Browsing by Author "Shrestha, Swesha"
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Publication Mature Cystic Teratoma at Fallopian Tubes: A Case Series(Nepal Medical Association, 2023) Kayastha, Suresh; Bharati, Akrity; Shrestha, Abhishek; Shrestha, Swesha; Pandey, Asmita; Panday, PratikshyaAbstract Benign tumors of the fallopian tube are uncommon. Teratomas are most frequently found in the ovary and fallopian tube teratoma is extremely rare. To date, around 70 cases have been described, and most of them were discovered by chance. Here we present two cases of fallopian tube dermoid cyst. The first case is of a woman who was unable to conceive for 4 years with a right ovarian dermoid. She was managed with laparoscopic cystectomy when she was found to have a small teratoma-like lesion at the fimbrial end of the left fallopian tube. The second case is of a female who underwent elective caesarian section and was found to have a teratoma-like lesion at the right fallopian tube. Histopathology of both cases were reported as mature cystic teratoma. These cases suggest the need for careful examination of the pelvic organs for other pathology apart from the primary surgical sites.Publication Pneumonia among Children Admitted to the Department of Medicine in a Tertiary Care Centre: A Descriptive Cross-sectional Study(Nepal Medical Association, 2022) B.K., Raj Kumar; Shrestha, Swesha; Adhikari, Siddhant; Maharjan, ShristiAbstract Introduction: Pneumonia is one of the most common infectious causes of death in children around the world, accounting for 14% of all deaths of children under five years of age. The study aimed to find out the prevalence of pneumonia among children admitted to the Department of Medicine of a tertiary care hospital. Methods: A descriptive cross-sectional study was conducted in the Department of Medicine of paediatrics tertiary care centre from 1 July 2021 to 30 June 2022 among children aged 2-59 months. Ethical approval was obtained from the Institutional Review Committee (Reference number: 94). Convenience sampling method was used. Data were collected from hospital records during the study period. Point estimate and 95% Confidence Interval were calculated. Results: Among 385 children, pneumonia was seen in 76 (19.74%) (15.76-23.72, 95% Confidence Interval) children. A total of 30 (39.47%) patients were in the age group of 2-11 months, 52 (68.42%) were males, 38 (50%) required O2 supplementation, 26 (34.21%) required transfer to the Intensive Care Unit, and 53 (69.74%) patients stayed for <7 days in the hospital. Conclusions: The prevalence of pneumonia in children admitted to the Department of Medicine was found to be higher than similar studies conducted in similar settings, with higher prevalence in young infants and the male sex than other age groups and genders, respectively.