ABSTRACT
Background: Congenital hearing loss sensorineural variety is one of the most common birth defects. Imaging is very important to determine the underlying pathology of such cases
Objective: To assess the various cochlea vestibular bony and nerve anomalies by HRCT scan of temporal bone and MRI scan with 3D reconstruction images of inner ear
Methodology: A total of 140[280 ears] children with congenital deafness [88 males and 52 females], between 1 January 2012 to 30 September 2014 were included in this cross sectional study. All patients were assessed radiologically by HRCT scan of temporal bone and MRI with 3D scan of inner ear. This study was conducted at Al Razi Health Care Hospital, Lahore and Sheikh Zayed Medical College/Hospital, Rahim Yar Khan. The frequency of cochlear, vestibular aqueduct anomalies were noted. The data was entered an analyzed by using SPSS version 15
Results: We found various congenital anomalies of bony labyrinth and vestibulocochlear nerve in this study. Out of 280 inner ears we found 37 [13.2%] anomalous inner ears. Out of these 37 inner ears 25 [67%] has cochlear anomaly, 30 [83.1%] has anomalous vestibule, 19 [52.2%] has abnormal vestibular aqueduct and 9 [24.9%] has abnormal cochlea vestibular nerves
Conclusion: The study showed that most common ear anomaly in congenital sensorineural loss was cochlear vestibular, internal auditory canal anomalies. This study shows the outcome of preoperative inner ear assessment by radiological imaging mainly HRCTof temporal bone and MRI with 3D reconstruction
ABSTRACT
Primary gastrointestinal lymphoma is an unusual disease and most commonly occurs in stomach but can involve any part of gastrointestinal tract from esophagus to rectum. Primary colorectal lymphoma is a very rare entity and accounts for 6-12% of gastrointestinal lymphoma. Historically, aggressive B-cell lymphomas have been the most common gastrointestinal lymphoma reported in the literature. Most patients with primary colorectal lymphoma present with abdominal pain but obstruction is unusual. Although the lesions may be evident on radiographic studies but the findings are generally nonspecific and definitive diagnosis relies on histopathological analysis. We present a case of 10 year old girl presented with lower abdominal pain, diarrhea and increased frequency of urine for the last one month. Her ultrasonography showed a mass in left iliac fossa. Barium enema examination and abdomino-pelvic CT scan revealed a presacral mass which on histopathology toned out to be a B cell lymphoma. The mass was surgically removed and chemotherapy was planned
ABSTRACT
Background: Choledochal cysts [CDC] are congenital dilatation of hepatic biliary tract, and various investigations are used for its diagnosis
Objective: To evaluate the type of choledochocal cyst by CT study of abdomen for prompt decision of surgical intervention
Methodology: This descriptive study was based on retrospective analysis of the data of children up to 16 years of age diagnosedas having choledochal cyst on CT scan. This study was conducted from 1[st] January 2006 to 31[st] March 2008, in children Hospital and Institute of child health, Lahore
Results: Total 30 pediatric patients of choledochal cysts were diagnosed on CT study of abdomen. Out of these patients, 21 patients [70%] were females and 9 [30%] were males. 15 patients [50%] out of30 had type I CDC cyst and 14 patients [47%] had type IV cyst where as only one patient [3%] had type II cyst. None of patient had type III or type V cyst
Conclusion: CT scan is an important diagnostic toll to delineate different types of choledochal cysts
ABSTRACT
Background: Ophthatamic ultrasonography is a useful diagnostic tool for intraocular evaluation
Objectives: The objective of this study was to detect and characterize the ocular and orbital tumors with the help of B-scan ultrasound
Patients and Methods: This was a prospective descriptive study conducted in Sheikh Zayed Medical College/Hospital, Rahim Yar Khan, for a period of two years from January 2009. Contact B-scan methodology with 7.5 MHZ linear probe was used in which probe was directly placed on closed eyelids. Scanning was performed in longitudinal as well as transverse planes and with eye movements in all directions. 51 consecutive patients of either sex and age were examined, referred from different ophthalmology centers and clinics having clinical suspicion of orbital masses
Results: Total 51 cases were examined, 27 [53%] were males and 24 [47%] were females. Right eye was involved in 51% cases, left was in 43% cases and both eyes were involved in 6% cases. Out of 51 cases, 88% cases were diagnosed to be extra ocular orbital tumors and 12% were intra ocular tumors. Among all tumor types, pseudo tumor was commonest variety and was 26%
Conclusion: Ultrasonography of eyes [B-scan] is non invasive, relatively cheaper and easily available method to diagnose orbital tumors