Background:To evaluate and compare the ultrasound (US) features of transient small bowel intussusception (SBI) with those which required surgical management.Materials and Methods:US features of 26 children with 32 intussusceptions from January 2014 to August 2014 were recorded and compared with follow-up imaging or surgical findings.Results:Transient SBI when compared to surgically managed intussusception has shorter length of intussusception (mean 2.25 cm, range 1.8-4.5 cm vs. mean 5.6 cm, range, 2.3-7.8 cm), smaller transverse diameter (mean, 1.2 cm, range 0.8-2.3 cm vs. mean, 3.3 cm, range 2.9-5.4 cm) and thin wall (mean, 3.3 mm, 2.3-4.9 mm vs. mean, 6.8 mm, range, 4.3-11.2 mm). Four out of five surgically managed intussusceptions were associated with the lead point while none of the transient SBI had any lead point. Peristalsis was absent in all surgically managed intussusceptions.Conclusion:Transient SBI is associated with a shorter length of intussusception, smaller transverse diameter, thin walls, absence of the lead point and visible peristalsis. All these findings may help in distinguishing it from those requiring surgical management.
BACKGROUNDWe present an interesting case of an intrauterine diagnosed tetra-amelia foetus in a primigravida. The foetus was in 17th week of the intrauterine life. There was no exposure to teratogenic agents in this pregnancy, although the patient gave a history of oral antibiotics intake for upper respiratory tract infection.
Background: Acetaminophen is an frequently used antipyretic drug because it is highly efficacious and safe to use. Ibuprofen is a Propionic acid derivative that inhibits prostaglandin biosynthesis. The present study was aimed to compare the effect of both the drugs in treating pain and fever which is associated with sore throat amongst adults. Materials and Methods: The present study was conducted in the
We aimed to report our experience with the use of multidetector row computed tomography (MDCT), with angiography in the evaluation of
patients with hemoptysis. Role of multidetector row computed tomography angiography in OBJECTIVE: identication of the vascular source of
bleeding in the patients with hemoptysis. A prospective study was carried out on 50 patients METHODS: suffering from hemoptysis. They
underwent MDCT using a 128-detector row scanner with bronchial and pulmonary angiographic techniques. MDCT identied the RESULTS:
cause of hemoptysis in 92% of patients. MDCT angiography was able to detect the site and vascular source of bleeding in 86% of patients. A total of
86 bronchial arteries were detected in 76% of patients; 33% of these arteries (40.74%) were abnormally dilated. Our results CONCLUSION:
conrm that MDCT angiography is a useful method to identify and depict the bronchial arteries and to predict the presence of nonbronchial
systemic vessels that supply a parenchymal lesion. MDCT angiography allows a rapid and detailed identication of abnormal vasculature and
provides a precise road map which can be used to guide therapeutic arterial embolization.
Background- Sonographic characterisation of thyroid nodular disease has been always challenging for radiologists. Histopathology is the gold
standard but it is invasive. Our study aims to assess the role Shear wave Elastography (SWE) in differentiation of benign and malignant thyroid
nodules, taking cytology as the gold standard.
Material and method- A Prospesctive study was done on patient with 62 clinically suspected thyroid nodule who were refered for USG . Grayscale USG and SWE were then performed using 14 MHz linear transducer
Results- Out of 62 nodule 24 were malignent and 38 were benign on cytology . SWE is done and Elasticity values were calculated. SWE values
were higher in malignant nodule than benign nodules The cut off value of E for thyroid nodules is taken as 53.95 kPa with sensitivity of 89.47% . max
Thus SWE proved signicant role in differentiation of benign and malignant thyroid nodules (p value <0.001).
Conclusion- Shear wave elastography being a noninvasive technique can provide quantitative information on differentiating benign and
malignant thyroid nodules thus can be used as an adjunct method to ultrasound.
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