Browsing by Author "Paudel, Suman"
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Publication Herlyn Werner Wunderlich Syndrome with Hydrocolpos: A Case Report(Nepal Medical Association, 2024) Oli, Saurav Sen; Sapkota, Shova; Bajagain, Rupa; Saha, Rachana; Paudel, SumanAbstract Herlyn-Werner-Wunderlich Syndrome is a very rare congenital malformation of the urogenital tract involving both the Mullerian and Wolffian ducts characterized by the triad uterine diadelphys, obstructed vagina, and unilateral renal agenesis. If not diagnosed on time it may progress to adverse gynecological complications making timely diagnosis and treatment crucial. We hereby present a 14-year girl with right flank pain diagnosed as Herlyn-Werner-Wunderlich Syndrome by ultrasound scan which was managed surgically with drainage of hydrocolpos and marsupialization of vaginal septum. On two weeks follow up patient had symptomatic improvement with no any complications.Publication Hirayama Disease in a Young Male: A Case Report(Nepal Medical Association, 2024) Paudel, Suman; Rokaha, Prerana Singh; Rokaha, Pratik Singh; Karki, Lalit; Thapa, ParasAbstract Hirayama disease is a rare benign neurological disease that affects the anterior horn of the spinal cord at C5 to T1, mainly at C7 and C8 due to imbalance growth between the vertebral column and the dura mater leading to microcirculatory disturbances in the anterior portion of the spinal cord due to overstretched cord, especially during flexion of the neck causing unilateral or rarely asymmetrically bilateral upper limb weakness and muscle wasting. It is a case of a 21-year-old boy presented with weaknesses in his left hand and forearm for 2 years which aggravates during cold weather and flexion of the neck. A plain x-ray of the neck and MRI of the cervical spine were conducted which show the features of Hirayama disease.Publication Mayer-Rokitansky-Kuster-Hauser Syndrome Type II with Fused Kidneys in Pelvic Cavity: A Case Report(Nepal Medical Association, 2024) Paudel, Suman; Rokaha, Prerana Singh; Kafle, PankajAbstract Mayer-Rokitansky-Küster-Hauser syndrome (MRKH) also known as Müllerian agenesis, is caused by embryologic underdevelopment of the Mullerian duct, with resultant agenesis or atresia of the vagina, uterus, or both. Patients usually present with primary amenorrhea with normal growth and pubertal development. Here we present a case of a 29-year-old woman presented with primary amenorrhea. Secondary sexual characteristics and hormone evaluation were normal. Ultrasound and MRI were conducted and revealed complete absence of uterus, small vaginal canal. Bilateral renal fossa were empty and both the kidneys were located in the pelvic cavity fused to one-another with single renal pelvis giving pancake appearance.Publication Normative Data for The Dimensions and Volume of Pituitary Gland in The General Population Undergoing Magnetic Resonance Imaging Under a Tertiary Care Center: An Observational Study(Nepal Medical Association, 2025) Paudel, Suman; Rokaha, Prerana Singh; Rokaha, Pratik Singh; Bista, Apeksha; Subedi, Nischal; Thapa, Narayan BikramAbstract Introduction: The pituitary gland is a pivotal neuroendocrine organ responsible for regulating essential physiological functions. Normative data on its dimensions and volume are crucial for identifying pathological changes in clinical settings. However, such reference values are often limited or population-specific. This study aimed to establish normative data for pituitary gland dimensions and volume in the general population undergoing magnetic resonance imaging (MRI) at a tertiary care center. Methods: A total of 870 subjects of all age groups presumed normal pituitary morphology were evaluated using magnetic resonance imaging. Mid sagittal T1 weighted image and coronal T2 weighted images on magnetic resonance imaging were used to measure height, length and width of the pituitary gland. Data was stratified into 10 groups on the basis of age group in each sex to observe the differences. Results: The height and volume of the pituitary gland showed variations with age. Positive correlation was observed between the mean height and volume for the sexes combined which was statistically significant with Pearson correlation coefficient r=0.82 (p<0.001). Conclusions: This study provides normative data for measurements of the pituitary gland and its variations based on age and sex.