Mucocele of the appendix is a rare but well-known entity. Accurate preoperative diagnosis of this surgically curable entity is very important to prevent intraoperative rupture. With multimodality approach using ultrasound and CT, it has been possible to preoperatively diagnose mucocele of the appendix. We describe the ultrasound and CT findings of a giant appendicular mucocele that led us to the correct preoperative diagnosis.
Anomalous origin of vertebral arteries is not common and usually seen as an incidental finding on imaging. We report a case of anomalous origin of left vertebral artery from left carotid bulb ("trifurcation" of left common carotid artery) on magnetic resonance angiography in a 64-year old male who also had ipsilateral thalamic acute infarct.
ABSTRACT:We report the sonographic findings of a rare case of uterine rupture with extrusion of the fetus into the broad ligament during a second-trimester abortion. Sonography revealed the empty uterus with an indistinct defect on the side wall and the dead fetus lying outside, surrounded by a thin membrane. At surgery, the uterine rupture was confirmed with the fetus lying in the broad ligament. This study shows the importance of timely sonography in second-trimester abortion, enabling immediate management and preventing further complications. Keywords: ultrasound; uterine rupture; broad ligament; second trimester; abortion; ethacridine U terine rupture during pregnancy is usually due to disruption of a previous cesarean scar during delivery and rarely occurs in midtrimester abortion. In women with previous cesarean delivery, the use of oxytocic agents like prostaglandins for labor induction during the second or third trimester increases the risk of uterine rupture.
Introduction: Urolithiasis is a multi-factorial disease involving genetic & environmental factors. There has been an increased incidence of urolithiasis in recent times which has been associated with variations in its epidemiology like change in age, sex distribution of the disease and also changes in terms of type and location of the calculi. Present study describes clinical profile of urolithiasis patients visiting Radiodiagnosis department of a tertiary care hospital in Solapur district of Maharashtra state in India. Methods: It is a descriptive observational study done at Dept of Radiodiagnosis & Imaging at Shri Chhatrapati Shivaji Maharaj General Hospital in Solapur district of Maharashtra state in India. Study duration was Jan 2005 to Oct 2006. 120 patients who presented with symptoms & signs of urolithiasis for diagnosis & treatment in Dept of Surgery & Medicine, including the referrals from other hospitals & institutes & referred to Dept of Radiodiagnosis & Imaging of the institute for Computerised Tomography (CT) with provisional diagnosis of urolithiasis were enrolled. Detailed history & physical examination was done. The description of clinical profile was done with respect to age, sex wise distribution & location of the calculus. Results: On evaluation, 100 patients were diagnosed as having urolithiasis. Median age was 35 years. Age of patients ranged from 2 years to 81 years. Maximum cases (35%) were in age group of 31-40 years. Male to female ratio of patients was 2.4:1. Out of total 140 calculi in these patients, 54 (36 %) calculi were present in renal calyces (nephrolithiasis). Lower pole calyces were the most common site of nephrolithiasis (20%). 96 (64%) calculi were present in ureters. Most common site was distal 1/3 rd of ureters which was seen in 38 patients (25.3%). Conclusion: Urolithiasis patients were most common in age group of 31-40 years. Male to female ratio was 2.4:1. Ureteric calculi were more common than renal calculi.
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