Online ISSN: 2515-8260

Keywords : Ultrasonography


EVALUATION OF ROLE OF TRANSABDOMINAL ULTRASOUND IN UTERINE AND ADNEXAL FACTORS IN INFERTILITY

Dr Poonam Ohri, Dr Niveditha Basappa, Dr Kulwinder Kaur, Dr Manasi Kohli, Parushi Kohli, Dr Prabnoor Kaur

European Journal of Molecular & Clinical Medicine, 2021, Volume 8, Issue 4, Pages 282-291

Background: The desire to procreate is universal phenomenon. Childlessness is considered
as a curse in many societies and is one of the causes of marital breakups. WHO has defined
infertility as ‘Failure to conceive over 12 months of uninterrupted sexual practice. USG has
become a well-established technique for imaging ovarian and uterine pathologies. Methods:
This is a hospital based cross sectional, observation study,included total of 51 cases. The
patients with chief complaints of infertility presenting to gynaecology OPDs were referred to
the department of Radiodiagnosis,Guru Nanak Dev Hospital, Amritsar and all patients were
subjected to transabdominal ultrasonography using 3.5 MHz sector transducer. Results: Out
of 51 cases studied, 35 were of primary infertility and 16 were of secondary infertility.
Duration of infertility varied from 1.75- 17 years in patients with primary infertility and 2-10
years in patients with secondary infertility,maximum cases between 2-4 years.. Nonspecific
enlargement of uterus on one case, 3 with fibroid, 3 with endometrial calcification, one with
infantile uterus and one bicornuate uterus. Ovaries were normal in 37 cases, abnormal in 9
cases, not visualized in 3 cases on left and 1 on right side. Left ovary enlarged in one case.
Ovarian cyst in 3 cases, T.O masses in 5 cases and PCOD in one case. Fluid in POD in 4
cases.Conclusion: It is concluded that ultrasound is very helpful in assessment of uterus and
adnexal pathologies. USG is non-invasive, cheap, acceptable, easily available modality. It can
diagnose structural abnormality and helps in making diagnosis of etiologic factor in patients
of infertility and also in management and follow up of patients of infertility.

Comparative analysis of clinical, radiological and operative findings in Acute Abdomen Cases

Dr.Sumitoj Singh, Dr. Ashok Kumar, Dr.Nandu unnikrishnan, Dr.Narinder Pal Singh, Dr Vandana Sidhu

European Journal of Molecular & Clinical Medicine, 2021, Volume 8, Issue 3, Pages 3393-3401

AIM: The present study was carried out as an attempt to correlate and emphasize the
salient approaches to the diagnosis and treatment of the various acute abdominal
conditions.
Material and methods: This study was a prospective observational study consisted of 50
patients with non‑traumatic acute abdomen presenting to the ED that were clinically
diagnosed acute abdomen. Detailed history was taken followed by clinical examination
and radiological investigations for all the patients. Comparative analysis of all
investigations and clinical features were made and a provisional diagnosis was derived.
Results: The results showed that mean age of the patient is 38± 13.6 years with M: F ratio
of 1:3.5. Acute cholecystitis was the most common cause of acute abdomen, accounting
for 36% of total cases followed by perforation peritonitis (24%) which included peptic
perforation and intestinal perforation. The accuracies was recorded for clinical features,
ultrasonography andXray for acute abdomen cases.
Conclusion: We concluded that Plain X rays and ultrasonography can be used for
diagnosing acute abdominal emergencies; they are the cheaper, non-invasive, quick,
reliable and highly accurate modality in diagnosing the exact cause of pain and its origin
in a patient presenting with an acute abdomen and thus helps the physician or surgeon to
plan the timely management

EvaluationHigh-Resolution Sonography and Colour Doppler in assessment of Complicated Anterior Abdominal Wall Hernia

Yara Ibrahim Abdel Hamid, Enas Mohamed Khattab, Ahmed Abdel Azim Isamail,Sameh Saber Baioumy

European Journal of Molecular & Clinical Medicine, 2021, Volume 8, Issue 3, Pages 4087-4096

Background: There are wide range of pathology affecting the anterior abdominal
wall which range from simple fluid collection to hernias to complex neoplasms.
Anterior abdominal wall hernias are the most common lesion of anterior
abdominal lesions. The aim of the present study was to evaluate high-resolution
sonography and colour Doppler in assessment of complicated anterior abdominal
wall hernia. Patients and methods: This study includes (48) patients were referred
for sonography due to vomiting and abdominal pain of unobvious cause. Patients
were subjected to full clinical examination and high-resolution Ultrasound and
Doppler examination and X-Ray for intestinal obstruction if needed. Results: Mean
defect size of hernia associated with bowel ischemia was 1.3±0.85 cm while the
bowel wall thickness mean was 4.1 ±0.3 mm, in contrary, the mean defect size of
hernia with non-ischemic bowel was 2.9 ±0.65 cm and the bowel wall thickness
mean was 2.2 ±0.89 mm. Among the studied group, Reduction of viable loops and
herniorrhaphy were done in 45.8 % of patients, Reduction of viable loops and
hernioplasty in 22.9% of cases, while resection and primary anastomosis were done
in (14.6) of cases. The ultrasound finding comparing with the operative data
revealed that ultrasound had 100% sensitivity, while accuracy in diagnosis of
peristalsis, bowel irreducibility, bowel thickness was ranged from 93.4% to 98.8%.
Also Doppler accuracy was 100% Conclusion:High-resolution ultrasonography
(US) is non-invasive, safe and effective and simple diagnostic tool for detecting the
presence of abdominal wall hernias and accurately detecting the contentand the
possible associated complications.