BACKGROUNDThis article is about the stillbirth in which we found significant numbers of cardiac as well as extracardiac defects, in combination or separately. In this article, we would like to emphasize the anomalies found in consanguineous marriages.
Background & Aims : Pseudocyst of auricle otherwise called as auricular seroma is a cystic swelling filled with serous fluid. It occurs spontaneously or following surgery or trauma. Successful treatment of seromas remain a challenge because this disease has a high propensity for recurrence. The aim was to study the role of triamcinolone in reducing recurrence of pseudocyst of the auricle. Materials and methods : A total of 50 patients with pseudocyst of auricle were randomized into two groups. They were followed up to a year for recurrence. The technique of intra-lesional injection of triamcinolone acetonide after aspirating the fluid was followed in one group as against aspiration and tight bandaging in another group. Results : Out of seroma patients who underwent aspiration and bandaging, 90.91 % had recurrence as against only 25.64% recurrence in patients who underwent aspiration and Inj. Triamcinolone infiltration. Out of seroma patients who underwent aspiration and bandaging 54.55% had recurrence within 1 month of initial treatment and 27 .27% of them had a second recurrence within 3 months. Conclusion : Intralesional injection of triamcinolone is a promising treatment option for management of auricular seroma. It prevents the recurrence also.
Introduction
The prevalence of accessory fissures in the liver ranges from 6% - 56%, as reported by cadaveric studies, which is much higher than the prevalence of 25% on CT scans. Despite reporting many morphological variations in the liver by various cadaveric studies worldwide, the imaging studies are very few. Radiological imaging of patients undergoing liver surgery is a routine preoperative investigation. Despite there are several occasions where liver variations occur as a surprise during surgery which reflects on the diagnostic capacity of CT.
Materials & Methods
60 cadaveric livers removed and stored in 10% Formalin were studied for all morphological abnormalities. The same livers were analysed separately by anatomists using gross examination and radiologists using plain CT imaging. The radiologist reporting the CT findings was blinded from the gross examination findings. The data obtained by both methods were compared by using appropriate statistical methods and the diagnostic accuracy of CT was estimated.
Results
The common surface morphological variations detected were accessory fissures, accessory lobes, pons hepatis and multilobed caudate and quadrate lobes. Out of the total 89 accessory fissures identified by gross examination, only 73 could be detected by CT scan, thus the sensitivity of CT scan in detecting accessory fissures is 82%. Similarly, sensitivity of CT scan in detecting accessory lobes, pons hepatis, and multilobed caudate and quadrate lobe was calculated as 64% (low), 81% and 19% (very low) respectively. Thus, plain CT has variable sensitivity depending on the morphological variation.
Conclusions
This study has highlighted some of the diagnostic inaccuracies that may arise during plain CT examination of liver in a person posted for liver surgery or a person with abdominal trauma. Contrast-enhanced CT scans can circumvent many of these problems. Lack of awareness of these issues may affect the normal course of treatment and prognosis in such patients.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.