Monday 13 April 2020
Friday 13 October 2017
Ovarian cyst with torsion
Clinical history: 30 years old female presented with sudden onset acute lower abdominal pain for 3 to 4 hours. No h/o vomiting or fever. Normal WBC and urine analysis. Her ultrasound shows normal uterus and left ovary with a cyst. There is abnormal right tubular structure with internal two thin walled cysts and echogenic fluid could represent blood.
DDx: Differential diagnosis were either ectopic pregnancy which been rule out by negative pregnancy test or otherwise ovarian torsion needs to be consider.
Treatment: patient had surgical laproscopy and found to have right ovarian cyst with torsion and distortion however viable ovarian tissue. She had cystectomy done and ovarian tissue were preserved.
Monday 4 September 2017
Friday 11 August 2017
CT Enterography technique.
To Prepare 2.0 Litres of 3% Mannitol for Negative Oral contrast for CT Enterography/CECT Abdomen.
1)Take three 100ml-bottles of 20% Mannitol.
2)Take 2 bottles of 1 liter drinking/mineral water.
3)Remove 150ml water from 1 Litre drinking/mineral water bottle and add 150ml (1 & ½ bottle of Mannitol) to it again make it 1 Litre. Do the same for second bottle of drinking/mineral water. Thus 2.0 litre of 3% mannitol is ready.
4)This has to be taken orally in small parts (100-200ml) by patient at every 5-10min interval over a period of 60min. Preserve last 300ml of water and report to CT room technologist. Last 300ml of contrast is to be taken on CT table.
Thursday 22 December 2016
Wednesday 21 December 2016
Tuesday 20 December 2016
case of the day
Cor triatriatum (or triatrial heart) is a rare congenital heart defect.
CMR Professional courtesy : Anup Abraham (MRI Technologist)
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