Browsing by Author "Gurung, A"
Now showing 1 - 2 of 2
Results Per Page
Sort Options
Publication Endovascular Treatment for Traumatic Thoracic Aortic Injury: A Case Report(Institute of Medicine, 2018) Shrestha, UK; Shrestha, KR; Gurung, D; Upreti, MR; Adhikari, A; Gurung, AAbstract As majority of blunt traumatic injury with aortic tear die, we see limited numbers of survival in the hospital. Thoracic endovascular treatment for traumatic aortic injury is rare. Endovascular treatment, where available, is the trend for traumatic aortic injury for all age group. Both morbidity and mortality are significantly decreased with endovascular intervention. Twenty nine years old male patient driving a car collided with truck and had thoracic aortic pseudoaneurysm with multiple skeletal fractures that underwent successful endovascular stent graft along with fixation of all fractured bones. Key words: Endovascular stent graft, Thoracic aortic injury, Thoracic aortic pseudoaneurysm, Thoracic endovascular aortic repairPublication Hereditary Spherocytosis with Splenomegaly and Cholelithiasis in a Young Male of Western Region of Nepal - A Case Report(Kathmandu University, 2015) Ghimire, P; Gurung, NV; Shrestha, S; Gurung, A; Poudel, SR; Chapagain, AABSTRACT Hereditary spherocytosis is an autosomal dominant congenital hemolytic anemia due to defect in RBC membrane protein that commonly presents with intermittent jaundice, anemia, abdominal pain, splenomegaly and sometimes cholelithiasis. Due to the membrane defect, there is increased fragility, hemolytic anemia, marked splenomegaly and hyperbilirubinemia. This is a report of an 11 years old male diagnosed case of hereditary spherocytosis who presented with jaundice, splenomegaly and cholelithiasis. He underwent elective open splenectomy and cholecystectomy after prophylactic immunization for capsulated organisms and was advised lifelong oral penicillin prophylaxis post-splenectomy. KEY WORDS Cholelithiasis, hemolytic anemia, prophylaxis, splenectomy, splenomegaly