Publications by authors named "Suman Chapagain"

Background: The increasing use of double J ureteral stents (DJS) has increased the risk of early intolerance and long-term complications. Studies have reported stent colonization rates ranging from 19 to 90% with various bacterial profiles in the colonization of stents.

Objectives: To identify the risk factors associated with bacterial colonization of DJS and report the common micro-organisms isolated and drug susceptibility pattern.

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Purpose: This study was aimed to compare lymphatic complications of bipolar vessel sealing system with silk ligation of lymphatic vessels among renal transplant recipients.

Methods: This was a prospective randomized controlled trial done among 68 patients undergoing renal transplantation in Tribhuvan University Teaching Hospital. They were randomly assigned to either silk ligation or Enseal bipolar vessel sealing lymphatic dissection.

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Purpose: To define the clinical and pathological patterns of urinary bladder carcinoma from the University Hospital of Nepal.

Methods: This is a retrospective analytical study. Patients with bladder mass who underwent surgery over 1 year and who had data record were included in the study.

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Renal metastasis from osteosarcoma is a rare entity, and tumour thrombus is even rarer. To date, only 15 cases of osteosarcoma with tumour thrombus have been reported in the literature. We present a case of an 18-year-old female diagnosed as having right distal femur osteosarcoma, later presenting with renal osteosarcoma with IVC thrombus.

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Introduction: Myxoid liposarcoma of the bladder is a rare mesenchymal tumor which is difficult to diagnose and carries a poor prognosis. The primary treatment is complete surgical resection which is usually followed by adjuvant chemotherapy.

Presentation Of Case: We report a case of 26 years female who presented with a large abdominal mass and was initially misdiagnosed to be arising from ovaries and subsequently discovered to be a mesenchymal tumor arising from the bladder.

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Introduction: Renal artery embolism is uncommon cause of flank or back pain. Of all embolic episodes in patients with atrial fibrillation, 2-4% are renal artery embolism. Early thrombolysis within 90 min has favorable renal outcome.

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Article Synopsis
  • Hydatid disease is pretty common in developing countries, including Nepal, but cases with only kidney involvement (without affecting the liver or lungs) are rare.
  • A 22-year-old woman was diagnosed with this isolated renal hydatid disease, which can sometimes be confusing to diagnose.
  • The treatment for her condition involved nephron sparing surgery (NSS), which aims to preserve as much kidney function as possible.
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Cryptorchidism is one of the most common congenital anomaly affecting new born males. Early identification and management at 6-12 months is recommended. Occasionally adult male can present for the first time with intra-abdominal mass with empty ipsilateral scrotum.

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Gestational choriocarcinoma with kidney and lung metastases with delayed presentation after term pregnancy is rare event and not described frequently in literature. We describe a rare case of 24-year-old female with hematuria after 3 years of term delivery. Management includes chemotherapy and even renal embolization in case of life threatening hematuria.

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Introduction: Urolithiasis is one of the common disorder with which about 1/5 is found in the ureter, of which 2/3 is seen in the lower ureter. Medical expulsive therapy is one of the routine modalities of treatment which uses various drugs acting on the ureter smooth muscle by different mechanism. We aim to compare the efficacy of combination vs.

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A 16-year old girl presented with a history of abdominal pain, lump in epigastrium since one year. The ultrasound examination showed an epigastric mass, which was delineated as a filling defect in the stomach on barium studies. Upper GI endoscopy showed a large intragastric mass composed of hair.

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