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Traumatic Rupture of the Pregnant Uterus after Motor Vehicle Accident: A Case Report
Ahmed Belkouch,
Abdelilah Mouhsine,
Rachid Sirbou,
Abdlghani ElFikri,
Lahcen Belyamani
Issue:
Volume 2, Issue 6, November 2014
Pages:
131-132
Received:
14 September 2014
Accepted:
29 September 2014
Published:
30 October 2014
Abstract: The most common obstetric complications after severe trauma in pregnancy are miscarriage, premature labor and premature rupture of membranes. Uterine rupture is rare and it occurs in less than 1% of pregnant women victims of this kind of accidents. We describe the case of a 36 years old woman victim of a tragic motor vehicle accident. Shock and unconsciousness were the principal symptoms and uterine rupture was discovered at CT scan. A conservative surgical treatment was attempted. The prognosis remains poor and improving it requires the improvement of pre-hospital care.
Abstract: The most common obstetric complications after severe trauma in pregnancy are miscarriage, premature labor and premature rupture of membranes. Uterine rupture is rare and it occurs in less than 1% of pregnant women victims of this kind of accidents. We describe the case of a 36 years old woman victim of a tragic motor vehicle accident. Shock and unc...
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Predominant Peak Detection of QRS Complexes
Ahmed Saad Al-Ghabban,
Abbas Fathil Al-Hashimi,
Ziad Tariq Al-Dahan
Issue:
Volume 2, Issue 6, November 2014
Pages:
133-137
Received:
17 September 2014
Accepted:
8 October 2014
Published:
18 November 2014
Abstract: This work presents a methodology for detection of QRS complexes which is an adaptation of Pan-Tompkins algorithm. This method includes band bass filtration, derivative, squaring, moving window integration, thresholding, false peak cancellation and detection the predominant peak of QRS complex. This method doing well in the presence of noise and simple ectopic beats but still affected by multifocal ectopic beats. The method was tested on the MIT-BIH Arrhythmia database and achieves accuracy 99.68%.
Abstract: This work presents a methodology for detection of QRS complexes which is an adaptation of Pan-Tompkins algorithm. This method includes band bass filtration, derivative, squaring, moving window integration, thresholding, false peak cancellation and detection the predominant peak of QRS complex. This method doing well in the presence of noise and sim...
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Hydatid Cyst of the Liver Revealed at the Stage of Superinfection: Contribution of Imaging: A Case Report
Abdelilah Mouhsine,
Badr Ait idir,
Ahmed Belkouch,
El Mehdi Atmane,
Redouane Rokhssi,
Youssef Berrada,
Lahcen Belyamani,
Khalid Sair,
M’barek Mahfoudi,
Abdelghani El Fikri
Issue:
Volume 2, Issue 6, November 2014
Pages:
138-140
Received:
12 October 2014
Accepted:
25 October 2014
Published:
20 November 2014
Abstract: Hydatid cyst of the liver remains a frequent parasitic disease caused by the development of the larval form of Echinococcus granulosis; it is often discovered incidentally during routine symptoms, rarely at the stage of complications. However, the diagnostic difficulties and pitfalls are numerous due to the differential diagnosis of the liver’s cystic lesions, despite the current improvement of cross-sectional imaging (ultrasound, CT and MRI). We report a case of a hydatid cyst of the liver discovered during a secondary infection, emphasizing the contribution of imaging and serology that can confirm the diagnosis before starting any therapeutic procedure.
Abstract: Hydatid cyst of the liver remains a frequent parasitic disease caused by the development of the larval form of Echinococcus granulosis; it is often discovered incidentally during routine symptoms, rarely at the stage of complications. However, the diagnostic difficulties and pitfalls are numerous due to the differential diagnosis of the liver’s cys...
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Computed Tomography Evaluation of Urinary Stones Densities Compared to in Vitro Analysis of Its Chemical Composition
Hamdy Ibrahim,
Nagwa Wilson,
Mahmoud Abdel Wahab,
Haney Heneidy
Issue:
Volume 2, Issue 6, November 2014
Pages:
141-145
Received:
28 November 2014
Accepted:
16 December 2014
Published:
22 December 2014
Abstract: Purpose: The aim of the study was to compare between the urinary stones of different chemical composition and their radio-densities (Computed Tomography attenuation values or Housefield Units). The prediction of the stone type would in turn lead to better selection of the interventional modalities. Materials & Methods: A retrospective review was performed for patients who underwent pretreatment Non Contrast Computed Tomography scan for urinary stones. When measuring stone density in Hounsfield unit (HU) on Computed Tomography, a Standard Deviation (SD) was calculated for the measured area of interest that contained several pixels and a standardized area of interest of 0.026 cm2, equivalent to 25 pixels, was used. Determination of chemical constituents of stones/fragments was done using Fourier Transform Infrared Spectroscopy (FT-IR spectroscopy). Our laboratory report indicated stones of mixed composition by listing the components in rank order with quantification of their presence and we compared the Hounsfield density of the stones with the chemical findings. Results: The chemical composition of uric acid, mixed oxalate and calcium oxalate monohydrate stones was accurately identified based on the absolute Computed Tomography value. The mean Housefield Unit (HU) density for uric acid stone was 459±80, which was considerably lower than those of other stones. Mixed oxalate calculi could be distinguished from uric acid, calcium oxalate monohydrate and apatite stones by the absolute Computed Tomography value (the mean Housefield Unit density was 777±224). Moreover, calcium oxalate monohydrate stones were easily distinguished from all stones using the absolute Computed Tomography value (the mean Housefield Unit density was 1158±156) except when compared to apatite containing stones, which were not commonly encountered. The difference of Computed Tomography value, among the above-mentioned stones, was statistically significant (p<0.001). Conclusion: This study demonstrated that Computed Tomography scanning could predict the chemical composition of urinary stones. The Hounsfield density was a convenient radiographic measure that correlated well with the chemical composition. A significant correlation between the stone size and Housefield Unit values was also demonstrated.
Abstract: Purpose: The aim of the study was to compare between the urinary stones of different chemical composition and their radio-densities (Computed Tomography attenuation values or Housefield Units). The prediction of the stone type would in turn lead to better selection of the interventional modalities. Materials & Methods: A retrospective review was pe...
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Fetal Gallstones: Antenatal Detection and Management
Issue:
Volume 2, Issue 6, November 2014
Pages:
146-148
Received:
4 December 2014
Accepted:
17 December 2014
Published:
22 December 2014
Abstract: Fetal gallstones are a rare sonographic finding. We came across two cases of fetal gallstones detected in routine third trimester scan over a period of one year. Both cases were confirmed to have gallstones in postnatal scan and showed complete resolution of the gallstones at 35 and 45 days after birth. The presence of gallstones in the fetus does not alter the fetal prognosis or obstetrical management since complete resolution is seen in most of the cases in late third trimester or neonatal period which may be due to either spontaneous passage of gallstones during early neonatal period or dilution of cholesterol crystals with postnatal hydration.
Abstract: Fetal gallstones are a rare sonographic finding. We came across two cases of fetal gallstones detected in routine third trimester scan over a period of one year. Both cases were confirmed to have gallstones in postnatal scan and showed complete resolution of the gallstones at 35 and 45 days after birth. The presence of gallstones in the fetus does ...
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The Role of MRI and MR Arthrography in Evaluation of Wrist Pain
Mohamed Basiouny Alghannam,
Mohamed Ramadan El-Kholy,
Ashraf Anas Zytoon,
Ayman Mohamed Ebied
Issue:
Volume 2, Issue 6, November 2014
Pages:
149-155
Received:
6 November 2014
Accepted:
18 November 2014
Published:
23 December 2014
Abstract: Objectives: The aim of this work is to show the value of MRI and MRA in evaluation of patients suffering from wrist pain. Background: Wrist pain is a common clinical complaint. The most common causes of wrist pain are traumatic & non traumatic abnormalities involving avascular necrosis, ganglia, and TFC lesions. MRI serves as a problem solving technique to assess the cause of wrist pain. It also plays an important prognostic role. MRA is an excellent tool in assessing TFC and wrist ligaments injury. Methods: This study was conducted on 60 patients complaining of chronic wrist pain. The patients were referred to the radiology department from the outpatient clinics and the orthopedics department of Menoufia University Hospital. All patients were examined by x-ray and conventional MRI. 15 patients with suspected triangular fibrocartilage complex (TFC) and/or ligament injury underwent MRA as well. Data of soft tissue and osseous lesions were collected and analyzed. Results: There were thirty four males and twenty six females, their ages ranged between 17 & 59 years (mean age, 38 years). Joint effusion, kienbock disease and ganglion cysts were the most common findings in conventional MRI . TFC injury was the most common finding in MRA. Conclusion: MRI has a dramatic impact on the diagnosis and assessment of variety of wrist disorders. It is non invasive and ideal modality to demonstrate the complex anatomy and pathological conditions of the wrist. MRA is an excellent tool in assessing TFC and ligaments injury.
Abstract: Objectives: The aim of this work is to show the value of MRI and MRA in evaluation of patients suffering from wrist pain. Background: Wrist pain is a common clinical complaint. The most common causes of wrist pain are traumatic & non traumatic abnormalities involving avascular necrosis, ganglia, and TFC lesions. MRI serves as a problem solving tech...
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Rapid Resolution of Large Mobile Left Ventricular Thrombus with Anticoagulation in Dilated Cardiomyopathy: A Case Report
Sunil Roy Narayanan,
Nagham Saeed Jafar,
Warkaa Al Shamkhani
Issue:
Volume 2, Issue 6, November 2014
Pages:
156-157
Received:
4 December 2014
Accepted:
22 December 2014
Published:
6 January 2015
Abstract: Development of left ventricular thrombus is a dreaded complication after myocardial infarction and in dilated cardiomyopathy. Early detection and treatment is important as it carries the risk of systemic embolism. Thrombolytic therapy, anticoagulation and surgical removals are considered treatment options in patient with left ventricular thrombus. Resolution of left ventricular thrombus with anticoagulation demonstrate the effectiveness of such therapy in preventing the dreaded complications of clot embolism.
Abstract: Development of left ventricular thrombus is a dreaded complication after myocardial infarction and in dilated cardiomyopathy. Early detection and treatment is important as it carries the risk of systemic embolism. Thrombolytic therapy, anticoagulation and surgical removals are considered treatment options in patient with left ventricular thrombus. ...
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