Browsing by Author "BC, Bom"
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Publication Carotid Intima-media Thickness in Patients with Non-alcoholic Fatty Liver Disease Attending a Tertiary Care Center: A Descriptive Cross-sectional Study Authors(Nepal Medical Association, 2021) BC, Bom; Jaiswal, Raj Kishwor; Gupta, Prashant Kumar; Paudel, Rajan; Subedi, Raj KumarAbstract: Introduction: Non-alcoholic fatty liver disease is fatty infiltration of the liver in the absence of other causes of steatosis. It is strongly associated with central adiposity, high body mass index, insulin resistance states, hypertension, hyperlipidemia which are features of metabolic syndrome. The objective of study is to find out the carotid intima-media thickness of non alcoholic fatty liver disease patients attending a tertiary care center. Methods: This was a descriptive cross sectional study conducted at National Academy of Medical Sciences, Bir Hospital from July 2018 to June 2019 among 70 diagnosed cases of non alcoholic fatty liver disease based on ultrasound findings. Data collection was started after receiving ethical approval from Institutional Review Board of the Institute. Convenience sampling method was used. Data were entered using Microsoft Excel. The carotid intima-media thickness of both sides were measured by ultrasound. Statistical Package for Social Sciences version 20 was used for analysis. Results: Out of 70 cases, the mean carotid intima-media thickness was 0.7140±0.1796mm on right and 0.7161±0.1828mm on left side. Among 70 cases 45 (64.3%) were Grade II non alcoholic fatty liver disease and 25 (35.7%) were Grade I. It was 0.5720±0.1275mm and 0.7929±0.1546mm in Grade I and II non alcoholic fatty liver disease cases respectively on right side whereas it was 0.5676±0.1259mm and 0.7987±0.1557mm respectively on left side. Conclusions: This study showed increased carotid intima-media thickness in non alcoholic fatty liver disease cases.Publication Diagnostic Accuracy of Ultrasound in Patients with Suspected Acute Appendicitis in Rapti Academy of Health Sciences(Rapti Academy of Health Sciences (RAHS), 2024) Khanal, Bipin; BC, Bom; Acharya, Alina; Majagaiya, SamirAbstract: Introduction: Acute appendicitis is a leading cause of acute abdominal pain globally. It is typically diagnosed clinically using various scoring systems, with ultrasound and computed tomography used in certain cases. Ultrasound is often the preferred test for several reasons. This study aims to assess the diagnostic accuracy of ultrasound in suspected acute appendicitis. Methods: This descriptive, cross-sectional study was conducted in the Radiology Department of Rapti Academy of Health Sciences. It included 89 patients with suspected appendicitis who underwent abdominal ultrasound from July to November, 2024 and met the inclusion criteria. Ultrasound findings were compared with histopathological results, and sensitivity, specificity, positive predictive value, negative predictive value, and diagnostic accuracy were calculated. Results: Most of the patients were male which was 48 (53.9%) with the most common age group being from 21 to 35 years. The mean age was 37 years. The most common ultrasonographic feature of acute appendicitis was increased diameter of the appendix of more than 6 mm seen in 78 (87.6%) cases. The sensitivity and specificity of ultrasonography were 97.6% and 42.9%, respectively. The positive predictive value and negative predictive value were 95.2% and 60%, respectively. The diagnostic accuracy was 93.1%. Conclusion: Ultrasound demonstrated high sensitivity and positive predictive value, making it an effective test for confirming the presence of the disease. Ultrasound is accessible, affordable, and radiation-free, but its low specificity limits its reliability. CT can be used for confirmation, though it's costly and involves radiation.Publication Ewing's Sarcoma of Rib in a Four Year Old: A Case Report(Nepal Medical Association, 2021) Kunwar, Saru; Sharma, Nisha; Giri, Bishnu Rath; BC, Bom; Shrestha, Anil KumarAbstract: Although rare, the Ewing’s sarcoma family of tumors represents the second most common primary bone malignancy that typically occurs in adolescents and young adults aged 10-25 years, presenting with localized pain and swelling of a long bone. We report a case of Ewing’s sarcoma of rib in a four years old child that presented with acute onset of fever, cough, shortness of breath and was initially treated as pneumonia. Although the patient did not belong to typical demography and the symptoms were suggestive of infective pathology, careful scrutiny of the radiographic findings led to further investigations and diagnosis of Ewing’s sarcoma of rib after correlating computerized tomography scan findings with immunohistochemistry reports.Publication Myositis Ossificans in the Shoulder – A Case Report(Rapti Academy of Health Sciences (RAHS), 2024) Neupane, Bikash; Panthi, Sagar; Shrestha, Rishishwor; Sherchan, Rupesh Man; Sharma, Nischal; Shrestha, Shrawan; BC, BomAbstract: Myositis ossificans is a non-neoplastic, rare medical condition characterized by heterotopic bone formation in non-skeletal muscle or soft tissues. It is an idiopathic disorder in which trauma plays a significant contributing role, typically appearing 4 to 12 weeks after the injury. While the elbow is the most common site, myositis ossificans can occur anywhere in the body and is particularly common in young athletes, especially males in their second to third decades of life. This case study reports the observation of a 27-year-old male who presented with a shoulder mass 9 years after trauma sustained while playing volleyball. The condition was diagnosed as myositis ossificans in the shoulder, around the deltoid muscles. Excision of the mass was performed after confirmation through MRI scans and biopsy.