Browsing by Author "Shah, LL"
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Publication Hydatid cyst of the sacroiliac joint: A case study in Teaching Hospital(Institute of Medicine, 2013) Kafle, D; Sherchan, B; Adhikari, S; Shah, LLAbstract Hydatid cyst affecting the sacroiliac joint is rare. Signs of sacroiliac joint involvement cause difficulties in differential diagnosis of this rare condition. To describe an unusual case of hydatid disease of the sacrum affecting the sacroiliac joint and to discuss imaging, differential diagnosis, and treatment, a 27-year-old female patient with right buttock pain and sciatica is presented. Plain radiographs, computed tomography, and magnetic resonance imaging scans revealed destructive expansive lesion located on the right sacrum and extended through the right sacroiliac joint. Surgical curettage of the lesion was performed histopathology examination confirmed hydatid cyst and the patient was treated with albendazole. This unusual disease should be kept in mind in the differential diagnosis of sacroiliac pain and sciatica.Publication Osteoid-Osteoma of the Ilium Associated with Malignant Hypertension in an Adult Female(Institute of Medicine, 2014) KC, Bikash; Lakhey, RB; Shah, LL; Pokharel, RKAbstract Osteoid-osteoma, a benign bone tumor, is rare in the ilium bone. Its incidence is uncommon after third decades of life, and can represent a significant diagnostic challenge, resulting in a delay of treatment. We present a 38 years old lady who presented with history of severe right gluteal pam, more during night, and was relieved with non-steroidal anti-inflammatory drugs. Malignant hypertension was associated co-morbid condition without any underlying cause. Plain radiograph was initially normal and her diagnosis was delayed for more than six months until computed tomography (CT) scans and magnetic resonance imaging (MRI) showed a circumscribed lesion of the right ilium suggestive of Osteiod Osteoma. Keywords: iliac bone, gluteal pam, malignant hypertension, Osteoid esteoma Minimally invasive flouroscopy guided curettage was done, and histopathological findings confirmed the diagnosis of osteoid-osteoma, After surgery, the pain was significantly relieved and, surprisingly, the hypertension was controlled, and she was discharged on single antihypertensive drug in maintenance dose