Published: 2009 Feb
Issue: 3(2) :: Pages: 16-19

   

Abstract: The authors are presenting an 18 year old male with history of end stage renal disease and rejected renal transplant. In his workup echocardiogram and non contract CT of chest revealed diffuse endocardial and myocardial calcifications. Extensive cardiac calcification is a rare but important entity in relation to end stage renal disease as it may cause complications such as valvular dysfunction and fatal arrhythmia.

Published: 2009 Feb
Issue: 3(2) :: Pages: 10-13

   

Abstract: We report a 52 year old patient presenting with a bladder stone formed over a migrated intrauterine device (Copper–T). Her history was pertinent for intrauterine contraceptive (IUCD) device placement 10 years back. Investigations included plain ultrasound of abdomen, X-ray of abdomen, urinalysis, and urine culture. Ultrasound and plain X-ray of the pelvis confirmed a bladder stone formed over a migrated copper-T intrauterine device. The device was removed through suprapubic cystolithotomy. Of all the reported cases of vesical stone formation over a migrated IUCD, this case is unique as the patient was an elderly - 52 year old - female. All previously reported cases are of younger age.

Published: 2009 Feb
Issue: 3(2) :: Pages: 14-15

   

Abstract: We present a case in which misinterpretation of radiological images resulted in an incorrect diagnosis of malrotation. This case highlights the importance of adequate radiological review of images and of ensuring that the clinical picture matches the findings. Had this not been questioned in this case the baby could have undergone an unnecessary operation with potential mortality and morbidity.

Published: 2009 Feb
Issue: 3(2) :: Pages: 7-9

   

Abstract: Sliding inguinal hernias present with various symptoms and these are usually direct inguinal hernias containing various abdominal viscera. Case reports and series have been published with various organs and rare organs being part of the hernia. Urinary bladder is a known content of sliding hernias. This case report emphasizes this aspect in a picturesque manner and the importance of radiological investigations for pre-surgical evaluation.

Published: 2009 Feb
Issue: 3(2) :: Pages: 3-6

   

Abstract: A 48-year-old woman undergoing surgery could not be intubated because of an oropharyngeal mass. CT and MRI revealed a 3 cm possible lingual thyroid mass, confirmed by Iodine-123 SPECT/CT. The patient underwent successful Iodine-131 ablation and has done well on thyroid hormone-replacement therapy. This case also demonstrates how modern cross-sectional imaging like SPECT/CT can appropriately be used in the patient diagnosis and management, and is of additional interest for including pre- and post-therapy MRI documenting efficacy morphologically.

Published: 2009 Feb
Issue: 3(2) :: Pages: 20-22

   

Abstract: Third generation cementing technique is now commonly used for total hip arthroplasty. The aim of this technique is to sufficiently pressurise the cement and allow maximal penetration of the cement into any remaining trabecular bone to provide a stable fixation of the prosthesis. We report a case where this pressurisation resulted in polymethylmethacrylate retrograde filling of the nutrient vessel and we discuss the controversial diagnosis and current literature surrounding this rare phenomenon.