Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
-
J Coll Physicians Surg Pak · Feb 2020
Case ReportsSubacute Bowel Obstruction Secondary to an Obturator Hernia.
Obturator hernia is a rare abdominal wall hernia and is one of the rare causes of intestinal obstruction. Due to lack of specific clinical symptoms in the early stage, and the deep position of hernia absence of surface swelling, few cases are diagnosed definitively before surgery. Therefore, obturator hernia is still a serious disease in clinical practice, with high mortality and morbidity. ⋯ Preoperative computed tomography scan was performed, which revealed an incarcerated obturator hernia preoperatively; and it was treated successfully. This report reviews the diagnosis and treatment of obturator hernia by describing its anatomy, clinical manifestations and clinical signs. Increased awareness and proper management of the disease will lead to a decline in mortality and morbidity.
-
J Coll Physicians Surg Pak · Feb 2020
Relationship between the Size and Location of the Mass and Hilar and Mediastinal Lymph Node Metastasis in Early and Locally Advanced Non-small Cell Lung Cancer.
To determine whether there is a relationship between the size and location of the mass and lymph node metastasis in non-small cell lung cancer. ⋯ In thorax CT, Large tumor size, tumor close to mediastinum, tumor close to hilum, large lymph node, and high SUV value of lymph node in PET-CT are associated with increased chances of metastasis.
-
J Coll Physicians Surg Pak · Feb 2020
Observational StudyEffect of Optical Coherence Tomography Patterns on One-year Outcomes of Aflibercept Therapy for Diabetic Macular Edema.
To evaluate the outcomes of aflibercept based on different morphologic patterns on optical coherence tomography (OCT) for diabetic macular edema (DME). ⋯ Aflibercept therapy provided an improvement in visual acuity and decreased CST in different morphological DME types for one year. The number of injections that could achieve this efficacy was least in DRT group, and more injections were required in SRD group.
-
J Coll Physicians Surg Pak · Feb 2020
Frequency of Depressive Disorders among Women after Miscarriage.
To ascertain the frequency of depressive disorder in women after miscarriage. ⋯ The frequency of depressive disorder was not very high among women after miscarriage; however, by taking appropriate interventions like guiding the family members, including friends, to provide emotional support to the women after miscarriage, it may further reduce.
-
J Coll Physicians Surg Pak · Feb 2020
Observational StudyAcute Presentation and Management of Abdominal Tuberculosis.
To study the clinicopatholgical profile and outcomes of surgical management of abdominal tuberculosis (ATB) Study Design: Cross-sectional observational study. ⋯ Abdominal tuberculosis is a major public health concern. Vague symptoms lead to diagnostic delay so patients present late with intestinal obstruction. Ileocecal tuberculosis is the most common site of involvement.