scholarly journals RIGHT ILIAC FOSSA MASS

2016 ◽  
Vol 23 (08) ◽  
pp. 953-958
Author(s):  
Ahmed Hussain ◽  
Syed Kashif Ali Shah ◽  
Naeem ul Karim Bhatti ◽  
Zaheer Ahmed ◽  
Dr. Hamid Nawaz Ali Memon ◽  
...  
Keyword(s):  
Psoas Abscess ◽  
Iliac Fossa ◽  
University Hospital ◽  
Male Population ◽  
Cross Sectional ◽  
Female Population ◽  
Clinical Pattern ◽  
One Year ◽  
The Right ◽  
Appendicular Mass

Objectives: To determine the frequency and clinical pattern of mass in rightiliac fossa. Study Design: Cross sectional multicenter study. Period: One year (from 03 March2014 to 02 March 2015). Setting: Patients with right iliac fossa mass of >11 years of and ofeither gender admitted in department of surgery at Liaquat university hospital Hyderabad /Jamshoro and Peoples University Hospital Nawabshah. Patients and methods: The data wasanalyzed in SPSS 16 and the frequency and percentage was calculated. Results: During oneyear study period, out of 227 patients, 112 subjects were observed to have right iliac fossa massdue to different etiologies, of which 82(73.2%) were males and 30 (26.8%) were females. Themean age ±SD for overall population was 39.32±8.66 while it was 37.88±6.75 and 38.93±7.72in male and female population respectively. The male population was predominant while thepatterns observed were appendicular mass in 19(17%), appendicular abscess in 26(23.21%),ileocaecal tuberculosis in 38(34%), carcinoma caecum in 14(12.5%), psoas abscess in 5(4.46%)and others in 10(9%) respectively. Conclusion: The highest incidence of mass in the right iliacfossa was seen in second, third and four decades with male population predominance. Thecommon disorders identified were ileocaecal tuberculosis, appendicular mass and abscessand carcinoma caecum respectively

scholarly journals APPENDICULAR MASS AND ABSCESS

2016 ◽  
Vol 23 (12) ◽  
pp. 1489-1494
Author(s):  
Zubair Ahmed Yousfani ◽  
Ahsan Ali Laghari ◽  
Jabeen Atta ◽  
M. Siddique Khurram ◽  
Roohi Bano ◽  
...  
Keyword(s):  
Teaching Hospital ◽  
Iliac Fossa ◽  
Tertiary Care ◽  
University Hospital ◽  
P Value ◽  
Male Population ◽  
Cross Sectional ◽  
Tertiary Care Teaching Hospital ◽  
Care Teaching ◽  
Appendicular Mass

Objectives: To determine the frequency of appendicular mass (tumour) andabscess at tertiary care teaching hospital. Study Design: Cross sectional descriptive study.Period: One year. Setting: Department of Surgery at Liaquat University Hospital Hyderabad /Jamshoro, a tertiary care teaching hospital. Patients and Methods: All the patients presentedwith pain in right iliac fossa were recruited for the study. The detail history was taken; clinicalexamination was done, while all the baseline and specific investigations were advised accordinglyto explore the appendicular lump / abscess whereas the data was saved and analyzed inSPSS version 16 and the consideration for significance was p-value ≤0.05. Results: Duringone year study period total fifty patients were presented as appendicular mass and abscess,seventy percent appendicular mass presented with fever and 60% presented with vomiting.Regarding appendicular abscess 90% presented with fever and 30% presented with vomiting.The appendicular mass and appendicular abscess was identified in 32 (64%) and 18 (36%)cases with male population predominance. Out of thirty two patients of appendicular masswere managed surgically i.e. 16 cases were underwent for surgery immediately whereas restof the 16 subjects were managed by Oschner Scherren regime and later date appendicectomywas performed. All 18 cases of appendicular abscess were managed by antibiotics drainageand these cases of appendicular abscess were nominated for interval appendicectomy6-8 weeks later due to recurrent appendicitis. Conclusion: The appendicular mass andappendicular abscess are common disorders and the management tools varies accordinglyfrom early appendectomy, conservative conventional management to interval appendectomywhile the extraperitoneal drainage and interval appendectomy are useful tool for patients withappendicular abscess

scholarly journals A study on right iliac fossa mass

2017 ◽  
Vol 4 (10) ◽  
pp. 3292
Author(s):  
Anita Samraj ◽  
Sanjay Prakash J. ◽  
Muthukumaran G.
Keyword(s):  
Psoas Abscess ◽  
Iliac Fossa ◽  
Right Hemicolectomy ◽  
Contrast Enema ◽  
The Other ◽  
Histopathological Diagnosis ◽  
Hodgkins Lymphoma ◽  
Non Hodgkins Lymphoma ◽  
The Right ◽  
Appendicular Mass

Background: Patients with mass in the right iliac fossa may confront the surgeon, pediatrician or gynecologist. Thus, thorough understandings of the anatomy and pathological process that may occur within the abdomen are essential for an accurate diagnosis and plan of treatment. The objective of this study was to interpret aetiopathology, clinical presentation, differential diagnosis and management of mass in the right iliac fossa.Methods: A total of 60 cases with mass in the right iliac fossa (RIF) were included in the study. Investigations like colonoscopy and CT scan were done. All the cases underwent right hemicolectomy followed by chemotheraphy. Other cases like psoas abscess, non-hodgkins lymphoma, Meckels diverticulum and intussusception were diagnosed and treated.Results: During this study period, a total number of 36 cases of appendicular mass and 10 cases of appendicular abscess were encountered. In this study 10 cases of appendicular abscess were encountered and treated by extraperitoneal drainage, 4 cases of ileocaecal kochs were encountered. Patients presented with constitutional symptoms like pain, fever, weight loss etc. Right hemicolectomy was done, specimens after operative procedures were examined microscopically and histopathological diagnosis. 3 cases of carcinoma caecum and 3 cases of carcinoma ascending colon were seen. Contrast enema was done which showed filling defect and mucosal irregularities.Conclusions: This study showed that appendicular mass is the commonest pathology in right iliac fossa amongst all and conservative treatment followed by interval appendicectomy is the best mode of treatment. Carcinoma of the colon and ileocaecal tuberculosis is the other two common causes for mass in the right iliac fossa. These cases also carry a good prognosis, if properly diagnosed and treated. The other rare causes of mass in the right iliac fossa are intussusception, psoas abscess and Non Hodgkins lymphoma.

scholarly journals ACUTE APPENDICITIS

2016 ◽  
Vol 23 (03) ◽  
pp. 241-245
Author(s):  
Javeria Farid ◽  
Rizwanullah Junaid Bhambhro ◽  
Sohail Soomro
Keyword(s):  
Abdominal Pain ◽  
Postoperative Complications ◽  
Acute Appendicitis ◽  
Epigastric Pain ◽  
Iliac Fossa ◽  
University Hospital ◽  
Cross Sectional ◽  
Clinical Pattern ◽  
Rebound Tenderness ◽  
Right Iliac Fossa Pain

Objectives: To determine the clinical presenting pattern and postoperativecomplications of acute appendicitis. Study design: Observational and cross-sectional study.Setting: Isra university hospital Hyderabad. Period: 7 months. Methodology: All the patientsabove 12 years of age and both genders male/female after diagnosis of acute appendicitishad integrated in the study. Complete clinical pattern and postoperative complications hadrecorded. Results: Symptoms/sign nausea, vomiting, anorexia, rebound tenderness, fever,constipation, diarrhea and leukocytosis were noted with the percentage 98.0%, 65.0%, 95.0%,90.0%, 85.0%, 58.0%, 30.0% and 89.0% respectively. Paraumblical pain was noted in 50.0%of the cases, right iliac fossa pain was in the 99.0%, epigastric pain was seen in 61.0% and theother abdominal pain was noted in the 39.0%. Postoperative complications found in 33.0% ofthe cases and majority was seen wound infection. Conclusion: In the conclusion of this studyclinical features nausea, vomiting, anorexia, rebound tenderness, fever, and leukocytosis wereseen as most common and the most important postoperative complication is infection whichprobably created with the uncompleted sterilization.

scholarly journals ESSENTIAL HYPERTENSION

2015 ◽  
Vol 22 (12) ◽  
pp. 1555-1559
Author(s):  
Mashooq Ali Dasti ◽  
Syed Fasih Ahmed Hashmi ◽  
Nisar Ahmed Shah ◽  
Syed Saad Hussain ◽  
Munaza Gohar ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Uric Acid ◽  
Essential Hypertension ◽  
Uric Acid Level ◽  
Acid Level ◽  
University Hospital ◽  
Male Population ◽  
Cross Sectional ◽  
Female Population ◽  
The Mean

Objectives: To determine the frequency of hyperuricemia in patients withessential hypertension. Study Design: Cross sectional descriptive. Period: Six months study.Setting: Liaquat University Hospital Hyderabad. Patients and Methods: All the patients withessential hypertension visited at cardiac OPD / admitted in the ward were further evaluated forserum uric acid level. The data was analyzed in SPSS 16 and the frequency and percentage wascalculated. Results: During six months study period, total one hundred and eighty (180) patientswith essential hypertension were recruited and study for uric acid level. The mean age ±SDfor overall population was 52.84±8.72 whereas it was 55.83±7.93 and 50.75±8.95 in male andfemale population respectively. The mean ± SD of systolic and diastolic blood pressure (mmHg)in overall population was 160.50 ± 12.74 and 100.70±5.95 respectively. The mean ±SD serumuric acid level in overall population was 13.74±4.83 while it was 11.74±6.44 and 14.43±4.31 inmale and female population respectively). The male population was predominant in relation toage (p=0.02), the hyperuricemia was identified in 117/180 (65%) patients and it is statisticallysignificant in context to age (p<0.01) and gender (p<0.05) whereas mean ±SD of systolic anddiastolic blood pressure was also significant in relation to hyperuricemia. Conclusion: There isa relationship between hyperuricemia and hypertension and shown that the serum uric acid levelwas significantly increased in patients with essential hypertension.

scholarly journals SYSTEMIC INFLAMMATORY RESPONSE SYNDROME (SIRS)

2015 ◽  
Vol 22 (03) ◽  
pp. 293-298
Author(s):  
Shuaib Ansari ◽  
Irfan Murtaza Shahwani ◽  
Zeeshan Ali ◽  
Syed Zulfiquar Ali Shah ◽  
Faisal Shahab
Keyword(s):  
Liver Cirrhosis ◽  
Systemic Inflammatory Response Syndrome ◽  
Inflammatory Response ◽  
Systemic Inflammatory Response ◽  
University Hospital ◽  
Male Population ◽  
Cross Sectional ◽  
Female Population ◽  
Male And Female ◽  
The Mean

Systemic inflammatory response syndrome (SIRS) is a generalized disorder,immune response to infection which results in disturbed microcirculation, visceral perfusion andultimately visceral failure. Objectives: To determine the frequency of systemic inflammatoryresponse syndrome in patients with liver cirrhosis. Design: Cross sectional descriptive.Period: Six months study. Setting: At Liaquat University Hospital Hyderabad. Patients andmethods: All the patients with liver cirrhosis for 06 months duration admitted in the ward werefurther evaluated for systemic inflammatory response syndrome. The data was analyzed inSPSS 16 and the frequency and percentage was calculated. Results: During six months studyperiod, total 100 cirrhotic subjects were studied for SIRS. The mean ± SD for age in all (100)cirrhotic patients was 45.74 ± 7.537. The mean temperatures was 40.42±0.32 where as it was39.72±0.43 and 38.92±0.11 in male and female population respectively. The mean heart beatwas 128.42±6.74 where as it was 115.83±8.93 and 120.62±5.53 in male and female populationrespectively. The mean respiratory rate was 25.31±3.52 where as it was 23.52±2.31 and26.63±3.21 in male and female population respectively. The mean white blood cell count was28.81±4.51 where as it was 23.74±4.73 and 30.83±5.73 respectively. The SIRS was observedin 70% subjects of which 47(67.1%) were males and 23(32.9%) were females (p=0.04). Majorityof SIRS subjects were 30-39 years of age and male population was predominant (p=0.03). Thegender distribution in relation to severity of liver disease was statistically significant (p=0.05)while the SIRS in relation statical analysis. Conclusions: The systemic inflammatory responsesyndrome occurs in patients with liver cirrhosis.

scholarly journals ILEOCAECAL TUBERCULOSIS

2016 ◽  
Vol 23 (12) ◽  
pp. 1483-1488
Author(s):  
Ahmed Hussain ◽  
Naeem ul Karim Bhatti ◽  
Syed Kashif Ali Shah ◽  
Zaheer Ahmed ◽  
Hamid Nawaz Ali Memon ◽  
...  
Keyword(s):  
Management Strategies ◽  
University Hospital ◽  
Cross Sectional ◽  
Female Population ◽  
Male And Female ◽  
Loss Of Weight ◽  
Study Population ◽  
Surgical Options ◽  
The Mean ◽  
One Year

Objectives: To evaluate the management strategies of patients with ileocaecaltuberculosis. Study Design: Cross sectional multi-institutional study. Period: One year. Setting:Liaquat University Hospital Hyderabad / Jamshoro and Peoples University Hospital Nawabshah.Patients and Methods: All the patients of ≥11 years of age, either gender diagnosed asileocaecal tuberculosis were recruited, enrolled and evaluate for management strategies. Thedata was analyzed in SPSS 16 and the frequency and percentage was calculated. Results:During one year study period total 85 patients were identified and diagnosed as ileocaecaltuberculosis. The mean age ±SD for whole population was 39.72±7.73 while it was 37.87±8.83and 40.88±8.52 in male and female population whereas the mean ± SD for duration ofsymptoms of whole study population was 5.52±1.61 months respectively. Sixty nine (81%)patients managed surgical while 16 (19%) managed conservatively. The non specific symptomsi.e. fever, pain and tender abdomen, loss of weight and appetite was observed while 70%subjects had Hb% was <10 gms and 80% of individuals had ESR > 40 mm/1st hour whereascommon radiological impression observed were narrowing of terminal ileum, pulled up caecumand obtuse ileocaecal angle. Conclusion: Ileocaecal tuberculosis management includesconservatives and surgical, the surgical options are ileocaecal resection, right hemicolectomiesand stricturoplasty

Use of an optical surface scanner in assessment of outcome following rhinoplasty surgery

2008 ◽  
Vol 122 (9) ◽  
pp. 972-977 ◽  
Author(s):  
H Chau ◽  
R Dasgupta ◽  
V Sauret ◽  
G Kenyon
Keyword(s):  
Surgical Intervention ◽  
University Hospital ◽  
Facial Features ◽  
Optical Surface ◽  
Case Study Analysis ◽  
The Future ◽  
University College London ◽  
One Year ◽  
The Right

AbstractObjective:To demonstrate the use of an optical surface scanner, with associated software, in the assessment of rhinoplasty patients, and to discuss the possible clinical applications of this technology in the future.Design:Case study analysis of pre- and post-operative scans of a patient undergoing septorhinoplasty at Whipps Cross University Hospital, London, UK.Subject:A 21-year-old man undergoing septorhinoplasty underwent pre-operative optical surface scanning of his face. The scans were repeated at one week and one year post-operatively. Software developed at University College London was then used to analyse the scans.Results:The scans clearly showed that the man's dorsal hump had been well reduced and the nose straightened, with a resulting 1600 mm3 gain on the right side and a 1000 mm3 loss on the left side of the nose. Tip projection had also been achieved.Conclusion:This technique allowed objective quantification of facial features and analysis of change. It may well prove useful in the future in predicting change following surgical intervention.

scholarly journals A Cross Sectional Descriptive Study of Etiology and Clinical Pattern of Liver Abscess : 50 Cases

2013 ◽  
Vol 12 (3) ◽  
pp. 44-48
Author(s):  
Joyabrata Das ◽  
Subash Majumdar ◽  
Subrata Das ◽  
Saiem Nurul Anwar ◽  
Hossain Ahmed ◽  
...  
Keyword(s):  
Clinical Features ◽  
Liver Abscess ◽  
Rural Areas ◽  
Descriptive Study ◽  
Age Group ◽  
Cross Sectional ◽  
Medical College ◽  
Abdominal Abscesses ◽  
One Year ◽  
The Right

Background: The liver is the organ most subjected to the development of abscesses and made up 48 % of all visceral abscesses' and 7% of all intra abdominal abscesses. Liver abscess should be suspected when there is a combination of fever, leucocytosis, constitutional symptoms, and pain in the right upper quadrant, and tenderness over the liver or right lower rib cage. The liver is affected by a number of local and disseminated infections; their frequency and types vary considerably around the world. Parasitic disorders are more prevalent in developing countries. Methods: It was a cross-sectional descriptive study. The cases were taken from the admitted patients of Medicine unit of SMCH, Chittagong. The study was conducted over a period of one year with a sample size of 50 patients and sample was taken by purposive sampling. Results: Among 50 patients 40 (80%) were diagnosed as ALA and 10 (20%) were diagnosed as PLA. ALA cases are common in 21-30 years age group & PLA cases are more common in >50 years of age group. Majority of the cases were from rural area. Common clinical features were fever, abdominal pain, nausea and tender hepatomegaly. Diarrhea was present on admission in 7 (15.9%) patients of ALA. Anaemia was common in both but polymorphonuclear leucocytosis was moderate to severe in PLA. Microscopic examination of stool samples for E. Histolytica trophozoites was positive in 3 (7.5%) cases and cysts in 4(10%) cases. Nine patients had right sided pleural effusion. Conclusions: Clinical features are common in both ALA and PLA. Liver abscesses are more common in men and more prevalent in rural areas. ALA more commonly occurs in 21-30 years age group but can occur at any age. Pyogenic abscess is more common in older age group (>50 years) and E. Coli is the commonest organism. Chattagram Maa-O-Shishu Hospital Medical College Journal Volume 12, Issue 3, September 2013: 44-48

scholarly journals Quantitative Assessment Of The Variations In Thyroid Dimensions In Relation To Increase In Serum TSH In Euthyroids

2018 ◽  
Vol 08 (02) ◽  
pp. 72-76
Author(s):  
Mahrukh Kamran ◽  
Sahar Mubeen ◽  
Iffat Raza ◽  
Sanobar Bughio ◽  
Hira Waseem ◽  
...  
Keyword(s):  
Total Variation ◽  
Cross Sectional Study ◽  
Thyroid Stimulating Hormone ◽  
Left Lobe ◽  
University Hospital ◽  
P Value ◽  
Cross Sectional ◽  
Right Lobe ◽  
The Right ◽  
Serum Tsh

Objectives: To determine the effect of serum TSH on thyroid dimensions of each lobe and to measure the amount of effect of per unit increase in serum TSH on thyroid dimensions of each lobe in euthyroids. Study Design: It was a cross-sectional study. Setting: The study was conducted at Ziauddin University Hospital, Clifton, Karachi. Methodology: Healthy participants aged 21 years and above were included through convenient sampling. Serum Thyroid stimulating hormone was evaluated and ultrasound of thyroid gland TG of 192 euthyroid participants was performed. Spearman correlation and regression analysis was applied to evaluate the relationship between TSH and TG dimensions Results: Relationship of increase in serum TSH with decrease in light lobe AP dimension was most significant. (r= -0.142 P-Value=0.001) and CC dimension least significant (r= -0.0098 P-Value=0.001). Where as in the left lobe AP dimension decreases significantly with increase serum TSH (r= -0.147 P-value=0.001). 11.7% of total variation in AP dimension, 3.5% of total variation in ML dimension and 6.5% of total variation in CC dimension in right lobe thyroid are because of serum TSH. While 9.5% of the total variation in AP dimension in left lobe is also due to serum TSH. Conclusion: Negative and significant correlation between serum TSH and thyroid dimensions was observed. Serum TSH inversely and significantly affects all the dimensions of the right lobe and only one dimension in the left lobe

scholarly journals CLINICAL STUDY OF PAIN IN RIGHT ILIAC FOSSA

2020 ◽  
Vol 4 (8) ◽  
Author(s):  
Saurabh Kothari ◽  
Manjula Kothari ◽  
Shree Mohan Joshi ◽  
Kalp Shandilya
Keyword(s):  
Iliac Fossa ◽  
Signs And Symptoms ◽  
Clinical History ◽  
X Ray ◽  
Pain Abdomen ◽  
Detailed Clinical History ◽  
Right Iliac Fossa Pain ◽  
Chest X Ray ◽  
The Right ◽  
Appendicular Mass

Background: A mass in the right iliac fossa is a common diagnostic problem encountered in clinical practice, requiring skill in diagnosis. Methods: 100 patients with signs and symptoms of right iliac fossa mass admitted in Hospital were identified and were studied by taking detailed clinical history, physical examination and were subjected to various investigations like x ray erect abdomen, chest x-ray, contrast x-ray . Result: In this study of out of 100 cases, 65.00% of cases were related to appendicular pathology either in the form of appendicular mass or appendicular abscess. There were 12.00% cases of ileocaecal tuberculosis. Conclusion: Appendicular lump remains the most common cause for right iliac fossa pain. Ileocaecal tuberculosis is one of the most important differential diagnoses for pain abdomen. Keywords: Appendicular Mass, Ileocaecal Tuberculosis, Carcinoma Caecum, Right Iliac Fossa Mass.

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