Browsing by Author "Chowdhury, V"
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Item Amoebic liver abscess communicating with intrahepatic bile duct.(1995-10-01) Kumar, N; Sreeniwas, D V; Chowdhury, V; Puri, A SItem A comparative study of double contrast barium enema and colonoscopy for evaluation of rectal bleeding in children.(1995-04-01) Aggarwal, V; Mittal, S K; Kumar, N; Chowdhury, VIn pediatric age group, rectal bleeding is both common and distressing. Unlike in adults, very few studies comparing diagnostic efficacy of double contrast barium enema (DCBE) and Colonoscopy are available in children. A prospective study was performed to compare the diagnostic accuracy of high quality DCBE against colonoscopy in children with overt rectal bleeding. Fourty four children underwent flexible colonoscopy and DCBE independently. The final diagnosis was made after considering all investigations. Against this gold standard, the sensitivity and specificity of DCBE were 66.66% and 100% while that of colonoscopy 74.35% and 100% respectively. When assessing polypoidal lesions of colon, diagnostic yield of enema study was 86.20% as compared to 72.41% with colonoscopy. In colitis cases, the similar figures for enema and endoscopy were 53.84% and 76.92% respectively. The observed differences were statistically insignificant. No significant preparation, premedication or procedure related complications were encountered. The study thus highlights the utility and complementary role of DCBE and colonoscopy for evaluation of children with rectal bleeding.Item Computed tomography evaluation of esophageal carcinoma.(1992-12-01) Chowdhury, V; Gulati, P; Kakkar, A; Aranya, R CForty patients of histologically proven esophageal carcinoma were subjected to computed tomography (CT) with the objective to assess its reliability in preoperative evaluation of these patients. The findings were confirmed on surgery in twenty five of these patients, thought to be resectable. Bronchoscopy was performed to evaluate bronchial tree in cases of tumor of upper and middle third of esophagus. CT was found to be sensitive in predicting the location and size of tumor, in assessing invasion of tracheo-bronchial tree, spread to liver, celiac and left gastric nodes. However, it was not successful in picking up metastatic spread to local periesophageal nodes in five cases and celiac in one case. The study concluded CT should be carried out for preoperative evaluation of esophageal carcinoma to select operable cases and avoid unnecessary radicle surgery in advanced cases.Item Cranial sonography in preterm infants.(1992-04-01) Chowdhury, V; Gulati, P; Arora, S; Thirupuram, SFifty preterm newborn infants with gestational age of 28-36 weeks were subjected to real time cranial sonography to (a) evaluate the ventricular system and brain parenchyma, (b) determine the incidence of intracranial abnormalities, and (c) to establish the utility and advantages of routine cranial sonography in preterm infants. The lateral ventricular width varied from 6-12 mm (8.67 +/- 1.85 mm) while hemispheric width ranged between 3.68 to 3.95 cm with a mean of 3.84 +/- 0.25 cm. The lateral ventricular ratio ranged from 20.9 to 26.4% and it showed progressive decrease with increasing gestational age. Cavum septum pellucidum was found in 68% of the preterms. Incidental intracranial pathologies were detected in 12% of the preterms screened.Item Ebstein's anomaly of the tricuspid valve. Report of successful surgical correction.(1973-07-01) Kale, P A; Chaukar, A P; Chowdhury, V; Parulkar, G BItem Giant Juvenile Fibroadenoma of the Breast: Report of 2 Cases.(2012-01) Biswas, S K; Rahman, A S M T; Paul, A C; Mollah, M S I; Chowdhury, VGiant fibroadenomas are benign tumors, but their rapid growth and large size together with their rarity may determine difficulties in the clinical approach. The authors present 2 cases of giant juvenile fibroadenoma of the breast in girls aged 14 and 16 years, and the respective diagnostic workup and conservative surgical treatment. The diagnosis was made on fine needle aspiration cytology which was confirmed on histopathology. These tumours are almost always benign and should be treated with breast conserving surgery.Item Intracranial structural lesions in young epileptics: a computed tomographic study.(1998-06-27) Kapoor, M; Talukdar, B; Chowdhury, V; Puri, V; Rath, BItem Mitral valvotomy during pregnancy.(1973-07-01) Kale, P A; Chaukar, A P; Chowdhury, V; Parikh, P N; Parulkar, G B; Sen, P KItem Norms for renal parenchymal volume in Indian children.(1994-09-01) Dixit, P K; Sahai, S B; Rath, B; Garg, A; Chowdhury, VSeventy-seven clinically normal children with kidneys of normal size were examined sonographically. Renal parenchymal volumes were calculated and related to age, height, body weight and body surface area; growth charts were constructed. A significant correlation was found between the renal parenchymal volume and the body somatometric parameters. The present report thus provides norms for renal parenchymal volume in Indian children.Item Oesophageal stricture in dystrophic epidermolysis bullosa--multiple dilatation with gruntzig balloon catheter.(1994-10-01) Kumar, N; Anand, B S; Govil, A; Chowdhury, VItem Pancreatic duct ascariasis: sonographic diagnosis--a case report.(2005-10-02) Agarwal, A; Chowdhury, V; Srivastava, N; Khera, G; Singh, SWe report the case of a 19-year old boy presenting in the emergency with severe epigastric pain whose biochemical tests revealed elevated serum amylase and lipase levels and a clinical diagnosis of acute pancreatitis was made. On ultrasonic examination, the pancreas appeared bulky with a linear tubular echogenic worm (ascaris) seen within the prominent main pancreatic duct. Successful removal of the pancreatic duct worm was achieved through endoscopic retrograde cholangio pancreatography (ERCP).Item Periventricular hemorrhage in term newborns originating from germinal matrix.(1991-04-01) Chadha, V; Mathur, N B; Khanijo, C M; Khalil, A; Gulati, P; Chowdhury, VSix term newborns, presenting with seizures, in whom cranial sonogram showed isolated periventricular hemorrhage (SEH) are described. Age of onset of seizures ranged from day one of birth to day twenty-one. Seizures appeared spontaneously in previously healthy newborns in three cases. All but one survived, and three have near normal development. Isolation of hemorrhage to the periventricular area suggests germinal matrix to be the source of hemorrhage in these cases. These cases also emphasize the need to consider diagnosis of IVH in term-newborns presenting with seizures.Item Present day concept of non-invasive imaging.(1992-04-01) Chowdhury, VItem Profuse variceal hemorrhage as a presenting feature of pancreatic adenocarcinoma in a young non-icteric patient.(1999-07-25) Jain, A; Jain, S; Chowdhury, V; Mukhopadhyay, S; Aggarwal, A; Kar, PPancreatic adenocarcinoma can present with a vast spectrum of rare manifestations. It usually occurs after the age of 50 years, the peak incidence being in sixth and seventh decades. We report a previously asymptomatic subject of pancreatic adenocarcinoma who presented for the first time with massive upper gastrointestinal hemorrhage. Endoscopy revealed ruptured esophageal varices which were secondary to tumour-induced thrombosis of the portal vein. Besides the uncommon mode of presentation, the patient was unusual because of his young age. Further, he was non-icteric at the time of presentation and remained so throughout the clinical course despite having a large lesion in the head of the pancreas.Item Spontaneous rupture of hepatic hydatid cyst causing inferior vena cava thrombosis.(1999-01-04) Anuradha, S; Agarwal, S K; Khatri, S; Bhasin, S; Singh, N P; Chowdhury, VWe report a patient with an infected hepatic hydatid cyst, which spontaneously ruptured into the inferior vena cava, with resultant thrombosis of the inferior vena cava, and left renal, right common iliac and right external iliac veins.Item Tuberculous mediastinitis: a rare presentation.(1999-01-20) Anuradha, S; Bhasin, S; Khatri, S; Singh, N P; Agarwal, S K; Chowdhury, VGranulomatous mediastinitis is a rare condition, and tuberculosis and fungal infections are the most important causes of this potentially lethal condition. Tuberculous mediastinitis usually presents with fever, cough, dyspnoea and rarely, florid features of obstruction to intra-thoracic structures are seen. A case of tuberculous mediastinitis presenting as a suprasternal lump, a rare presentation, is described here.Item An unusual presentation of the Papillon-Lefevre syndrome as recurrent liver abscesses.(2002-07-20) Anuradha, S; Agarwal, S K; Singh, N P; Gupta, A; Chowdhury, VThe Papillon-Lefevre syndrome is a rare genetic disorder with a predisposition to severe infections. We describe Papillon-Lefevre syndrome in a 17 year old boy from a family where four out of eight siblings were affected with this disease and who presented with recurrent pyogenic liver abscesses over a period of 9 years, an association never previously reported.Item A Young man with midline swelling over the front of chest.(2005-04) Dhingra, V K; Rajpal, Sanjay; Gupta, U A; Aggarwal, J K; Mandal, A K; Chowdhury, V