evaluating the clinical application of laser in endodontics. The search terms utilized various combinations as follows: endodontics or root canal therapy or dentin or dental pulp and laser. Articles were selected according to the inclusion criteria, data were extracted and methodological quality was assessed. Results: Twenty articles were deemed eligible and included in the review. Of these twenty studies, eleven were in vitro trials and nine were in vivo trials. An assessment of the risk of bias of the included studies was used to classify the studies into three categories: low, medium, and high risk of bias. To evaluate the results of these articles, we established the following analysis criteria: root canal disinfection, direct pulp capping, post endodontic pain and opening of dentinal tubuli. The results of the studies included in this review showed that laser appears to improve root canal disinfection, removal of debris and smear layer, adaptation of filling materials to dentin by increasing the penetration of root canal sealants into the dentinal tubuli, improved prognosis of direct pulp capping treatment as well as decreased postoperative endodontic pain. Conclusion: Although laser appears to improve the quality of endodontic treatment, the heterogeneity in the methodology among the eligible studies did not allow a meta-analysis to be performed for clinical decisions with greater certainty of evidence. Further in vivo studies with standardization of laser parameters are needed to validate its utility as an innovative technology in modern endodontics.
{"title":"Laser in endodontics: a scoping review","authors":"Sofia Drouri, Meriem Mouhibi, S. Dhaimy, M. Jabri, H. Merini","doi":"10.5455/ijmrcr.172-1674644074","DOIUrl":"https://doi.org/10.5455/ijmrcr.172-1674644074","url":null,"abstract":"Objective: To evaluate the effect of LASER (Light Amplification by Stimulated Emission of Radiation) in endodontics and its effectiveness compared to conventional techniques and methods currently used. Material and method: The electronic databases PubMed, Science direct and Cochrane library, were searched from 2010-2022 to identify clinical trials and in vitro/in vivo trials evaluating the clinical application of laser in endodontics. The search terms utilized various combinations as follows: endodontics or root canal therapy or dentin or dental pulp and laser. Articles were selected according to the inclusion criteria, data were extracted and methodological quality was assessed. Results: Twenty articles were deemed eligible and included in the review. Of these twenty studies, eleven were in vitro trials and nine were in vivo trials. An assessment of the risk of bias of the included studies was used to classify the studies into three categories: low, medium, and high risk of bias. To evaluate the results of these articles, we established the following analysis criteria: root canal disinfection, direct pulp capping, post endodontic pain and opening of dentinal tubuli. The results of the studies included in this review showed that laser appears to improve root canal disinfection, removal of debris and smear layer, adaptation of filling materials to dentin by increasing the penetration of root canal sealants into the dentinal tubuli, improved prognosis of direct pulp capping treatment as well as decreased postoperative endodontic pain. Conclusion: Although laser appears to improve the quality of endodontic treatment, the heterogeneity in the methodology among the eligible studies did not allow a meta-analysis to be performed for clinical decisions with greater certainty of evidence. Further in vivo studies with standardization of laser parameters are needed to validate its utility as an innovative technology in modern endodontics.","PeriodicalId":13694,"journal":{"name":"International Journal of Medical Reviews and Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74514389","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.5455/ijmrcr.172-1646926021
Y. Sahel, B. Ifegh, F. Zannane, M. Benghanem, H. Jabri, H. Afif, M. Abdallaoui
Currently the risk of co-infections COVID-19 with other respiratory viruses, in particular Influenza virus, is real, however their consequences are not well documented. Thus, the rapid and simultaneous identification of co-infections can help improve patient care. We report here, ten cases of SARS-CoV-2 infection associated with other viruses. These cases were diagnosed at the Ibn Rochd University Hospital Center in Casablanca (Morocco). Diagnosis was made by multiplex PCR (BioFire Film-Array PCR (Biomérieux®) on a nasopharyngeal sample. The number of viruses detected per patient (in addition to SARS-Cov-2) varies from one to five viruses. We detected the Influenza A virus in nine cases, Respiratory Syncytial Virus (RSV) in five cases, Rhinovirus/Enterovirus in six cases, Metapneumovirus in two cases and Coronavirus NL63 in one case. It should be noted that the SARS-CoV-2 RT-PCR came back negative in two cases. These ten observations suggest the need to take into account other respiratory viruses in patients with suspected COVID-19 infection, as these coinfections can lead to the occurrence of complications. Also, the use of syndromic diagnosis by multiplex PCR can be useful in certain situations.
{"title":"Co-infections of SARS Cov-2 and other respiratory viruses at the CHU Ibn Rochd in Casablanca: About 10 cases","authors":"Y. Sahel, B. Ifegh, F. Zannane, M. Benghanem, H. Jabri, H. Afif, M. Abdallaoui","doi":"10.5455/ijmrcr.172-1646926021","DOIUrl":"https://doi.org/10.5455/ijmrcr.172-1646926021","url":null,"abstract":"Currently the risk of co-infections COVID-19 with other respiratory viruses, in particular Influenza virus, is real, however their consequences are not well documented. Thus, the rapid and simultaneous identification of co-infections can help improve patient care. We report here, ten cases of SARS-CoV-2 infection associated with other viruses. These cases were diagnosed at the Ibn Rochd University Hospital Center in Casablanca (Morocco). Diagnosis was made by multiplex PCR (BioFire Film-Array PCR (Biomérieux®) on a nasopharyngeal sample. The number of viruses detected per patient (in addition to SARS-Cov-2) varies from one to five viruses. We detected the Influenza A virus in nine cases, Respiratory Syncytial Virus (RSV) in five cases, Rhinovirus/Enterovirus in six cases, Metapneumovirus in two cases and Coronavirus NL63 in one case. It should be noted that the SARS-CoV-2 RT-PCR came back negative in two cases. These ten observations suggest the need to take into account other respiratory viruses in patients with suspected COVID-19 infection, as these coinfections can lead to the occurrence of complications. Also, the use of syndromic diagnosis by multiplex PCR can be useful in certain situations.","PeriodicalId":13694,"journal":{"name":"International Journal of Medical Reviews and Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85038010","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.5455/ijmrcr.172-1663602443
Marta Caldas, M. Pedro, H. Loreto, Catarina Gomes
A 14-year-old, previously healthy, boy presented with a one-month history of persistent swelling of the lower lip. There were no associated symptoms or identifiable inciting events. Physical examination showed soft and painless swelling of the lower lip, particularly on the left side (Figure 1). Two months later, he presented to consultation with permanent lip swelling, weight loss, abdominal pain and vomiting. Initial bloodwork revealed increased inflammatory markers and calprotectin. Gastro-intestinal endoscopies displayed superficial erosions of the colon and esophagus. Mucosal biopsies showed noncaseating transmural granulomas and lip biopsies revealed giant cell granulomas without necrosis. The diagnosis of orofacial granulomatosis associated with Crohn’s disease was confirmed. The patient was treated with azathioprine and mesalamine, with good response. Orofacial granulomatosis is a rare disorder characterized by facial or lip swelling and can be related to systemic disease [1]. Crohn’s disease presenting as orofacial granulomatosis is very rare in the pediatric population and it can precede the intestinal symptoms of Crohn Disease by months or years [2,3]. Therefore, it is important to have a low threshold of suspicion and carry out persistent clinical surveillance for the development of additional signs and symptoms [2].
{"title":"A RARE CAUSE OF LIP SWELLING","authors":"Marta Caldas, M. Pedro, H. Loreto, Catarina Gomes","doi":"10.5455/ijmrcr.172-1663602443","DOIUrl":"https://doi.org/10.5455/ijmrcr.172-1663602443","url":null,"abstract":"A 14-year-old, previously healthy, boy presented with a one-month history of persistent swelling of the lower lip. There were no associated symptoms or identifiable inciting events. Physical examination showed soft and painless swelling of the lower lip, particularly on the left side (Figure 1). Two months later, he presented to consultation with permanent lip swelling, weight loss, abdominal pain and vomiting. Initial bloodwork revealed increased inflammatory markers and calprotectin. Gastro-intestinal endoscopies displayed superficial erosions of the colon and esophagus. Mucosal biopsies showed noncaseating transmural granulomas and lip biopsies revealed giant cell granulomas without necrosis. The diagnosis of orofacial granulomatosis associated with Crohn’s disease was confirmed. The patient was treated with azathioprine and mesalamine, with good response. Orofacial granulomatosis is a rare disorder characterized by facial or lip swelling and can be related to systemic disease [1]. Crohn’s disease presenting as orofacial granulomatosis is very rare in the pediatric population and it can precede the intestinal symptoms of Crohn Disease by months or years [2,3]. Therefore, it is important to have a low threshold of suspicion and carry out persistent clinical surveillance for the development of additional signs and symptoms [2].","PeriodicalId":13694,"journal":{"name":"International Journal of Medical Reviews and Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81635976","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.5455/ijmrcr.172-1672312059
Pasionare Budima, L. Kanurkova, Jeta Kubati
Objectives: The purpose of our study is to assess the correlation between chronological age, cervical vertebral maturation index and Demirjian index of the lower second molars and analyze if the correlation affected by intermaxillary sagittal malocclusion. Material and methods: 150 subjects were evaluated, with age range from 6-19 years. Skeletal maturation stages according to Baccetti method were determined in lateral cephalometric radiographs. Demirjian index for lower second molars were evaluated in panoramic x-ray. Digital lateral cephalograms and panoramic radiographs were performed by Vatech and they were analyzed and saved in DICOM format using dedicated software (Easydent version 4.1). Statistical analysis with IBM SPSS version 26 for Windows, Chicago, Illinois to assess the correlation between cervical vertebral maturation index and Demirjian index for lower second molars and intergroup comparison. Results: There is a strong positive correlation between chronological age, cervical vertebral maturation index and Demirjian index for lower second molars, with p < 0.000, Pearson correlation coefficient was from r = .847 to r = .883. The duration of prepubertal stage for class II subject was significantly longer. Whereas the actual peak of pubertal growth in class II subject was short, 3, 5 months. The overall period of growth modification raging from stage 2-4 of cervical vertebral maturation index was significantly longer in class III subjects. Conclusions: There is a strong correlation bewteen cervical vertebral maturation index and Demirjian index for lower second molars. The correlation is not affected by intermaxillary sagittal relationship, however in class II patients we have a shorter pubertal peak period and in class III there is a longer period of pubertal peak.
目的:探讨下颌第二磨牙实足年龄与颈椎成熟指数、Demirjian指数的相关性，并分析该相关性是否受上颌间矢状错牙合的影响。材料与方法:研究对象150名，年龄6-19岁。根据Baccetti方法在侧位头颅x线片上确定骨骼成熟阶段。采用全景x线检查下第二磨牙Demirjian指数。由Vatech公司拍摄数字侧位头片和全景x线片，使用专用软件(Easydent version 4.1)分析并保存为DICOM格式。统计学分析采用IBM SPSS version 26 for Windows，芝加哥，伊利诺斯州，评估下第二磨牙颈椎成熟度指数与Demirjian指数的相关性及组间比较。结果:实足年龄、颈椎成熟指数、下第二磨牙Demirjian指数呈正相关，p < 0.000, Pearson相关系数r = 0.847 ~ 0.883。II类受试者的青春期前期持续时间显著延长。而II类受试者的实际青春期生长高峰较短，为3、5个月。III类受试者从颈椎成熟指数2-4期开始的总体生长改变时间明显更长。结论:下第二磨牙颈椎成熟指数与Demirjian指数有较强的相关性。相关性不受上颌间矢状关系的影响，但II类患者的青春期高峰期较短，III类患者的青春期高峰期较长。
{"title":"GROWTH INDICATORS AND THEIR RELATION IN INDIVIDUALS WITH DIFFERENT SKELETAL MALOCCLUSIONS","authors":"Pasionare Budima, L. Kanurkova, Jeta Kubati","doi":"10.5455/ijmrcr.172-1672312059","DOIUrl":"https://doi.org/10.5455/ijmrcr.172-1672312059","url":null,"abstract":"Objectives: The purpose of our study is to assess the correlation between chronological age, cervical vertebral maturation index and Demirjian index of the lower second molars and analyze if the correlation affected by intermaxillary sagittal malocclusion. Material and methods: 150 subjects were evaluated, with age range from 6-19 years. Skeletal maturation stages according to Baccetti method were determined in lateral cephalometric radiographs. Demirjian index for lower second molars were evaluated in panoramic x-ray. Digital lateral cephalograms and panoramic radiographs were performed by Vatech and they were analyzed and saved in DICOM format using dedicated software (Easydent version 4.1). Statistical analysis with IBM SPSS version 26 for Windows, Chicago, Illinois to assess the correlation between cervical vertebral maturation index and Demirjian index for lower second molars and intergroup comparison. Results: There is a strong positive correlation between chronological age, cervical vertebral maturation index and Demirjian index for lower second molars, with p < 0.000, Pearson correlation coefficient was from r = .847 to r = .883. The duration of prepubertal stage for class II subject was significantly longer. Whereas the actual peak of pubertal growth in class II subject was short, 3, 5 months. The overall period of growth modification raging from stage 2-4 of cervical vertebral maturation index was significantly longer in class III subjects. Conclusions: There is a strong correlation bewteen cervical vertebral maturation index and Demirjian index for lower second molars. The correlation is not affected by intermaxillary sagittal relationship, however in class II patients we have a shorter pubertal peak period and in class III there is a longer period of pubertal peak.","PeriodicalId":13694,"journal":{"name":"International Journal of Medical Reviews and Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81673021","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.5455/ijmrcr.172-1678219078
Dr. G. S. Radhakrishnan, Dr Adaikkalam, Dr.A. Palanisamy, Dr.Saravanan Shanmugam
ABSTRACT INTRODUCTION Lymphatic leakage is a rare but severe complication that can occur after various surgical procedures, traumatic injury, and unknown etiology. Lymphangiography using lipiodol is a useful diagnostic tool and also has the therapeutic advantage of occluding small leaks by its sclerosing property. In our study, we evaluated the therapeutic efficacy of lipiodol used in lymphangiogram in patients with no demonstrable post lymphangiogram leak in fluoroscopic intranodal lymph angiogram. This study was done at Barnard Institute of Radiology, Madras medical college, Chennai, Tamilnadu with the data between January 2020 to August 2021. CASE SERIES Seven Patients with idiopathic intractable chylous ascites and chylothorax were quantified using ultrasonogram and then subjected to fluoroscopic intranodal lipiodol lymphangiogram. Five patients with no demonstrable leak were followed up. Among five patients in our study, there was a 80 – 90 % reduction of chylothorax in two patients, a 50 – 60 % reduction of chylothorax in two patients, and a 20 – 30 % reduction of chylous ascites in one patient. CONCLUSION Intranodal fluoroscopic lymphangiogram is a valuable tool in imaging the lymphatics and detecting the congenital abnormality or post-traumatic leak as a cause for chylous ascites/chylothorax. In our study, it is proven that lipiodol has a therapeutic effect on patients having a small leak.
{"title":"THERAPEUTIC EFFICACY OF LIPIODOL IN PATIENTS OF CHYLOTHORAX AND CHYLOUS ASCITES WITH NO DEMONSTRABLE LEAK BY FLUOROSCOPIC INTRANODAL LYMPHANGIOGRAM","authors":"Dr. G. S. Radhakrishnan, Dr Adaikkalam, Dr.A. Palanisamy, Dr.Saravanan Shanmugam","doi":"10.5455/ijmrcr.172-1678219078","DOIUrl":"https://doi.org/10.5455/ijmrcr.172-1678219078","url":null,"abstract":"ABSTRACT INTRODUCTION Lymphatic leakage is a rare but severe complication that can occur after various surgical procedures, traumatic injury, and unknown etiology. Lymphangiography using lipiodol is a useful diagnostic tool and also has the therapeutic advantage of occluding small leaks by its sclerosing property. In our study, we evaluated the therapeutic efficacy of lipiodol used in lymphangiogram in patients with no demonstrable post lymphangiogram leak in fluoroscopic intranodal lymph angiogram. This study was done at Barnard Institute of Radiology, Madras medical college, Chennai, Tamilnadu with the data between January 2020 to August 2021. CASE SERIES Seven Patients with idiopathic intractable chylous ascites and chylothorax were quantified using ultrasonogram and then subjected to fluoroscopic intranodal lipiodol lymphangiogram. Five patients with no demonstrable leak were followed up. Among five patients in our study, there was a 80 – 90 % reduction of chylothorax in two patients, a 50 – 60 % reduction of chylothorax in two patients, and a 20 – 30 % reduction of chylous ascites in one patient. CONCLUSION Intranodal fluoroscopic lymphangiogram is a valuable tool in imaging the lymphatics and detecting the congenital abnormality or post-traumatic leak as a cause for chylous ascites/chylothorax. In our study, it is proven that lipiodol has a therapeutic effect on patients having a small leak.","PeriodicalId":13694,"journal":{"name":"International Journal of Medical Reviews and Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81306455","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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