NepMed is a Nepal MEDLINE(Medical Literature Analysis and Retrieval System Online) by Nepal Health Research Council(NHRC). It includes bibliographic information for articles from academic biomedical journals covering medicine, dentistry, nursing, pharmacy, dentistry veterinary medicine, and allied health sciences.
Recent Publications
Dysphagia Induced by Nasal Septal Chondroma: A Case Report
(Nepal Medical Association, 2019) Suh, Kang-Duk; Chae, Hyun-kyu; Chang, Mun-Young; Mun, Seog-Kyun
Abstract
Chondromas rarely occur in the nasal area and are usually found in the metaphyseal area of the phalanges and metacarpals of the hands, as well as the pelvis, sternum and scapula. The authors present an unusual case of dysphagia induced by histologically confirmed chondroma arising from the nasal septum. Treatment is to completely remove the mass with adequate margins of normal tissues to prevent recurrence and malignancy. Intranasal endoscopic removal of tumor with an
adequate margin of normal tissue. After one year of treatment, there was no evidence of recurrence. We present a case of nasal septal chondroma in 18 year male.
Keywords: Chondroma; Dysphagia; Septum.
Ruptured Cesarean Scar Pregnancy: A Case Report
(Nepal Medical Association, 2019) Shah, Prishita; Manandhar, Rosina; Thapa, Meena; Saha, Rachana
Abstract
Cesarean scar pregnancy is a rare variant of ectopic pregnancy where the fertilized ovum gets implanted in the myometrium of the previous cesarean scar. The incidence of CSP among ectopic pregnancies is 6.1% and it is seen in approximately 1 in 2000 normal pregnancies.As trophoblastic invasion of the myometrium can result in uterine rupture and catastrophic hemorrhage termination of pregnancy is the treatment of choice if diagnosed in the first trimester. Expectant treatment has a poor prognosis and may lead to uterine rupture which may require hysterectomy and subsequent loss of fertility. We present a case report of a 24year old femaleG2P1L1with ruptured cesarean scar pregnancy who underwent emergency laparotomy and subsequently hysterectomy. In this case report, we aim to discuss ruptured cesarean scar pregnancy as obstetric emergency and methods by which we can make an early diagnosis that can be managed appropriately as to prevent maternal morbidity and mortality.
Keywords: Cesarean; Hysterectomy; Maternal mortality; Pregnancy; Scar; Uterine rupture.
Primary Pituitary tubercular Abscess: A Case Report
(Nepal Medical Association, 2019) Roka, Yam Bahadur; Roka, Narayani; Pandey, Sagar Raj
Abstract
Primary pituitary tubercular abscess is a very rare and the majority are reported as case reports. It may present clinically with visual loss, headache, seizure, hormonal abnormalities or with cranial nerve palsies. MRI is the diagnostic modality and shows a cystic-solid mass in the sellar and suprasellar region, isointense on T1 and T2W images with heterogeneous areas and ring enhancement on contrast. Surgery remains the initial treatment and it is approached through the trans-sphenoidal/ trans-nasal or transcranial route followed by anti-Tubercular therapy. We report a case of PTA managed successfully with a brief review of its pathology.
Keywords: Abscess; Pituitary; Pyogenic; Sella; Tuberculosis.
Leiomyosarcoma of the Inferior Venacava: A Case Report
(Nepal Medical Association, 2019) Karki, Diksha; Upadhyaya, Paricha; Adhikari, Purbesh; Dahal, Mona; Thapa, Bishow Prakash Jung; Mudbhari, Bandana; Lama, Gopal; Pathak, Neera
Abstract
Leiomyosarcoma of inferior venacava is a rare tumor. Female are most commonly affected and middle segment of inferior vena cava is the commonest site. The diagnosis can sometimes be challenging as patients present with non-specific symptoms. We present a case of a 65-year-old female who presented with pain in hypochondrium and epigastric region since 4 months along with weight loss, anorexia and vomiting. Histopathological examination revealed a capsulated, multilobated tumor arising from muscle layer of inferior venacava with extraluminal growth pattern and tumor cells showing cytoplasmic positivity for immuno-histochemical stain smooth muscle actin. With the diagnosis of leiomyosarcoma of inferior venacava, excision of tumor was done with tangential excision of 4 cm length of inferior venacava with primary repair.
Keywords: Actins; Vena cava; Leiomyosarcoma; Smooth muscle.
A Diagnostic Quandary of Calvarial Tuberculosis: A Case Report
(Nepal Medical Association, 2019) Homagain, Sushan; Shrestha, Suraj; Sah, Sushil; Sedain, Gopal
Abstract
Primary Calvarial Tuberculosis, a rare entity of skull is even rarer after second decade of life in a healthy person without evidence of tuberculosis elsewhere in the body. Most of the cases are often misdiagnosed as osteomyelitis/syphilis/bony metastasis.
We report a case of primary skull tuberculosis in 26-year-old male with complains of headache and swelling in the right frontal region with no history of previous tuberculosis. The patient was operated and the histopathological examination of excised tissue was suggestive of tubercular pathology. The patient is doing well after anti-tubercular therapy.
Being a rare disease, tubercular osteomyelitis of skull bones is often missed and misdiagnosed due to lack of clinical suspicion and slow growth of mycobacterium cultures. Histopathological examination of biopsy material and demonstration of acid-fast bacilli in the pus are helpful for diagnosis and early management of the disease.
Keywords: Calvaria; Mycobacterium; Osteomyelitis; Tuberculosis.