Publications by authors named "Aashutosh Chaudhary"
Introduction: Pfizer-BioNTech (BNT162b2) is one of the mRNA vaccines currently approved by the WHO and the Food and Drug Administration (FDA) against COVID-19.
Case Presentation: Here, the authors report a case of an 8-year-old female with Guillain-Barré syndrome following the second dose of Pfizer-BioNTech (BNT162b2) vaccination requiring respiratory support who was managed with intravenous immunoglobulin.
Discussion: There have been reports of Guillain-Barré syndrome following the Pfizer-BioNTech vaccination.
Article Synopsis
- Hydrocele is a common condition involving fluid accumulation in the scrotum, leading to painless swelling, and has been minimally studied in Nepal.
- A year-long study analyzed medical records from a surgical department in a tertiary care center, identifying cases of hydrocele surgery and gathering data on prevalence and patient demographics.
- Findings revealed that out of 1812 surgeries, 95 were hydrocele-related, mainly non-communicating and unilateral; the majority of patients were around 50 years old, and 20% experienced postoperative complications.
Article Synopsis
- ADEM is a rare condition that leads to inflammation and damage of the protective covering of nerve cells in the brain, often occurring after a viral infection.
- A nine-year-old girl showing symptoms like confusion and neurological deficits was diagnosed with ADEM through her symptoms and MRI results.
- It’s important to consider ADEM in children with certain symptoms, and treatment typically involves high doses of intravenous glucocorticoids, which many patients respond well to.
Introduction: Snake bites pose a significant common public health concern, with more prevalence in rural areas. Compartment syndrome (CS) is one of the rare and severe manifestations of snake bite wherein venom-induced swelling within a closed anatomical compartment leads to increased pressure, which may result in ischemic damage to nerves and muscle. Antisnake venom and prompt fasciotomy is recommended for management of CS secondary to snake bite.
View Article and Find Full Text PDFIntroduction: Laparoscopic cholecystectomy is a commonly performed surgical procedure and there are instances where complications may occur intraoperatively which can go undiagnosed or unreported and the patient can present at a later time with the manifestations of those complications. This study presents a case series comprising three instances of "ghost complications" following laparoscopic cholecystectomy, emphasizing the utmost significance of careful follow-up care and efficient communication to promptly recognize and manage any complications arising after the surgery.
Case Presentation: Three cases of ghost complications post-biliary surgery are presented.
Article Synopsis
- Bronchopulmonary sequestration (BPS) is a rare congenital condition with non-functioning lung tissue, divided into intralobar and extralobar types.
- A case study highlights a 70-year-old man with intralobar BPS who suffered from recurrent chest infections, identified through a CT scan.
- Diagnosis may be challenging due to varying imaging results, but CT or MRI can effectively reveal abnormal arterial supply often coming from the descending aorta.
Introduction: Mayer-Rokitansky-Küster-Hauser (MRKH) syndrome is a congenital anomaly characterized by the absence of the uterus and the upper two-thirds of the vagina. It is a rare congenital anomaly with an incidence of 1 in 5000 female live births.
Case Series: The authors describe three cases of females presenting with primary amenorrhoea who were diagnosed with MRKH syndrome.
Article Synopsis
- * A case is presented of a 1-year-old girl diagnosed with type III sacral agenesis and other complications, despite her mother having a normal prenatal scan.
- * While some individuals with milder forms can lead normal lives and aren't usually impacted cognitively, many face significant health challenges that require a team of specialists for supportive care; preventive measures focus on genetic counseling and screening for at-risk mothers.
Unlabelled: Synovial chondromatosis is a rare condition characterized by the chondral proliferation of synovium forming loose bodies which can lead to pain, swelling, and decreased range of movement of the affected joint.
Case Presentation: Here the authors report a case of eighteen years lady with recurrent hip synovial chondromatosis who was treated previously with hip arthrotomy and loose bodies removal and now she underwent arthroscopic loose bodies removal with partial synovectomy.
Clinical Discussion: In comparison to arthrotomy of the hip, arthroscopic management is a minimally invasive surgery that is associated with decreased postoperative pain, earlier improvement in range of motion, a shorter course of rehabilitation, and overall lower morbidity.
Unlabelled: Penetrating chest injuries are mainly caused by gunshot trauma and stab injuries. These lead to damage to the vital structures, which requires a multidisciplinary approach for management.
Case Presentation: We present a case of an accidental gunshot injury (GSI) to the chest resulting in left-sided hemopneumothorax, left lung contusion, and D11 burst fracture with spinal cord injury.
Article Synopsis
- The text discusses congenital epulis, a granular cell tumor found in newborns that develops in the gum area.
- It presents a case of a 4-day-old baby with a large epulis that posed challenges for airway management during surgery.
- The conclusion highlights that, while congenital epulis can cause difficult airways, intubation can be successfully performed with careful handling of the tumor during general anesthesia.
A Case of Juvenile Polyposis Syndrome in a 13-year-old: A Case Report.
JNMA J Nepal Med Assoc
March 2023
Unlabelled: Juvenile polyposis syndrome is an autosomal dominant syndrome characterised by hamartomatous polyps in the gastrointestinal tract and has a high risk for colon carcinoma. This case explores the presentation of multiple polyps throughout the gastrointestinal tract, located in the stomach, proximal duodenum, colon, rectum and up to the anal canal. The locations and number of these polyps themselves were not typical and the histopathological studies suggested the condition to be an inflammatory fibroid polyp, which is a rare, benign and solitary neoplasm.
View Article and Find Full Text PDFIntroduction: Myopia is defined as a refractive error in which rays of light entering the eye parallel to the optic axis are brought to focus in front of the retina when accommodation is relaxed. Globally, myopia prevalence is on the rise for unknown reasons. The aim of the study was to find out the prevalence of myopia among undergraduates of a medical school.
View Article and Find Full Text PDFThere have been reports of deep vein thrombosis and supraventricular tachycardia following the Moderna vaccination. The timing of SVT and DVT just after vaccination in our case series could suggest possible temporal relationships to the vaccination. But further studies are needed to establish such evidence.
View Article and Find Full Text PDFSynovial chondromatosis is a rare benign condition characterized by chondral proliferation from synovium forming loose bodies which can occur extra-articularly and intra-articularly. Surgical removal remains the mainstay of treatment for synovial chondromatosis. Due to the risk of recurrence, every case must be followed up with an MRI.
View Article and Find Full Text PDFIntroduction And Importance: Brachiocephalic fistula, an arteriovenous fistula approach for hemodialysis in Chronic Kidney Disease patients, can cause various complications. Pseudoaneurysm in the venous end of the arteriovenous fistula is one of those unusual presentations, and can lead to the failure of vascular access.
Case Presentation: We present a case of a 38-year-old female with pseudoaneurysm in the venous end of the left brachiocephalic fistula presenting as painless swelling for one month.
Introduction: Magnetic resonance imaging is the standard imaging modality for detecting disc pathology due to its advantage of lack of radiation, multiplanar imaging capability, excellent spinal soft-tissue contrast, and precise localization of intervertebral discs changes. The aim of the study is to find out the prevalence of lumbar disc degenerative disorder among patients undergoing magnetic resonance imaging in a tertiary care hospital.
Methods: A descriptive cross-sectional study was conducted in the Department of Radiodiagnosis and Interventional Radiology of a tertiary care centre among patients with complaints of low back pain from 24th May, 2021 to 31st December, 2021 in a tertiary care hospital.
Article Synopsis
- - Alcoholic liver diseases include conditions like fatty liver, alcoholic hepatitis, and cirrhosis, often diagnosed at advanced stages, with limited data on early-stage prevalence.
- - A study conducted on 538 patients in a Nepalese tertiary care center from November 2021 to February 2022 found that 7.80% had alcoholic liver disease, with a mean age of around 54 years and a higher prevalence in males (59.52%).
- - The study concludes that the prevalence of alcoholic liver disease in this sample is lower than findings in other literature, suggesting potential differences in population health or data reporting.