Browsing by Author "Das, S"
Now showing 1 - 7 of 7
Results Per Page
Sort Options
Publication A Rare Case of Bilateral Aspergillomas in a Patient of Ankylosing Spondylitis(Kathmandu University, 2016) Das, A; Pandit, S; Das, SK; Basuthakur, S; Das, SABSTRACT Pulmonary involvement by Aspergillus sp. mainly includes allergic bronchopulmonary aspergillosis, aspergilloma, and invasive aspergillosis. Aspergilloma (Fungal ball) is the most common form of aspergillous pulmonary involvement, which occurs in preexisting pulmonary cavities, especially secondary to pulmonary tuberculosis. Ankylosing spondylitis is a rare cause of upper lobe fibro-cavitary lesions in pulmonary parenchyma. It may also lead to development of fungal balls in pulmonary cavities. Most common presentation is mild to massive hemoptysis; dyspnoea, chronic cough, expectoration may be other presentation; even the patient may remain asymptomatic. Intaracavitary mobile mass is a valuable sign for fungal ball, best detected by computed tomography (CT) scan of thorax. Lobectomy is the treatment of choice to stop the hemoptysis, if the general condition of the patient is fit; otherwise associated co-morbidities complicate the post-operative scenario. In this situation, bronchial artery embolization may be used as a temporary measure to control hemoptysis. Here, we report a case of bilateral aspergillomas within the cavities located in upper lobes of both lungs in a 74 years old male who was suffering from ankylosing spondylitis for last 42 years. KEY WORDS Aspergilloma, ankylosing spondylitis, hemoptysis, lobectomyPublication Anatomico-radiological study of asymmetrical articular facets on occipital condyles and its clinical implications(Kathmandu University, 2008) Das, S; Chaudhuri, JDAbstract The articular facets on the inferior aspect of the occipital condyles, articulate with the superior articular facets of the first cervical (atlas) vertebra, to form the atlanto-occipital joint. The present case, reports the asymmetrical dimensions of the facets on the occipital condyles of a human dried skull. The anatomico-radiological study of asymmetrical articular facets on the occipital condyles, may be helpful for academicians, neuro-surgeos, clinicians and radiologists in day to day clinical practice. Key Words: Skull, Joint, Occipital Condyle, Articular Facets, Anatomy,Variations, Anomaly.Publication Anomalous Facial Nerve: An Unusual Cause of Obstruction of Middle Ear Ventilation(Kathmandu University, 2015) Das, S; Tuli, I PABSTRACT Numerous anomalies and variations of facial nerve anatomy leading to iatrogenic injury are described. However, there are no reports of facial nerve dehiscence near its second genu causing a hump and obstructing middle ear ventilation pathway, as found in our case. This particular anomaly of facial nerve is being reported to highlight its uniqueness and that a dehiscent facial nerve may be a rare but dangerous cause of obstruction of the attic ventilation. One has to be aware of this unusual anomaly to prevent inadvertent damage to the facial nerve while clearing aditus block in persistent otitis media. KEY WORDS Facial nerve, facial nerve anomaly, facial nerve dehiscence.Publication Multiple tendons of abductor pollicis longus muscle: A cadaveric study with clinical implications(Kathmandu University, 2006) Paul, S; Das, SAbductor pollicis longus (APL) muscle is known to exhibit numerous variations. Variations in the number of tendons of APL muscle may be asymptomatic and are often incidental findings. The present case report, detected in a 42 year male cadaver, describes the APL muscle having three tendons. The presence of accessory tendons may be important in De Quervain’s stenosing tendovaginitis. Anatomical knowledge of such variations may be clinically important for surgeons performing reconstructive hand surgeries in the dorsolateral region of the hand. In a wider perspective, variations in the number of tendons of APL may also be important for anthropological correlation and academic studies. Key Words: Abductor pollicis longus, muscle, variations, tendon, cadaver.Publication Pachydermoperiostosis And An Eyelid Ptosis Associated With Spiky Keratoderma – An Unusual Presentation(Society of Dermatologists, Venereologists and Leprologists of Nepal (SODVELON), 2014) Das, S; Chakraborty, S; Sarkar, NSAbstract: Pachydermoperiostosis, ( PDP), a rare hereditary disorder that is characterized by digital clubbing, pachydermia, subperiosteal new bone formation, associated with pain, polyarthritis, cutis verticis gyrata, seborrhoea and hyperhidrosis. It mainly presents due to disfiguring facial features, widening of the limbs and bone and joint pain. It affects male population predominantly and transmitted as an autosomal dominant trait. There are many constant features associated with it as well as rarer features. Increased proliferation of the fibroblast and dysregulation of matrix protein play a central role in the pathogenesis of the disease. They are diagnosed primarily on clinical and radiological grounds. Histopathology plays a supportive role in the diagnosis. Such a case has to be differentiated from several other conditions like acromegaly, neurofibroma,,myxedema, primary systemic amyloidosis as wel as from other causes of digital clubbing. The case which is described here is a complete form of PDP which is a rare disease reported in Indian context and that too with the a rarer presentation of spiky palmoplanter keratoderma and severe mechanical ptosis leading to severe visual impairment which was corrected after surgical manipulation of the ptosis. Keywords: Keratoderma, Pachydermoperiostosis, PtosisPublication Study of serum carbonic anhydrase activity, uric acid, C-reactive protein levels and lipid parameters in patients with Psoriasis(Society of Dermatologists, Venereologists and Leprologists of Nepal (SODVELON), 2013) Das, S; Biswas, UK; Kumar, A; Roy, ANo Abstract:Publication Three Years of Experience of ENT-Head and Neck Trauma in a Tertiary Care Centre of Nepal(Kathmandu University, 2024) Thapa, NM; Das, SABSTRACT Background Trauma to ENT-Head and Neck region is one of the commonest emergencies. The neck and face being exposed parts of our body are vulnerable to traumatic injuries. Objective To study epidemiological pattern, site, mode and cause of trauma in ENT Head and Neck region, their management and outcome. Method This retrospective study was conducted in the department of ENT-Head and Neck Surgery, Tribhuvan University Teaching Hospital, Kathmandu, Nepal. Medical records of the patients admitted with Head and Neck trauma from April 14, 2019 to April 13, 2022 were retrieved from the Medical Records Section and reviewed. Trauma cases which were managed on an OPD basis and those patients with incomplete data and polytrauma were excluded. Result Most of the trauma cases were in the adults 139 (72.41%). Males were more common than females (80.73%). Oral cavity and oropharyngeal injury 37 (69.81%) was most common in the pediatric patients. In adults nose and facial trauma79 (56.83%) was the most common site of injury. Fall was the most common mode of injury in pediatric patients 36 (67.92%) while in adults it was interpersonal violence 43 (30.94%). Conclusion ENT-Head and Neck trauma was more commonly observed in male adults. Paediatric patients were found to be vulnerable to fall while in adults interpersonal violence was the most common mode of trauma. Oral cavity and oro-pharynx were the most common sites of injury in children while nose and facial trauma were the most common in adults. There were no significant complications and mortality reported during the hospital stay. KEY WORDS ENT-head and neck trauma, Fall injury, Fracture reduction, Road traffic accident (RTA), Suicidal cutthroat