Publications by authors named "Arun Aram"
This case report describes a rare and complex instance of urinary bladder herniation into the scrotal sac, complicated by intrascrotal perforation. This condition, primarily seen in elderly, obese men, poses significant diagnostic and therapeutic challenges. The patient, an 83-year-old man with a history of obesity and chronic lower urinary tract symptoms, presented with acute scrotal pain and swelling.
View Article and Find Full Text PDFBackground Traumatic brain injury (TBI) remains a foremost cause of death and disability globally, with elevated intracranial pressure (ICP) being a crucial factor in patient outcomes. While invasive monitoring is the gold standard for assessing ICP, it carries risks and is not always feasible. This study proposes a novel noninvasive parameter using computed tomography (CT) imaging.
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- Polyostotic fibrous dysplasia (PFD) is a rare, noncancerous bone disorder that results in abnormal bone formation, leading to deformities and functional issues.
- A 32-year-old man was diagnosed with leontiasis ossea, a severe form of craniofacial fibrous dysplasia, after presenting with distinct facial abnormalities confirmed through imaging and tissue analysis.
- The case highlights the challenges in diagnosing and treating PFD, emphasizing the importance of teamwork among healthcare professionals for effective patient management.
Introduction Preeclampsia is a serious complication marked by antepartum hemorrhage, resulting in severe maternal and fetal complications. Predicting this condition using placental dysfunction assessments, such as uterine artery Doppler ultrasound, is challenging due to the placenta's evolving structural and biochemical characteristics throughout different stages of pregnancy. Objectives To determine the sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) of the uterine artery Doppler Pulsatility Index (PI) and Resistive Index (RI) in predicting preeclampsia.
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- Zinner syndrome (ZS) is a rare urogenital condition featuring unilateral renal agenesis, blockage of the corresponding ejaculatory duct, and the presence of a cyst in the same-sided seminal vesicle.
- Three male patients (21, 20, and 24 years old) were diagnosed with ZS through imaging techniques like ultrasound, CT, and MRI, which showed kidney issues and cystic changes in the seminal vesicle.
- All patients underwent surgery that improved their symptoms and overall quality of life, emphasizing the need for awareness of diagnostic challenges and treatment options for ZS.
Wilson's disease (WD), alternatively termed hepatolenticular degeneration, represents a rare autosomal recessive disorder typified by disrupted copper metabolism, culminating in copper accumulation across various organs. WD commonly manifests with early-onset liver cirrhosis, with notable involvement of the central nervous system, particularly impacting the midbrain and basal ganglia. This case report delineates the clinical presentation of an early adolescent female with WD, accentuating classical magnetic resonance imaging (MRI) findings.
View Article and Find Full Text PDFRetrocaval ureter (RCU), also known as pre-ureteral vena cava or circumcaval ureter, is a rare congenital anomaly caused by inferior vena cava (IVC) dysgenesis, leading to the right ureter coursing behind the IVC. RCU results in obstructive proximal hydroureteronephrosis, remaining asymptomatic until the third decade when hydronephrosis develops. Diagnosis relies on imaging modalities like intravenous urography (IVU), ultrasonography, computed tomography urography (CTU), magnetic resonance urography, and nuclear scintigraphy.
View Article and Find Full Text PDFHuntington's disease (HD), referred to as Huntington's chorea, is an infrequent neurodegenerative ailment with an autosomal-dominant inheritance pattern characterized by the progressive deterioration of GABAergic neurons in the basal ganglia. Other ones include subcortical-type dementia, behavioral abnormalities, midlife psychosis, and gradual inadvertent choreoathetosis movements. HD is characterized by atrophy of the dorsal striatum (caudate nucleus and putamen) with concurrent expansion of the frontal horns of the lateral ventricles on imaging modalities such as computed tomography (CT) and magnetic resonance imaging (MRI).
View Article and Find Full Text PDFIntroduction: Ramp lesions, often associated with anterior cruciate ligament (ACL) injuries, exhibit a varied incidence rate of 9-42%, increasing with delayed ACL reconstruction. These lesions, resulting from abnormal tibial movements and semimembranosus muscle contraction, are challenging to diagnose due to their hidden nature in standard magnetic resonance imaging and arthroscopy procedures.
Case Report: This report examines the case of a ramp lesion in the context of a multi-ligament injured knee of a 34-year-old male.