Background: Chronic SDH usually affects the elderly population. The common symptoms in chronic SDH patients are headache, altered sensorium, memory loss, weakness and lethargy. Timely surgical intervention is advisable wherever indicated.Aims: ... see more

Revista: PANACEA JOURNAL OF MEDICAL SCIENCES

Open Access

Anomalía vaginal: a propósito de un caso interesante / Vaginal abnormality: an interesting case reportAnomalía vaginal: a propósito de un caso interesante / Vaginal abnormality: an interesting case reportLas malformaciones uterovaginales (MUV), se deben a una alteración en el proceso de embriogénesis del sistema reproductor femenino. La ecografía tiene un rol importante en el estudio inicial de las mismas, la RMN tiene ventajas importantes, es un estudio no invasivo, con una sensibilidad de casi 100%. La histerosalpingografía es la técnica clásica para el estudio de las MUV que proporciona información sobre el canal cervical, endometrial y la permeabilidad tubárica. Se demuestra la utilidad de la ecografía transabdominal en el manejo imagenológico de una MUV y sus complicaciones principales al presentar el caso de una paciente de 12 años de edad que acudió a consulta con fiebre elevada, dolor hipogástrico y oliguria/disuria sin menarquia. Al examen físico se palpó tumoración suprapúbica, abombamiento perineal e himen no tunelizado, se constató edema facial e hipertensión arterial. La ecografía reveló una moderada dilatación de los sistemas excretores de ambos riñones, la cavidad vesical notablemente distendida, visualizándose masa hipoecoica retrovesical en fosa ilíaca derecha, sin septos ni contenido, relacionada con hematometra secundaria a himen imperforado, causando hidronefrosis obstructiva bilateral que condujo a retención urinaria y de fallo renal agudo. Se realizó corrección quirúrgica de la MUV obteniéndo una evolución clínico imagenológica satisfactoria.Palabras clave: ANOMALÍAS GENITOURINARIAS, HEMATOCOLPOS, ULTRASONOGRAFÍA, HEMATÓMETRA.ABSTRACTUterovaginal malformations (UVM) are due to an alteration in the process of embryogenesis of the female reproductive system. The imaging has a very important role during initial studies of these abnormalities; magnetic resonance imaging has significant advantages in non-invasive studies with a sensitivity of almost 100%. Hysterosalpingography is the classic technique to the study of UVM that provides information about cervical, endometrial canals and tubal permeability. The usefulness of the transabdominal imaging in the management of a UVM and main complications was showed when presenting a case of a 12 years old patient attending to the office with high fever, hypogastric pain and oliguria/dysuria without menarche. At physical examination a suprapubic tumor was palpated, a perineal dome, a non-tunneled hymen, facial edema and hypertension were observed. Imaging revealed a moderate dilatation of the excretory systems in both kidneys, vesical cavity was notable distended, visualizing a retrovesical hypoecoid mass in the right iliac fossa, without septa or contents related to a hematometra due to an imperforate hymen provoking bilateral obstructive hydronephrosis which led to a urinary retention of acute renal failure. Surgical correction of the UVM was carried out having a satisfactory imaging-clinical progression. Key words: UROGENITAL ABNORMALITIES, HEMATOCOLPOS, ULTRASONOGRAPHY, HEMATOMATRA.

Mayteé Cabrera Hernández,Lourdes Milagros Reyes Puentes,Roberto Caveda Carrasco,Juan José Lorenzo Montano

ABSTRACTUterovaginal malformations (UVM) are due to an alteration in the process of embryogenesis of the female reproductive system. The imaging has a very important role during initial studies of these abnormalities; magnetic resonance imaging has signi... see more

Revista: Revista de Ciencias Médicas de Pinar del RÍo

Open Access

Surgical Management of Sub-Axial Cervical Spinal Injuries - A Short Term Study

Pavitra Patnaik, Mohit Patnaik

Background: Acute sub-axial cervical spine injuries following trauma remain a common problem. The management of injuries is either conservative or surgical. The present study was carried out with an objective to assess the clinical and functional outcome... see more

Revista: International Journal of Biomedical and Advance Research

Open Access

Surgical management of Oral submucous fibrosis

Yogishwarappa CN, Abhishek Vijayakumar

Background: Oral submucous fibrosis (OSF), globally accepted as an Indian disease, has one of the highest rates of malignant transformation amongst potentially malignant oral lesions and conditions. The hallmark of the disease is submucosal fibrosis that... see more

Revista: International Journal of Biomedical and Advance Research

Open Access

Study of surgical management of proximal tibial fractures using locking compression plate

J.Praneeth Kumar Reddy, B. Shaikh Nazeer, Arun H. S., Mahesh Kumar N.

Introduction: Ever since the advents of high velocity transport system, there is an alarming increase in road traffic accident (RTA) with increased orthopaedic related morbidity and mortality. Proximal tibia being involved in body weight transmission thr... see more

Revista: International Journal of Biomedical and Advance Research

Open Access