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  • 1
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    Online Resource
    Midgut Volvulus Due To Herniation Of The Ileum Into The Right Paraduodenal Recess Following Blunt Abdominal Trauma
    Bangladesh Academy of Sciences ; 2014
    In:  Journal of Chittagong Medical College Teachers' Association Vol. 24, No. 2 ( 2014-02-10), p. 40-43
    Details
    In: Journal of Chittagong Medical College Teachers' Association, Bangladesh Academy of Sciences, Vol. 24, No. 2 ( 2014-02-10), p. 40-43
    Abstract: Midgut volvulus with gangrene is not a rare event. With normal rotation, the mesentery is broad and fixed, but the narrow pedicle formed by the base of the mesentery in malrotation of the gut predisposes the midgut to clockwise twisting from the duodenum to the transverse colon. Excessive length of the mesentery, or a point of adhesion at the convexity of the loop may act as an axis for the loop .The actual inciting mechanism is unknown but various possibilities, including unusual movement of the torso, abnormal intestinal peristalsis, or segmental bowel distention, have been suggested. This is a grave surgical emergency to save the life of the patient. We are reporting a case of midgut volvulus with herniation of the ileum into the right paraduodenal recess after blunt abdominal trauma (BAT). A 8 years old boy complaints of abdominal pain, vomiting, and distension of the abdomen following diving to a pond. Abdominal x-ray and USG, CBC, Serum Electrolyte were carried out to evaluate the child. The patient was first treated conservatively but later on, he deteriorated and needed urgent laparotomy. JCMCTA 2013 ; 24 (2): 40-43
    Type of Medium: Online Resource
    ISSN: 2224-7300 , 1609-1558
    URL: Article
    DOI: 10.3329/jcmcta.v24i2.60385
    Language: Unknown
    Publisher: Bangladesh Academy of Sciences
    Publication Date: 2014
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  • 2
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    Hydrostatic reduction of intussusception with intermittent radiography: an alternative to fluoroscopy or ultrasound-guided reduction in low-income and middle-income countries
    BMJ ; 2021
    In:  World Journal of Pediatric Surgery Vol. 4, No. 1 ( 2021-01), p. e000221-
    Details
    In: World Journal of Pediatric Surgery, BMJ, Vol. 4, No. 1 ( 2021-01), p. e000221-
    Abstract: Although hydrostatic reduction of intussusception with ultrasound (US) or fluoroscopy guidance is well known, it is not yet well established in many low-income and middle-income countries. The aim of the study is to report our results of hydrostatic reduction with intermittent radiography, which has the potential to be practiced in resource-limited settings. Methods We retrospectively analyzed our patients with intussusception from 2009 to 2019 (11 years). Hydrostatic reduction was performed using water-soluble contrast medium (iopamidol), and reduction was followed with intermittent X-rays taken after every 50 mL of diluted contrast injection. The procedure was not continuously monitored by US or fluoroscopy. Differences in outcome based on age and gender, and yearly trends of admission for intussusception, types of treatment and mortality were analyzed. Results Among 672 patients, the ratio of boys to girls was 2.46:1.0, and their ages ranged from 1 month to 15 years (median 8 months). Hydrostatic reduction was performed successfully in 351 (52.23%) patients; 308 (45.83%) patients underwent surgery; and 13 (1.93%) patients died before any intervention. There were significant differences in age between patients with successful hydrostatic reduction (median 7 months) and patients needing surgery (median 9 months) (p 〈 0.001). The number of successful hydrostatic reductions increased during the 11 years of the study (R 2 =0.88). One patient (0.15%) died after hydrostatic reduction, and 10 (1.49%) died after surgery. Conclusion Hydrostatic reduction with intermittent radiography was performed successfully in more than half of the patients with acceptable complication rates.
    Type of Medium: Online Resource
    ISSN: 2516-5410
    URL: Article
    DOI: 10.1136/wjps-2020-000221
    Language: English
    Publisher: BMJ
    Publication Date: 2021
    detail.hit.zdb_id: 2934437-2
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  • 3
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    Online Resource
    Presentation And Outcome Of Infantile Hypertrophic Pyloric Stenosis: A Five Year Retrospective Study In Chittagong Medical College
    Bangladesh Academy of Sciences ; 2014
    In:  Journal of Chittagong Medical College Teachers' Association Vol. 24, No. 2 ( 2014-02-10), p. 9-13
    Details
    In: Journal of Chittagong Medical College Teachers' Association, Bangladesh Academy of Sciences, Vol. 24, No. 2 ( 2014-02-10), p. 9-13
    Abstract: Infantile hypertrophic pyloric stenosis (IHPS) is the most common cause of gastric outlet obstruction in infants with a prevalence of 1.5 to 4.0 per 1000 live births. It has been suggested that the incidence is increasing. USG is the most useful method for diagnosis supplanting physical examination and pyloromyotomy is the time honored treatment option. A retrospective review of the patients of IHPS admitted in the department of Pediatric Surgery, Chittagong Medical College Hospital (CMCH) Chittagong, Bangladesh from January 2008 to December 2012 was done. Help was also taken from yearly departmental audits of 2008 to 2012. Data were analyzed with regard to occurrence, seasonal variation, gender variation, presentation, diagnosis, treatment and outcome. Statistical analysis was performed by the chi-square test, and mean and percentage values were calculated. P 〈 0.05 was considered to be statistically significant. There were 42 patients of IHPS. Age range was 5 days to 1 year 8 months with mean age of 79 days. Male to Female ratio was 2.5:1. There was no significant difference between the rate of occurrence of IHPS and gender (P=0.5). There were 2 peaks on seasonal variations of IHPS during summer and winter but quarterly distribution was not statistically significant. Nonbilious vomiting was the most common clinical presentation and USG was the most useful investigation. Pyloromyotomy was done in all patients and persistent vomiting (24%) was the most common complication. The occurrence of IHPS was 0.29% of all admissions. There was no significant gender or seasonal variations. USG has replaced clinical examination as the most effective tool for diagnosis. Ramstedt pyloromytomy is still the choice of treatment on the basis of outcome. JCMCTA 2013 ; 24 (2): 9-13
    Type of Medium: Online Resource
    ISSN: 2224-7300 , 1609-1558
    URL: Article
    DOI: 10.3329/jcmcta.v24i2.60208
    Language: Unknown
    Publisher: Bangladesh Academy of Sciences
    Publication Date: 2014
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  • 4
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    Online Resource
    Decreased Morbidity and Mortality from Intestinal Ascariasis: Experience of a Single Center
    Bangladesh Academy of Sciences ; 2014
    In:  Journal of Paediatric Surgeons of Bangladesh Vol. 2, No. 2 ( 2014-07-16), p. 73-78
    Details
    In: Journal of Paediatric Surgeons of Bangladesh, Bangladesh Academy of Sciences, Vol. 2, No. 2 ( 2014-07-16), p. 73-78
    Abstract: Background: Ascariasis is a common gastrointestinal infestation worldwide. It affects more children who live in poor hygenic condition. Pediatric surgeons are supposed to manage related surgical complications of ascariasis.Objective: To evaluate the recent pattern of occurrence of intestinal and biliary ascariasis with morbidity and mortality related to it.Materials and Methods:Study design: Retrospective study.Period of study: Study was conducted between Jan 2006 - Dec 2011 (total 06 years).Place of study: This study was carried out in the department of Pediatric Surgery, Chittagong Medical College Hospital (CMCH), Chittagong; Bangladesh.Study Subjects: Patients admitted and diagnosed as intestinal (1591) and biliary (181) ascariasis in the department of Pediatric surgery, CMCH were evaluated.Results: A total of 1772 patients were admitted with surgical complication of ascariasis. Among them 1591 (89.78%) patients were diagnosed as intestinal ascariasis and 181 (10.22%) patients as biliary ascariasis. Age range was 6 months to 12 years with mean age of 6 years for intestinal ascariasis. Biliary ascariasis presented between 3 years to 12 years with mean age of 7 years. Male (1060) suffered more than female (531). Male to female ratio was 2:1 for intestinal ascariasis while females (120)  suffered more than male(61) in biliary ascariasis ( ratio 2: 1). Total 231 surgery both elective and emergencies were done.Discussion: Most of the patients (52-81% ) were treated by endoscopic removal of worm from common bile duct. Some patients (15 - 31 %) were treated successfully by conserevative approach. Only a few patients needed open surgical procedure. No patient had died from biliary ascariasis and death from complications of intestinal ascariasis reduced from 20% to 4% over the last 6 years.Conclusion: There has been a reduced number of disease burden over the last few years from ascariatic and biliary ascariasis.DOI: http://dx.doi.org/10.3329/jpsb.v2i2.19551
    Type of Medium: Online Resource
    ISSN: 2309-1320 , 2077-7469
    URL: Article
    DOI: 10.3329/jpsb.v2i2.19551
    Language: Unknown
    Publisher: Bangladesh Academy of Sciences
    Publication Date: 2014
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  • 5
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    Appendicitis: Trends In Age, Sex And Seasonal Variations In Pediatric Surgery Ward Of Chittagong Medical College Hospital
    Bangladesh Academy of Sciences ; 2014
    In:  Journal of Chittagong Medical College Teachers' Association Vol. 24, No. 2 ( 2014-02-10), p. 26-29
    Details
    In: Journal of Chittagong Medical College Teachers' Association, Bangladesh Academy of Sciences, Vol. 24, No. 2 ( 2014-02-10), p. 26-29
    Abstract: Appendicitis is a common clinical condition worldwide. Differences in incidences, age, sex and seasonal variations have been reported widely. To assess the trends in percentage (%) and variation with age, sex and seasons of the year. A review of the 5 years records (January 2008 to December 2012) of all patients with appendicitis treated in pediatric Surgery ward of Chittagong Medical College Hospital (CMCH) was evaluated. The age, sex and months of admission for all the cases of appendicitis were analyzed. There were 576 cases of appendicitis during the study period. Male to female ratio was 2.8:1. A continuous increase in number was noticed over the years and the number in 2012 was almost one and half times that of 2008. There were fewer cases in 2-5 years age group (38) and more in 6-12 years age group (538). Percentages of cases were higher in the period between October and December with peaks in October and March; and declining from the month of July. There is an increasing number of appendicitis in children in Chittagong Medical College Hospital. Appendicitis occurs more in early winter. Boys suffer more than the girls and 6-12 years is the commonest age of appendicitis. JCMCTA 2013 ; 24 (2): 26-29
    Type of Medium: Online Resource
    ISSN: 2224-7300 , 1609-1558
    URL: Article
    DOI: 10.3329/jcmcta.v24i2.60212
    Language: Unknown
    Publisher: Bangladesh Academy of Sciences
    Publication Date: 2014
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  • 6
    Online Resource
    Online Resource
    A comparison between short- and long-term D-J stent in Anderson–Hynes pyeloplasty for pelvi-ureteric junction obstruction
    Springer Science and Business Media LLC ; 2020
    In:  Pediatric Surgery International Vol. 36, No. 11 ( 2020-11), p. 1363-1370
    Details
    In: Pediatric Surgery International, Springer Science and Business Media LLC, Vol. 36, No. 11 ( 2020-11), p. 1363-1370
    Type of Medium: Online Resource
    ISSN: 0179-0358 , 1437-9813
    URL: Article
    DOI: 10.1007/s00383-020-04734-9
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2020
    detail.hit.zdb_id: 1463010-2
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  • 7
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    Online Resource
    Meatal Stenosis and Stricture Urethrae In Postoperative Patients of Urethroplasty: A Prospective Study
    Bangladesh Academy of Sciences ; 2017
    In:  Journal of Chittagong Medical College Teachers' Association Vol. 28, No. 1 ( 2017-08-20), p. 13-16
    Details
    In: Journal of Chittagong Medical College Teachers' Association, Bangladesh Academy of Sciences, Vol. 28, No. 1 ( 2017-08-20), p. 13-16
    Abstract: Background: The postoperative complications of urethroplasty in hypospadias surgery still remain a great challenge to Paediatric urologists. The aim of the study was to find out the cause and incidence of meatal stenosis and stricture urethra following urethroplasty and to solve the postoperative complication. Materials and methods : This Prospective study was carried out in the department of Paediatric Surgery, Chittagong Medical College Hospital from April 2013 to October 2014 for a total of 19 months. A total of 50 hypospadias patients were selected for this study. After urethroplasty, outcome was assessed in terms of meatal stenosis and stricture urethra in the study period. Results : Meatal stenosis occurred in 5 patients in first follow up, which responded to regular dilatation in 3 patients in second follow up and till the end of third follow up, 2 patients were continuing regular meatal dilatation. In this study, urethral stricture occurred in 2 patient (4%) in second follow up, which was treated with regular urethral dilatation under general anaesthesia. Conclusion : It is evident from this study that, meatal stenosis is not very uncommon after urethroplasty which can very easily be treated by regular meatal dilatation. Urethral stricture, though not common, can also be treated by regular urethral dilatation under General Anaesthesia (GA). JCMCTA 2017 ; 28 (1) : 13 - 16
    Type of Medium: Online Resource
    ISSN: 2224-7300 , 1609-1558
    URL: Article
    DOI: 10.3329/jcmcta.v28i1.62380
    Language: Unknown
    Publisher: Bangladesh Academy of Sciences
    Publication Date: 2017
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  • 8
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    Online Resource
    Evaluation and Management of Blunt Trauma Abdomen: Experience With 132 Cases at Chittagong Medical College Hospital
    Bangladesh Academy of Sciences ; 2013
    In:  Journal of Chittagong Medical College Teachers' Association Vol. 24, No. 1 ( 2013-09-14), p. 35-40
    Details
    In: Journal of Chittagong Medical College Teachers' Association, Bangladesh Academy of Sciences, Vol. 24, No. 1 ( 2013-09-14), p. 35-40
    Abstract: Identification and management of serious intra abdominal and associated injuries due to blunt mechanisms are challenging. This study aims to evaluate current approach to manage such patients in a leading teaching hospital of a low income country. Methods: This prospective study was carried out in the departments of General surgery and Paediatric surgery, Chittagong Medical College and Hospital; Chittagong; Bangladesh from July, 2001- June, 2002. Total 132 patients suffering from blunt abdominal trauma (BAT) were evaluated. Results: The majority of the trauma victims aged 30 years and below with male predominance. Road traffic accident (RTA) was the leading cause (57.57%). Sixty eight percent (68%) patients were brought to the hospital within 24 hours of injury. Abdominal pain was the commonest mode of presentation (83.33%). External signs of injury in abdomen were noticed in only 39% patients. The most important abdominal finding was features of peritonitis (generalized muscle guard/ rigidity 56% and localized 42%) and absence of bowel sound (73%). Plain X-ray abdomen (100%) and Ultrasonography (USG) were the principal imaging tool (46.87%). Extra abdominal associated injuries were found in 55% patients. Thirty four patient (26.56%) were managed non-operatively. Ileum injury was maximum (21.87%) and liver was the most frequently injured solid organ (14.06%). Wound infection (23.40%), wound dehiscence (17%) and anastomotic leakage (10.63%) were the complications related with laparotomy. Total 8 patients died (mortality 6.06%). Conclusion: Early detection of abdominal visceral injury by proper clinical evaluation and imaging is the key for successful management. The main danger is on delay, not always to the extent of injury, as most of the blunt abdominal trauma patients are amenable to surgical treatment. JCMCTA 2013 ; 24 (1): 35-40
    Type of Medium: Online Resource
    ISSN: 2224-7300 , 1609-1558
    URL: Article
    DOI: 10.3329/jcmcta.v24i1.57747
    Language: Unknown
    Publisher: Bangladesh Academy of Sciences
    Publication Date: 2013
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  • 9
    Online Resource
    Online Resource
    Hydrostatic Reduction With Barium Enema Is A Preferred Treatment Option for Uncomplicated Intussusception : Five Years Experience in Cmch
    Bangladesh Academy of Sciences ; 2015
    In:  Journal of Chittagong Medical College Teachers' Association Vol. 26, No. 1 ( 2015-09-13), p. 9-13
    Details
    In: Journal of Chittagong Medical College Teachers' Association, Bangladesh Academy of Sciences, Vol. 26, No. 1 ( 2015-09-13), p. 9-13
    Abstract: Intussusception is a common cause of intestinal obstruction in young children and is a common emergency in infants and children. Hydrostatic reduction of intussusception is a less invasive procedure for both diagnosis and treatment of it. We describe our experience with hydrostatic reduction of intussusception. A retrospective review of the patients of Intussusception admitted in the department of Pediatric Surgery Chittagong Medical College Hospital (CMCH) Chittagong, Bangladesh from January 2009 to December 2013 was done. Patients underwent hydrostatic reduction were evaluated separately. Data were analyzed with regard to success and failure of hydrostatic reduction, necessitating laparotomy, complication and mortality. There were 231 patients of Intussusception. Age range was lmonth to 15 years with median age of 8 months. Male to Female ratio was 2.9:1. Mean duration of presentation was 40 hours after onset of symptoms. Hydrostatic reduction was attempted in 142 patients and was successful in 107 patients, 35 patients needed surgery in whom per-operative manual reduction was done in 28 patients and intestinal resection anastomosis was done in in 7 patients. There were 2 cases of recurrence following hydrostatic reduction and no case of perforation due to hydrostatic reduction. 2 patients died following JCMCTA 2015 ; 26 (1) : 9-13
    Type of Medium: Online Resource
    ISSN: 2224-7300 , 1609-1558
    URL: Article
    DOI: 10.3329/jcmcta.v26i1.61809
    Language: Unknown
    Publisher: Bangladesh Academy of Sciences
    Publication Date: 2015
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  • 10
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    Online Resource
    Spontaneous Common Bile Duct Perforation on The Background of Pancreatic Lithiasis: A Case Report and The Review of The Literatures
    Bangladesh Academy of Sciences ; 2014
    In:  Journal of Paediatric Surgeons of Bangladesh Vol. 2, No. 2 ( 2014-07-16), p. 83-87
    Details
    In: Journal of Paediatric Surgeons of Bangladesh, Bangladesh Academy of Sciences, Vol. 2, No. 2 ( 2014-07-16), p. 83-87
    Abstract: Spontaneous bile duct perforation (SBDP) is a relatively rare condition. The cause of SBDP is still speculative. Presentation , site of the perforation and management varies. Pancreatic lithiasis ( PL) is a very rare entity in childhood. Biliary perforation on the background of PL is still a rare event. This is a case report of 10 years old girl presented as acute abdomen with theclinical diagnosis of acute on chronic pancreatitis, for which conservative treatment followed by laparotomy was carried out.Common bile duct (CBD) perforation was found near its junction with cystic duct. T tube was instituted and a drain was kept in situ. Postoperative period ( POP )was uneventful. T Tube Cholangiogram was carried out on 12th postoperative day( POD ) that showed dye had passed to duodenum easily and patency and caliber of the CBD was found normal. Multiple stones were noted in the vicinity. No apparent cause of CBD perforation was found. After one month, in follow up visit the patient was found alright. She was asked to come after 3 months for further evaluation. The plan is to evaluate the patients conditions clinically and biochemically and to do an MRCP to see details ofpancreatic pathology. As SBDP in children with PL is a rare condition, high index of suspicion is needed for early diagnosis and proper management of such patient.DOI: http://dx.doi.org/10.3329/jpsb.v2i2.19553
    Type of Medium: Online Resource
    ISSN: 2309-1320 , 2077-7469
    URL: Article
    DOI: 10.3329/jpsb.v2i2.19553
    Language: Unknown
    Publisher: Bangladesh Academy of Sciences
    Publication Date: 2014
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