scholarly journals Diagnostic Challenges in Right Iliac Fossa Mass Caused by a Fish Bone

2021 ◽  
Vol 18 (1) ◽  
pp. 59-62
Author(s):  
Ahmad Ibrahim Yahaya ◽  
Ismail Burud ◽  
Jasiah Zakariaa
Keyword(s):  
Ct Scan ◽  
Iliac Fossa ◽  
Fish Bone ◽  
Diagnostic Tools ◽  
Common Condition ◽  
Abdominal Ultrasonography ◽  
Common Diagnosis ◽  
Diagnostic Modalities ◽  
Appendicular Mass

Right iliac fossa (RIF) mass is a common condition seen by surgeons. Despite advances in diagnostic modalities, it remains a diagnostic and therapeutic challenge, hence many authors describe RIF mass as temple of surprises. We report a challenging case of a 35-year-old man whopresented with a tender RIF mass. Abdominal ultrasonography (USG) and computed tomography (CT) scan abdomen were done and he was treated nonsurgically. His symptoms recurred after one month and a CT scan abdomen was repeated which revealed a suspicious foreign body within the appendicular mass. Laparotomy was performed which showed a macerated appendix with a 4-cm long fish bone within. The role of diagnostic tools in managing RIF mass and the treatment modality of appendicular mass are discussed. In managing RIF mass, a surgeon must be aware of thevarious differential diagnoses, but common diagnosis should always be entertained. Multi-modal diagnostic tools must be considered, including serial imaging in different planes. Keywords: Appendicitis, Right iliac fossa mass, Fish bone

scholarly journals Current and Emerging Strategies for Prediction and Diagnosis of Prelabour Rupture of the Membranes: A Narrative Review

2021 ◽  
Vol 28 (3) ◽  
pp. 5-17
Author(s):  
Saadia Ghafoor
Keyword(s):  
Biochemical Markers ◽  
Potential Role ◽  
Narrative Review ◽  
Diagnostic Tools ◽  
Published Data ◽  
Effective Management ◽  
Emerging Trends ◽  
Foetal Membranes ◽  
Diagnostic Modalities

Prelabour rupture of membranes (PROM) refers to the disruption of foetal membranes before the onset of labour, resulting in the leakage of amniotic fluid. PROM complicates 3% and 8% of preterm and term pregnancies, respectively. Accurate and timely diagnosis is crucial for effective management to prevent adverse maternal- and foetal-outcomes. The diagnosis of equivocal PROM cases with traditional methods often becomes challenging in current obstetrics practice; therefore, various novel biochemical markers have emerged as promising diagnostic tools. This narrative review is sought to review the published data to understand the current and emerging trends in diagnostic modalities in term and preterm pregnancies complicated with PROM and the potential role of various markers for predicting preterm PROM (pPROM) and chorioamnionitis in women with pPROM.

scholarly journals Evaluation of various symptoms in subjects with mass in right iliac fossa

2017 ◽  
Vol 4 (7) ◽  
pp. 2308
Author(s):  
Balasubrahmanya K. S. ◽  
Praveen M. Pawar ◽  
Srinidhi M. ◽  
Jinumon K. V. ◽  
Shruthi S. ◽  
...  
Keyword(s):  
Weight Loss ◽  
Iliac Fossa ◽  
Common Symptom ◽  
Age Group ◽  
Common Condition ◽  
Common Cause ◽  
Pain Abdomen ◽  
Younger Age ◽  
Bleeding Per Rectum ◽  
Appendicular Mass

Background:Mass in right iliac fossa is a very common condition a surgeon will come across in day to day practise. This study was aimed at assessing various symptoms with which subjects with mass in right iliac fossa present to clinician.Methods: 50 eligible subjects admitted in K. R. Hospital who were diagnosed to have mass in right iliac fossa clinically or radiologically were selected after informed valid consent. A proper history, thorough clinical examination and relevant investigations were done to diagnose the pathology. Various symptoms were assessed.Results:In our study, the various conditions which presented as mass in right iliac fossa were appendicular mass (42%), appendicular abscess (16%), ileocaecal tuberculosis (24%), carcinoma caecum (14%), ileopsoas abscess (4%). Various symptoms with which subjects presented were pain abdomen (88%), fever (78%), vomiting (30%), mass per abdomen (28%), weight loss (38%), bleeding per rectum (12%) and bowel disturbances (16%). Appendicular pathology was most common cause in younger age group and carcinoma caecum and ileocaecal TB was more prevalent in older age group.Conclusions:Various symptoms with which subjects presented were pain abdomen, fever, vomiting, mass per abdomen, weight loss, bleeding per rectum and bowel disturbances. Pain abdomen was the most common symptom in subjects with mass in right iliac fossa. Mass per abdomen as a symptom was found in 28% of the subjects.

scholarly journals Promising diagnostic tools for endometriosis given the pathogenic role of genetic factors

2021 ◽  
Vol 4 (1) ◽  
pp. 12-16
Author(s):  
G.A. Ikhtiyarova ◽  
◽  
M.Zh. Aslonova ◽  
Z.Sh. Kurbanova ◽  
D.M. Kalimatova ◽  
...  
Keyword(s):  
Genetic Factors ◽  
Clinical Manifestations ◽  
Hormonal Treatment ◽  
Diagnostic Tools ◽  
Pathogenic Role ◽  
Endometrial Cells ◽  
Keywords Endometriosis ◽  
Depth Study ◽  
Diagnostic Modalities

This paper discusses promising diagnostic modalities for endometriosis considering current ideas about the role of genetic factors in the pathogenesis of this condition. The hypotheses on pathogenesis and modern diagnostic approaches are addressed. The authors uncover the issues of genetic predisposition to endometriosis. The inhibition of tumor suppressor genes (CDKN2B, CDKN2 A, and ARF) and the activation of genes of early (embryonic) development of the female reproductive system (HOXA, HOXB, WNT4) lead to endometrial metaplasia. As a result, endometrial cells gain the ability to proliferate. The role of microRNA in the impaired regulation of the methylation of various genes associated with endometriosis is described. These factors specifically affect the course and clinical manifestations of endometriosis. Certain key proteins involved in the pathogenesis of endometriosis and whose synthesis is controlled by microRNA may be regarded as the diagnostic markers of endometriosis. Their in-depth study will identify novel therapeutic targets and promote the development of new non-hormonal treatment approaches to endometriosis. KEYWORDS: endometriosis, proliferation, endometrium, genes, polymorphism, diagnostic, epigenetics, microRNA. FOR CITATION: Ikhtiyarova G.A., Aslonova M.Zh., Kurbanova Z.Sh., Kalimatova D.M. Promising diagnostic tools for endometriosis given the pathogenic role of genetic factors. Russian Journal of Woman and Child Health. 2021;4(1):12–16. DOI: 10.32364/2618-8430- 2021-4-1-12-16.

THE ROLE OF COMPUTED TOMOGRAPHY (CT) IN PATIENTS WITH RIGHT ILIAC FOSSA PAIN IN THE EMERGENCY DEPARTMENT.

2020 ◽  
Vol 8 (1) ◽  
pp. 1-9
Keyword(s):  
Ct Scan ◽  
Medical Center ◽  
Iliac Fossa ◽  
Non Invasive ◽  
Dual Source ◽  
Invasive Method ◽  
Right Iliac Fossa Pain ◽  
The Mean ◽  
Contrast Media Administration

Objective To emphasize the accuracy of CT as non-invasive method either to confirm specific diagnosis or suggest an alternative diagnosis for right iliac fossa pain. Material and method A total number of 200 patients who underwent abdomen and pelvic CT, their images were retrospectively reviewed in a period between June 2019 –December 2019 at King Hussein Medical Center. The age of the patients ranges from (14-70 years) with the mean age 42 years. All scans were performed with Siemens definition dual source 64 slice CT scan, abdominal CT scan protocol with or without intravenous (IV) contrast media administration. The results will be analyzed by simple statistical method.

scholarly journals Diagnostic role of Ultrasonography in acute appendicitis

2015 ◽  
Vol 10 (1) ◽  
pp. 45-49
Author(s):  
Md Khairul Islam ◽  
Md Selim ur Rahman ◽  
Syed Zoherul Alam ◽  
Arif Ahmed Khan ◽  
Md Tarikul Islam ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Acute Appendicitis ◽  
Predictive Value ◽  
Histopathological Examination ◽  
Iliac Fossa ◽  
Lower Abdominal Pain ◽  
Armed Forces ◽  
Compression Technique ◽  
Abdominal Ultrasonography

Introduction: Abdominal Ultrasonography (USG) is the most commonly used method for diagnosing acute appendicitis the most common surgical cause of acute abdomen. In this study, we observed the reliability of USG for diagnosing acute appendicitis. Objectives: To evaluate the role of ultrasonography in the diagnosis of acute appendicitis. Methods: In this study, we performed abdominal USG of 100 patients admitted with lower right abdominal pain and diagnosed as acute surgical abdomen according to the physical examination and laboratory findings. These patients were surgically treated by appendecectomy, and excised specimens were sent for histopathological examination. Results: One hundred patients were assessed in this study. Out of them 82.0% patients had acute appendicitis and diameter of their appendices were more or equal to 6 mm. Twenty nine percent of the patients were below 21 years of age. Intraluminal fluid was present in 81% of patients and peri-appendicular fluid was present in 66.7% of patients. Leucocytosis was present in 49% of the cases and neutrophilia in 84% of the cases. All of the patients presented with lower abdominal pain with migration of pain in 52% cases and they had right iliac fossa tenderness. The sensitivity, specificity, Positive Predictive Value (PPV), Negative Predictive Value (NPV) and accuracy rate of ultrasonography was 76.8%, 88.9%, 96.9%, 45.7% and 79.0%, respectively. 45 JAFMC Bangladesh. Vol 10, No 1 (June) 2014 Conclusion: Acute appendicitis is a common indication for emergency abdominal surgery. Proper clinical assessment is the mainstay of diagnosis in acute appendicitis and addition of routine abdominal ultrasound by graded compression technique can improve the diagnostic accuracy and adverse outcome. DOI: http://dx.doi.org/10.3329/jafmc.v10i1.22904 Journal of Armed Forces Medical College Bangladesh Vol.10(1) 2014

scholarly journals Review of Immunohistochemistry Biomarkers in Pancreatic Cancer Diagnosis

2021 ◽  
Vol 11 ◽  
Author(s):  
Tuan Trong Luu
Keyword(s):  
Pancreatic Cancer ◽  
Cancer Diagnosis ◽  
High Rate ◽  
Diagnostic Tools ◽  
Diagnostic Efficacy ◽  
Cancer Types ◽  
Diagnostic Modalities ◽  
Cancer Tissues ◽  
Insight Into

Pancreatic cancer is one of the cancer types with poor prognosis and high rate of mortality. Diagnostic modalities for early detection of pancreatic cancer have been among the academic concerns. On account of the potential role of immunohistochemistry (IHC) biomarkers in overcoming certain limitations of imaging diagnostic tools in discriminating pancreatic cancer tissues from benign ones, a growing scholarly attention has been given to the diagnostic efficacy of IHC biomarkers for pancreatic cancer. This review will analyze and synthesize published articles to provide an insight into potential IHC biomarkers for pancreatic cancer diagnosis.

Clinico-bacteriological Profile and Outcome of Empyema Thoracis in Children at a Tertiary Care Hospital of Central Nepal

2020 ◽  
Vol 16 (3) ◽  
Author(s):  
Atanu Pan ◽  
Debarshi Jana
Keyword(s):  
Ct Scan ◽  
Broad Spectrum ◽  
Chest Tube ◽  
Chest Tube Drainage ◽  
Diagnostic Tools ◽  
High Morbidity ◽  
Care Hospital ◽  
Empyema Thoracis ◽  
First Line ◽  
Tube Drainage

Background: Empyema thoracis (ET) is a serious infection of the pleural space. Despite the availability of broad spectrum antibacterial, improved vaccination coverage and better diagnostic tools, Empyema Thoracis remains associated with high morbidity worldwide. Delay   in   early   diagnosis,   failure   to institute   appropriate   antimicrobial   therapy,   multidrug resistant   organisms,   malnutrition,   comorbidities,   poor health  seeking  behaviour  and  high treatment  cost  burden contribute  to  increased  morbidity  in  children. The available  treatment  options  include  intravenous broad-spectrum antibiotics  either  alone  or  in  combination  with surgical  procedure  (thoracocentesis,  chest  tube  drainage, fibrinolytic  therapy,  decortications  with  video  assistedthoracoscopic surgery (VATS) and open drainage. Methods: Fifty Children between 1 month to 16 years admitted in the Pediatrics Ward, PICU of College of Medical Sciences, Bharatpur,Nepal. Data analysis was done by SPSS 24.0. Results: Present study found that according to blood culture, 3(6.0%) patients had enterococcus, 40(80.0%) patients had no growth, 2(4.0%) patients had pseudomonas, 4(8.0%) patients had staphylococcus and 1(2.0%) patients had streptococcus. We found that 20(40.0%) patients had done CT scan thorax, 30(60.0%) patients had not done CT scan thorax and 32(64.0%) patients had Amoxiclav first line antibiotic and 18(36.0%) patients had Ceftriaxone first line antibiotic. Conclusions: Suitable antibiotics and prompt chest tube drainage is an effective method of treatment of childhood empyema, especially in resource-poor settings. Majority of the patients progress on this conservative management and have good recovery on follow up.  

Role of Vaitarana Basti in the management of Gridhrasi w.s.r. to Sciatica

2018 ◽  
Vol 3 (5) ◽  
Author(s):  
Dr. Suresh N. Hakkandi ◽  
Dr. Manjunath Akki ◽  
Dr. Bhavana KS
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Clinical Practice ◽  
Routine Activity ◽  
Daily Routine ◽  
Low Back ◽  
Common Condition ◽  
Locomotor System

Vata Vyadhi is one of the most prevailing health problems in our day today clinical practice, Gridhrasi is one among them. Gridhrasi is Shoola Pradhana Nanatmaja Vatavyadhi, affecting the locomotor system and disable from daily routine activity. Gridhrasi the name itself indicates the way of gait shown by the patient due to extreme pain i.e. like Gridhra or Vulture. Gridhrasi is a condition characterized by Ruk, Toda, Stambha, Spandana in Sphik Pradesha and radiates downwards to Kati, Prusta, Uru, Janu, Jangha and Pada. Gridhrasi can be compared with Sciatica. Pain is the chief cause of person to visit a doctor. Although low back pain is a common condition that affects as many as 80 to 90 percent of people during their lifetime. Gridhrasi can be cured by the help of Vaitarana Basti. Hence in the case study of male patient of age 30 yrs presenting with cardinal clinical sign and symptoms of Gridhrasi are Ruka, Toda and Muhu Spandana in the Sphika, Kati, Uru, Janu, Jangha and Pada in order and Sakthikshepanigraha that is restricted lifting of the leg.

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