Search

Byline: Aditya. Sharma, Ravimohan. Mavuduru, Girdhar. Bora, Sudheer. Devana, Kiruthika. Palani, Anupam. Lal, Nandita. Kakkar, Shrawan. Singh, Arup. Mandal Introduction and Objective: The RENAL, PADUA and centrality index (C-index) nephrometry [...]

A huge left renal capsular leiomyoma mimicking retroperitoneal sarcoma presented in a patient as an abdominal mass. Computed tomography displayed a large heterogeneous retro-peritoneal mass in the left side of the abdomen with inferior and medial displacement as well as loss of fat plane with the left kidney. Surgical exploration revealed a capsulated mass that was tightly adherent to the left kidney; therefore, total tumor resection with radical left nephrectomy was performed. Histopathology ultimately confirmed the benign nature of the mass. This is the largest leiomyoma reported in literature to the best of our knowledge.

Byline: Girdhar. Bora, Ravimohan. Mavuduru, Aditya. Sharma, Sudheer. Devana, Nandita. Kakkar, Anupam. Lal, Shrawan. Singh, Arup. Mandal Introduction: The renal nephrometry scoring (RNS) system enables prediction the feasibility of nephron-sparing [...]

Byline: Anupam. Lal, Priyanka. Naranje, Santhosh. Pavunesan Ultrasound is an imaging technology that has evolved swiftly and has come a long way since its beginnings. It is a commonly used [...]

Prostate cancer (PCa) is one of the major causes of death due to cancer in men. Conventional imaging modalities such as magnetic resonance imaging (MRI) provide locoregional status, but fall short in identifying distant metastasis. C-11 choline F-18 fluorocholine (F-18 FCH) has been shown to be useful in imaging of PCa. The present prospective study evaluates and compares the role of F-18 FCH positron emission tomography–computed tomography (PET-CT) with locoregional MRI and whole-body bone scintigraphy in PCa patients for initial staging and recurrence evaluation. This study included a total of 50 patients. Tc-99m skeletal scintigraphy, F-18 FCH PET-CT, and diffusion-weighted MRI of the pelvic region were performed within a span of 2–3 weeks of each other, in random order. For the primary site, core biopsy findings of the lesion were considered as gold standard. The kappa test was used to measure agreement between bone scintigraphy, F-18 FCH, and MRI. For comparing Tc-99m bone scintigraphy, F-18 FCH, and MRI, McNemar's test was applied. F-18 FCH PET-CT and MRI were able to detect primary lesion in all initial staging patients. The sensitivity and specificity of F-18 FCH PET-CT versus MRI were found to be 92.8% versus 89.2% and 100 versus 80%, respectively, for the recurrence at the primary site. A total of 55 bony lesions at distant sites were detected on F-18 FCH PET-CT in comparison to 43 bone lesions on whole-body bone scintigraphy. F-18 FCH PET/CT also detected additional lung lesions in 2 patients and abdominal lymph nodes in 12 patients. F-18 FCH PET-CT could detect primary lesions, local metastasis, bone metastasis, and distant metastasis in a single study and is also a useful modality in recurrence evaluation in PCa patients. [ABSTRACT FROM AUTHOR]

Abstract Background Amoebic Liver abscess although fairly common in developing countries, yet, there is limited data on the clinical presentation to the emergency department. A retrospective analysis of 86 indoor cases of Amoebic Liver Abscess presenting to the emergency department over a 5-year period was carried out. Findings The mean age of patients was 40.5 ± 2.1 years (male-female ratio = 7:1). Fever, pain abdomen and diarrhea were seen in 94%, 90% and 10.5% respectively. Duration of symptoms less than 2 weeks was seen in 48% cases. Hepatomegaly was present in 16% cases only, a right sided pleural effusion in 14% cases and ascites in 5.7%. On ultrasound, a right lobe abscess was seen in 65%, a left lobe abscess in 13% and multiple abscesses in both the lobes in 22% cases. Seventy one cases underwent per-cutaneous pigtail catheter drainage for a mean period of 13.4 ± 0.8 days. The mortality rate was 5.8%. On multivariate regression and correlation analysis, a higher number of inserted pigtail catheters correlated to mortality. Conclusions Amoebic liver abscess presents commonly to the emergency department and should be suspected in persons with prolonged fever and pain abdomen. Conservative management for uncomplicated amoebic liver abscess and insertion of single per-cutaneous pigtail catheter drainage for complicated amoebic liver abscess are efficacious as treatment modalities.

Byline: Debansu. Sarkar, Anupam. Lal, Mayank. Agarwal, Ravimohan. Mavuduru, Santosh. Kumar, Shrawan. Singh Background and Objectives: Patients with chronic kidney disease (CKD) are more prone for bleeding following percutaneous renal [...]

Byline: Anish. Keepanasseril, Rashmi. Bagga, Shalini. Gainder, Subhash. Saha, Lakhbir. Dhaliwal, Anupam. Lal, Mayank. Agarwal Retroperitoneal hematoma occurs rarely in an obstetric patient. Renal hematoma may present with signs and [...]