Bishika Pun's scientific contributions
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Publications (9)
Key clinical message:
Delayed presentation of cerebrospinal fluid rhinorrhea is rare following head trauma. It is frequently complicated by meningitis if not addressed in time. This report highlights the importance of its timely management, the lack of which can lead to a fatal outcome.
Abstract:
A 33-year-old man presented with meningitis in se...
Multidetector Computed Tomography (MDCT), with an accuracy of 95-100%, is the modality of choice for preoperative assessment of hepatic artery anatomy in this era of modern hepatic surgeries. Celiac trunk is the first anterior branch of the abdominal aorta and trifurcates into left gastric, splenic, and common hepatic artery which branches into gas...
This is a case of retained bronchial foreign body identified by Computed Tomography (CT) scan after 29 years of initial penetrating chest trauma. The patient had a long-standing history of shortness of breath which was diagnosed and treated as recurrent pulmonary infections. The case report is an attempt towards eliciting the importance of CT scan...
This is a case of retained bronchial foreign body identified by Computed tomography (CT) scan after 29 years of initial chest trauma in a patient with long standing history of shortness of breath and recurrent pulmonary infections eliciting the importance of CT scan in identifying such foreign bodies.
Absent left circumflex coronary (LCX) artery though rare and benign should be considered in patients with chest pain and differentiated from atherosclerotic coronary artery disease for better management & prognosis.
Gall bladder (GB) perforation can be misdiagnosed as any other more common cause of acute abdomen. We present a case of a 72-year-female who had presented to the emergency department with an acute abdomen. The clinical presentation and the biochemical markers had pointed towards acute pancreatitis. However, the ultrasonographic examination of the a...
Superior mesenteric artery (SMA) syndrome, though rare, should be considered in patients with duodenal obstruction with no other causes. History of recent weight loss and imaging modalities help in the diagnosis. Conservative management can be tried before going for surgery. Superior mesenteric artery (SMA) syndrome, though rare, should be consider...
Introduction: Cerebral ventricular enlargement occurs as a natural aging process but also has been associated with many neurological disorders. Whether this enlargement is primary or secondary to these pathological conditions remains controversial. Objective of the study was to tabulate and create normal references values for maximum width of third...
Citations
... In a situation where cerebrospinal fluid (CSF) leaks extracranially into the paranasal sinuses and nasal cavity, finally exiting via the anterior nares, it is called CSF rhinorrhea [1][2][3][4]. According to the available literature data, it is a rare complication after severe traumatic brain injury, especially skull base fracture or iatrogenic causes, such as neurosurgical procedures, for example, transsphenoidal pituitary surgeries, complex operations at the skull base and otolaryngology procedures such as septoplasty and endoscopic surgeries [5,6]. ...
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... That being said, CAA should be maintained as a differential during the workup for exertional and/or non-exertional angina with no obvious source of atherosclerotic coronary artery disease. 10,11 To date, there has been no convincing evidence to suggest that an absent LCX can cause sudden cardiac death. At this juncture, there are no established guidelines for the treatment of CAA. ...
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... Ultrasound abdomen is still the main investigation of choice in emergency and elective procedures but it cannot tell details about the perforation. For that, CT scan is the most sensitive tool to diagnose gall bladder perforation [10]. Perforation of the gall bladder can develop early in the course of acute cholecystitis or it may occur several weeks after the onset. ...
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... A total of 13 cases were identified for 10 years, from January 2010 to November 2020 ( Table 1). Citation: [13][14][15][16][17][18][19] The mean age of patients was 32 years. The male-to-female ratio was 7:6. ...
... We found that the width was higher in males than in females, but the difference was non-significant, (p-value = 0.274). The current findings were also in agreement with studies by Duffner F et al, Shrestha et al [19] & Brij et al. [14] Brij et al [14] reported that the width of the third ventricle was greater in males (3.47 ± 1.07 mm) than in females (3.31 ± 0.94 mm) and this difference was statistically insignificant (T= 1.470 p= 0.164). A study conducted in the African population [20] (in 2015, Zaria-Nigeria) reported that the mean size of the third ventricular was greater in males compared to females. ...
