A. Shrestha, H. Khadka, Baburam Poudel, R. B. Basnet, S. Basnet
Introduction: Acute appendicitis is a common surgical condition; yet its diagnosis can be elusive at times and missed diagnosis can lead to attendant complications of perforation and its sequelae. On the contrary, negative appendectomy subjects one to unnecessary surgery and its physiological and psychological consequences. Among the various available modalities of diagnosis of appendicitis, Ultrasonography(USG) is easily accessible, non invasive, less time consuming, low cost investigation no radiation hazards. So, USG is appropriate diagnostic modality in our country.Methods: This prospective observational study was carried out from January 2011 to June 2011, in the radiology department of Bir hospital. Total of 80 cases with clinical impression of acute appendicitis were enrolled. These patients underwent surgery for suspected acute appendicitis. Details of signs and symptoms, lab findings including Total Leukocyte count (TLC), Differential Leukocyte Count (DLC) and USG findings were recorded. Intra-operative and histopathology findings were also recorded. The findings were analyzed to assess accuracy of ultrasonography in acute appendicitis. Histopathological report was considered the goal standard.Results: A total of 93 cases clinically diagnosed as acute appendicitis were subjected for USG. Out of 93 cases, 80 cases underwent surgery. Among 80 cases, sonography showed acute appendicitis in 56 cases out of which 54 was proved by histopathology as well. However, ultrasonography was not able to detect appendicitis in 9 cases. The sensitivity and specificity of USG for acute appendicitis were 87.7% and 88.2% respectively. The positive and negative predictive values were 96.4% and 62.5% respectively. Overall negative appendectomy rate of 21.2% had been used a basis for decision making, the rate of error being 13.7%.Conclusion: Ultrasonography is a fairly accurate and safe modality in acute appendicitis. It can be useful in reducing negative appendectomy rate.
{"title":"Accuracy of Ultrasound in the Diagnosis of Acute Appendicitis and Correlation with Histopathology","authors":"A. Shrestha, H. Khadka, Baburam Poudel, R. B. Basnet, S. Basnet","doi":"10.3126/NJR.V8I2.22975","DOIUrl":"https://doi.org/10.3126/NJR.V8I2.22975","url":null,"abstract":"Introduction: Acute appendicitis is a common surgical condition; yet its diagnosis can be elusive at times and missed diagnosis can lead to attendant complications of perforation and its sequelae. On the contrary, negative appendectomy subjects one to unnecessary surgery and its physiological and psychological consequences. Among the various available modalities of diagnosis of appendicitis, Ultrasonography(USG) is easily accessible, non invasive, less time consuming, low cost investigation no radiation hazards. So, USG is appropriate diagnostic modality in our country.Methods: This prospective observational study was carried out from January 2011 to June 2011, in the radiology department of Bir hospital. Total of 80 cases with clinical impression of acute appendicitis were enrolled. These patients underwent surgery for suspected acute appendicitis. Details of signs and symptoms, lab findings including Total Leukocyte count (TLC), Differential Leukocyte Count (DLC) and USG findings were recorded. Intra-operative and histopathology findings were also recorded. The findings were analyzed to assess accuracy of ultrasonography in acute appendicitis. Histopathological report was considered the goal standard.Results: A total of 93 cases clinically diagnosed as acute appendicitis were subjected for USG. Out of 93 cases, 80 cases underwent surgery. Among 80 cases, sonography showed acute appendicitis in 56 cases out of which 54 was proved by histopathology as well. However, ultrasonography was not able to detect appendicitis in 9 cases. The sensitivity and specificity of USG for acute appendicitis were 87.7% and 88.2% respectively. The positive and negative predictive values were 96.4% and 62.5% respectively. Overall negative appendectomy rate of 21.2% had been used a basis for decision making, the rate of error being 13.7%.Conclusion: Ultrasonography is a fairly accurate and safe modality in acute appendicitis. It can be useful in reducing negative appendectomy rate.","PeriodicalId":178516,"journal":{"name":"Nepalese Journal of Radiology","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126865197","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}
Prasanna Ghimire, N. Paudel, D. Koirala, B. P. Singh
Introduction: Acute abdomen is the most common condition for patients presenting in the emergency. Ultrasound among other imaging modalities is the most common diagnostic tool employed in the diagnosis of such cases.Methods: A prospective study of consecutive patients presenting with acute abdomen fulfilling the inclusion and exclusion criteria were included in the study. Ultrasound was performed by single radiologist and findings were correlated to the clinical, pathological and surgical findings.Results: A total of 248 patients fulfilled all criteria and were included in the study. The age of patients ranged from 15-62 years with mean age of 41.3 years. There was female predominance with a male to female ratio of 1:1.8. Ultrasound accurately diagnosed 233 cases (93.9 %). Urolithiasis was the most common finding (45.16%) followed by acute appendicitis (19.35%).Conclusion: Ultrasound has pivotal role in the diagnosis and overall management of patient presenting with acute abdomen. Urolithiasis is the most common etiology for non- traumatic acute abdomen.
{"title":"Implications of Ultrasonography in the Diagnosis and Management of Patients Presenting with Non-Traumatic Acute Abdominal Pain in a Tertiary Hospital of Mid-Western Region of Nepal","authors":"Prasanna Ghimire, N. Paudel, D. Koirala, B. P. Singh","doi":"10.3126/njr.v8i2.22980","DOIUrl":"https://doi.org/10.3126/njr.v8i2.22980","url":null,"abstract":"Introduction: Acute abdomen is the most common condition for patients presenting in the emergency. Ultrasound among other imaging modalities is the most common diagnostic tool employed in the diagnosis of such cases.Methods: A prospective study of consecutive patients presenting with acute abdomen fulfilling the inclusion and exclusion criteria were included in the study. Ultrasound was performed by single radiologist and findings were correlated to the clinical, pathological and surgical findings.Results: A total of 248 patients fulfilled all criteria and were included in the study. The age of patients ranged from 15-62 years with mean age of 41.3 years. There was female predominance with a male to female ratio of 1:1.8. Ultrasound accurately diagnosed 233 cases (93.9 %). Urolithiasis was the most common finding (45.16%) followed by acute appendicitis (19.35%).Conclusion: Ultrasound has pivotal role in the diagnosis and overall management of patient presenting with acute abdomen. Urolithiasis is the most common etiology for non- traumatic acute abdomen.","PeriodicalId":178516,"journal":{"name":"Nepalese Journal of Radiology","volume":"35 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131549150","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}
Introduction: Abruptio placentae is one of the major complications in second half of pregnancy. It accounts for 0.4-1 % of all deliveries. With the advent of ultrasonography, though abruptio placentae has been diagnosed however the sensitivity is less. Those patients clinically suspicious of abruption placenta with negative ultrasound findings can have positive intrapartum findings suggestive of abruptio. Fetal outcome is associated with the gestational age. Preterm deliveries with abruption have higher incidence of perinatal morbidity and mortality as compared to term pregnancies.Methods: It is a prospective study conducted in Manipal Teaching Hospital, Pokhara from July 2017 to July 2018. All the cases of more than twenty eight weeks gestation, singleton pregnancies without preexisting maternal medical diseases suspicious of abruption placentae were included in the study. Ultrasonological and intrapartum findings were recorded. Data was analyzed using SPSS (VERSION16).Results: Out of forty patients presented with per vaginal bleeding, sixteen were diagnosed as placental abruption either clinically or ultrasonographically. Only ten patients had positive ultrasound findings of retroplacental clot or subchorionic hemorrhage. Out of six patients with negative ultrasound findings, only four had positive Intrapartum findings suggestive of abruption placenta. The specificity (100%) of ultrasound in diagnosing abruption was more than the sensitivity (71.43%) and the accuracy was 75%.Conclusion: Ultrasound is less sensitive in diagnosing abruption placenta and the lesser the gestational age, the more in the increase in perinatal morbidity and mortality.
{"title":"Role of Ultrasound in Detection of Abruptio Placentae and its Clinical Correlation","authors":"Sangeeta Gurung, J. Shrestha, P. Sharma","doi":"10.3126/NJR.V8I2.22982","DOIUrl":"https://doi.org/10.3126/NJR.V8I2.22982","url":null,"abstract":"Introduction: Abruptio placentae is one of the major complications in second half of pregnancy. It accounts for 0.4-1 % of all deliveries. With the advent of ultrasonography, though abruptio placentae has been diagnosed however the sensitivity is less. Those patients clinically suspicious of abruption placenta with negative ultrasound findings can have positive intrapartum findings suggestive of abruptio. Fetal outcome is associated with the gestational age. Preterm deliveries with abruption have higher incidence of perinatal morbidity and mortality as compared to term pregnancies.Methods: It is a prospective study conducted in Manipal Teaching Hospital, Pokhara from July 2017 to July 2018. All the cases of more than twenty eight weeks gestation, singleton pregnancies without preexisting maternal medical diseases suspicious of abruption placentae were included in the study. Ultrasonological and intrapartum findings were recorded. Data was analyzed using SPSS (VERSION16).Results: Out of forty patients presented with per vaginal bleeding, sixteen were diagnosed as placental abruption either clinically or ultrasonographically. Only ten patients had positive ultrasound findings of retroplacental clot or subchorionic hemorrhage. Out of six patients with negative ultrasound findings, only four had positive Intrapartum findings suggestive of abruption placenta. The specificity (100%) of ultrasound in diagnosing abruption was more than the sensitivity (71.43%) and the accuracy was 75%.Conclusion: Ultrasound is less sensitive in diagnosing abruption placenta and the lesser the gestational age, the more in the increase in perinatal morbidity and mortality.","PeriodicalId":178516,"journal":{"name":"Nepalese Journal of Radiology","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133699623","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}
Introduction: Measurement of different dimensions of maxillary sinus and anterior wallthickness of maxillary sinus by Computed Tomography in normal Nepalese populationMethods: Dimensions of 90 patients were measured in CT PNS using Syngovia Software. AP diameter, width and anterior wall thickness were measured in axial images and height was measured in coronal images.Results: The mean volume of maxillary sinuses in study of male population on left and right side were 17.09 cm3±3.89, 17.19 cm3 ±4 respectively whereas in female were 15.64 cm3±3.5 and 15.21cm3±3.2 respectively as shown in Table 1. This shows the volume of male was significantly larger than female with P- Value = 0.012 (<0.05). Similarly, the thickness of Anterior Wall (AW) of maxillary sinus was also measured in this study and the mean value of left and right side in male were 0.16cm± 0.04 and 0.15cm± 0.03 respectively and in female were 0.12cm± 0.04 and 0.14cm± 0.02 respectively.Conclusion: This study showed that CT is a reliable method for the measurement of different dimensions of the maxillary sinus. The result showed greater mean value of volume in male than female with significant differences. So this study concluded that the measurement of volume of maxillary sinus can help in the identification of gender which can be very useful for forensic sciences.
{"title":"A Study on Measurements of Different Dimensions of Maxillary Sinus by Computed Tomography in Adult Nepalese Population","authors":"U. Khanal, A. Adhikari, M. Humagain","doi":"10.3126/njr.v8i2.22974","DOIUrl":"https://doi.org/10.3126/njr.v8i2.22974","url":null,"abstract":"Introduction: Measurement of different dimensions of maxillary sinus and anterior wallthickness of maxillary sinus by Computed Tomography in normal Nepalese populationMethods: Dimensions of 90 patients were measured in CT PNS using Syngovia Software. AP diameter, width and anterior wall thickness were measured in axial images and height was measured in coronal images.Results: The mean volume of maxillary sinuses in study of male population on left and right side were 17.09 cm3±3.89, 17.19 cm3 ±4 respectively whereas in female were 15.64 cm3±3.5 and 15.21cm3±3.2 respectively as shown in Table 1. This shows the volume of male was significantly larger than female with P- Value = 0.012 (<0.05). Similarly, the thickness of Anterior Wall (AW) of maxillary sinus was also measured in this study and the mean value of left and right side in male were 0.16cm± 0.04 and 0.15cm± 0.03 respectively and in female were 0.12cm± 0.04 and 0.14cm± 0.02 respectively.Conclusion: This study showed that CT is a reliable method for the measurement of different dimensions of the maxillary sinus. The result showed greater mean value of volume in male than female with significant differences. So this study concluded that the measurement of volume of maxillary sinus can help in the identification of gender which can be very useful for forensic sciences.","PeriodicalId":178516,"journal":{"name":"Nepalese Journal of Radiology","volume":"39 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121322383","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}
Introduction: Percutaneous biliary stenting is recommended for palliation of unresectable malignant biliary obstruction with short life expectancy. Percutaneous biliary stenting is newer interventional imaging guided procedure being practiced in Nepal. Aim of this study is to share our early experience of percutaneous biliary stenting and its complications in Nepal.Methods: Retrospective review of clinical success, complication, stent patency and survival was done in 31 patients with nonoperable malignant biliary obstruction who underwent percutaneous transhepatic metallic biliary stenting from August 2016 to July 2018Results: We successfully stented 31 malignant biliary obstructions, following external biliary drainage via sonography and fluoroscopy guidance, one week prior to the stenting. The patients were followed up for documentation and management of any complications related to the procedure. Cent percent reduction in bilirubin levels <50% after 2 weeks were achieved. Procedure related mortality was nil. Major complications including early stent block were seen in 7 patients, which we managed accordingly. Stent patency rate for 3 months was 73% and for 6 months was 45%. Although the procedure is recommended in short life expectancy patients, average survival of the patients in our experience was 7.1 months after the procedure with 2 of the patients survived >12 months after the procedure.Conclusion: Percutaneous biliary stenting is less invasive palliation for unresectable malignant biliary obstruction with less complication as well.
{"title":"Early Experience of Percutaneous Transhepatic Biliary Stenting in Malignant Biliary Obstruction in Nepal","authors":"A. Thapa, S. Suwal, D. Chataut, K. Subedi","doi":"10.3126/njr.v8i2.22966","DOIUrl":"https://doi.org/10.3126/njr.v8i2.22966","url":null,"abstract":"Introduction: Percutaneous biliary stenting is recommended for palliation of unresectable malignant biliary obstruction with short life expectancy. Percutaneous biliary stenting is newer interventional imaging guided procedure being practiced in Nepal. Aim of this study is to share our early experience of percutaneous biliary stenting and its complications in Nepal.Methods: Retrospective review of clinical success, complication, stent patency and survival was done in 31 patients with nonoperable malignant biliary obstruction who underwent percutaneous transhepatic metallic biliary stenting from August 2016 to July 2018Results: We successfully stented 31 malignant biliary obstructions, following external biliary drainage via sonography and fluoroscopy guidance, one week prior to the stenting. The patients were followed up for documentation and management of any complications related to the procedure. Cent percent reduction in bilirubin levels <50% after 2 weeks were achieved. Procedure related mortality was nil. Major complications including early stent block were seen in 7 patients, which we managed accordingly. Stent patency rate for 3 months was 73% and for 6 months was 45%. Although the procedure is recommended in short life expectancy patients, average survival of the patients in our experience was 7.1 months after the procedure with 2 of the patients survived >12 months after the procedure.Conclusion: Percutaneous biliary stenting is less invasive palliation for unresectable malignant biliary obstruction with less complication as well.","PeriodicalId":178516,"journal":{"name":"Nepalese Journal of Radiology","volume":"25 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121204968","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}
Introduction: The purpose of this study was to establish the reference value of normal thickness of thyroid isthmus among clinically euthyroid Nepalese individuals using Ultrasonography and correlate this with thyroid volume, sex, individual’s built and geographic location.Methods: This was a prospective cross sectional study involving 485 clinically euthyroid individuals. B -mode Ultrasonography was used to measure the thickness of thyroid isthmus in transverse plane. Mean thickness of isthmus for male and female was obtained and Pearson correlation test was used to see the relationship with various factors.Results: Among 485 individuals between 1 to 83 years of age, 221 were males and 264 were females. Maximum individuals (72.99%) were from hilly region and minimum (3.30%) were from Himalayan region. Mean thickness of isthmus was 3.097 ± 1.009 mm (range 1.0 to 6.8 mm). It was 3.114 ± 0.9513 mm for male and 3.083 ± 1.056 mm for female. Isthmus thickness best correlated with total thyroid volume (r=0.373, p=0.0001). Isthmus thickness also positively correlated with body mass index (r=0.355, p =0.0001), body surface area (r= 0.296, p=0.0001), weight (r =0.334, p=0.0001) and height (r =0.130, p =0.004) of the individuals.Conclusion: This study estimated the normal reference value of thyroid isthmus thickness. As isthmus thickness correlated well with total thyroid volume, it can roughly guide the thyroid volume and help assessment of thyroid size in diffuse thyroid disease.
{"title":"Ultrasound Measurement of Thyroid Isthmus Thickness in Clinically Euthyroid Subjects","authors":"P. Kayastha, S. Paudel, R. Ghimire","doi":"10.3126/njr.v8i2.22979","DOIUrl":"https://doi.org/10.3126/njr.v8i2.22979","url":null,"abstract":"Introduction: The purpose of this study was to establish the reference value of normal thickness of thyroid isthmus among clinically euthyroid Nepalese individuals using Ultrasonography and correlate this with thyroid volume, sex, individual’s built and geographic location.Methods: This was a prospective cross sectional study involving 485 clinically euthyroid individuals. B -mode Ultrasonography was used to measure the thickness of thyroid isthmus in transverse plane. Mean thickness of isthmus for male and female was obtained and Pearson correlation test was used to see the relationship with various factors.Results: Among 485 individuals between 1 to 83 years of age, 221 were males and 264 were females. Maximum individuals (72.99%) were from hilly region and minimum (3.30%) were from Himalayan region. Mean thickness of isthmus was 3.097 ± 1.009 mm (range 1.0 to 6.8 mm). It was 3.114 ± 0.9513 mm for male and 3.083 ± 1.056 mm for female. Isthmus thickness best correlated with total thyroid volume (r=0.373, p=0.0001). Isthmus thickness also positively correlated with body mass index (r=0.355, p =0.0001), body surface area (r= 0.296, p=0.0001), weight (r =0.334, p=0.0001) and height (r =0.130, p =0.004) of the individuals.Conclusion: This study estimated the normal reference value of thyroid isthmus thickness. As isthmus thickness correlated well with total thyroid volume, it can roughly guide the thyroid volume and help assessment of thyroid size in diffuse thyroid disease.","PeriodicalId":178516,"journal":{"name":"Nepalese Journal of Radiology","volume":"154 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115922255","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}
{"title":"Medical Education at the Crossroads","authors":"B. R. Joshi","doi":"10.3126/NJR.V8I2.22952","DOIUrl":"https://doi.org/10.3126/NJR.V8I2.22952","url":null,"abstract":"Not Available","PeriodicalId":178516,"journal":{"name":"Nepalese Journal of Radiology","volume":"80 7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125888715","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}
Primary tumors of the patella are rare of which Giant cell tumor is the most frequent. Patient usually presents with pain in anterior knee and swelling. Radiologically, Giant cell tumor usually presents as a well defined lytic lesion with no sclerotic margin, no periosteal reaction and no soft tissue involvement unless complicated by fracture and shows enhancement on post-contrast study. Herein, we report the case of a 31-year female with giant cell tumor of the patella (GCT) with its clinical and radiological features.
{"title":"Giant Cell Tumor of the Patella: An Uncommon Site","authors":"K. Devkota, M. Bhattarai, K. Adhikari","doi":"10.3126/NJR.V8I1.20453","DOIUrl":"https://doi.org/10.3126/NJR.V8I1.20453","url":null,"abstract":"Primary tumors of the patella are rare of which Giant cell tumor is the most frequent. Patient usually presents with pain in anterior knee and swelling. Radiologically, Giant cell tumor usually presents as a well defined lytic lesion with no sclerotic margin, no periosteal reaction and no soft tissue involvement unless complicated by fracture and shows enhancement on post-contrast study. Herein, we report the case of a 31-year female with giant cell tumor of the patella (GCT) with its clinical and radiological features.","PeriodicalId":178516,"journal":{"name":"Nepalese Journal of Radiology","volume":"181 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122590796","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}
S. Parajuli, P. Sharma, M. Gyawali, Subita Lalchan, Subash Kc, G. Acharya, Niraj Thapa, P. Tiwari, R. Poudel
Urinary bladder diverticulum presenting as an inguinal hernia is an uncommon condition found in about 1-5% of inguinal hernia. Long standing increase of the intravesical pressure resulting from urinary bladder outlet obstruction can cause both secondary bladder diverticula and groin hernias. We present a case of urinary bladder diverticulum herniating through the left inguinal canal, which was confirmed by micturating cystourethrogram. Although these conditions are usually, diagnosed intraoperatively, radiological diagnosis still holds its utmost importance to improve the overall management.
{"title":"A Complicated Urinary Bladder Diverticulum Herniation: A Case Report","authors":"S. Parajuli, P. Sharma, M. Gyawali, Subita Lalchan, Subash Kc, G. Acharya, Niraj Thapa, P. Tiwari, R. Poudel","doi":"10.3126/NJR.V8I1.20456","DOIUrl":"https://doi.org/10.3126/NJR.V8I1.20456","url":null,"abstract":"Urinary bladder diverticulum presenting as an inguinal hernia is an uncommon condition found in about 1-5% of inguinal hernia. Long standing increase of the intravesical pressure resulting from urinary bladder outlet obstruction can cause both secondary bladder diverticula and groin hernias. We present a case of urinary bladder diverticulum herniating through the left inguinal canal, which was confirmed by micturating cystourethrogram. Although these conditions are usually, diagnosed intraoperatively, radiological diagnosis still holds its utmost importance to improve the overall management. ","PeriodicalId":178516,"journal":{"name":"Nepalese Journal of Radiology","volume":"35 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115778084","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}
Introduction: The aim of this study was to assess the diameters of thoracic aorta of normal Nepalese people by using computed tomography scans of chest and to correlate the diameters with the patient’s age, gender, height, weight and BMI.Methods: This prospective study was performed in the Department of Radiology and Imaging,TUTH. Data were collected over the period of 4 months from June to September 2017 with the total of 99 patients who underwent contrast enhanced CT of chest in the tertiary hospital.Results: The diameter of thoracic aorta was found to be maximum at the level of aortic valve sinus (3.23±0.36 cms), minimum at the level of diaphragm(2.20±0.31 cms), and mean diameter of ascending aorta was found to be 2.73±0.27 cm.Conclusion: This study concluded that the diameter of thoracic aorta increased with increase in age and vice versa. The diameter of thoracic aorta decreased in the tapering fashion distally from the aortic valve sinus
{"title":"Assessment of the Diameter of Thoracic Aorta by Computed Tomography of Chest","authors":"A. Koju, B. R. Joshi","doi":"10.3126/NJR.V8I1.20450","DOIUrl":"https://doi.org/10.3126/NJR.V8I1.20450","url":null,"abstract":"Introduction: The aim of this study was to assess the diameters of thoracic aorta of normal Nepalese people by using computed tomography scans of chest and to correlate the diameters with the patient’s age, gender, height, weight and BMI.Methods: This prospective study was performed in the Department of Radiology and Imaging,TUTH. Data were collected over the period of 4 months from June to September 2017 with the total of 99 patients who underwent contrast enhanced CT of chest in the tertiary hospital.Results: The diameter of thoracic aorta was found to be maximum at the level of aortic valve sinus (3.23±0.36 cms), minimum at the level of diaphragm(2.20±0.31 cms), and mean diameter of ascending aorta was found to be 2.73±0.27 cm.Conclusion: This study concluded that the diameter of thoracic aorta increased with increase in age and vice versa. The diameter of thoracic aorta decreased in the tapering fashion distally from the aortic valve sinus","PeriodicalId":178516,"journal":{"name":"Nepalese Journal of Radiology","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130792690","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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