1.An iatrogenic proximal radioulnar synostosis:a case report and review of literature
Singh Kumar VARUN ; Vargaonkar Shantaram GAURESH
Chinese Journal of Traumatology 2014;(6):370-372
The most common cause of proximal radioulnar synostosis in adults is traumatic, usually after forearm fractures. Disabling complications are mainly loss of rotatory movements of the forearm. Various surgical procedures have been described in the literature to end up in forearm synostosis as a complication. We here presented a rare case of proximal forearm synostosis following a common but improper surgical technique for an olecranon fracture complicated by implant infection. The synostosis was treated by resection and fascia lata interposition graft.
2.Double level Chance-type fractures of spine in ankylosing spondylitis
Vargaonkar Shantaram GAURESH ; Singh Kumar VARUN ; Kashyap ABHISHEK ; Kumar RAMESH
Chinese Journal of Traumatology 2014;(6):361-363
Chance fractures are usually associated with seat belt injuries. Mechanism is always related to flexion-distraction at vertebral level. Double level Chance-type fractures have rarely been reported in published literature. We presented such a fracture at D10 and L3 level in a 38-year-old patient with ankylosing spondylitis. Management was done with posterior decompression and short segment fixation separately.
3.Winging of scapula due to serratus anterior tear.
Varun Kumar SINGH ; Gauresh Shantaram VARGAONKAR
Chinese Journal of Traumatology 2014;17(5):305-306
Winging of scapula occurs most commonly due to injury to long thoracic nerve supplying serratus anterior muscle. Traumatic injury to serratus anterior muscle itself is very rare. We reported a case of traumatic winging of scapula due to tear of serratus anterior muscle in a 19-year-old male. Winging was present in neutral position and in extension of right shoulder joint but not on "push on wall" test. Patient was managed conservatively and achieved satisfactory result.
Electromyography
;
Humans
;
Lifting
;
adverse effects
;
Magnetic Resonance Imaging
;
Male
;
Scapula
;
physiopathology
;
Superficial Back Muscles
;
injuries
;
physiopathology
;
Young Adult
4.Glued Angiocatheter: A Rare Complication of Intrarenal Pseudoaneurysm Glue Angioembolization.
Varun SHARMA ; Santosh KUMAR ; S K SINGH ; A K MANDAL
Korean Journal of Urology 2014;55(6):426-429
Endovascular management of intraparenchymal renal artery pseudoaneurysms is a reasonable and effective therapeutic technique. Endovascular management preserves the maximum amount of renal tissue and reduces the potential risk of nephrectomy. We present the case of an angiocatheter that became stuck in the renal artery following the injection of cyanoacrylate glue for angioembolization of an intrarenal pseudoaneurysm.
Adhesives*
;
Aneurysm, False*
;
Cyanoacrylates
;
Embolization, Therapeutic
;
Nephrectomy
;
Nephrostomy, Percutaneous
;
Renal Artery
5.Posttraumatic tuberculous osteomyelitis of the foot--A rare case report.
Gauresh VARGAONKAR ; P SATHYAMURTHY ; Varun Kumar SINGH ; Sunil MALLOJWAR
Chinese Journal of Traumatology 2015;18(3):184-186
Skeletal tuberculosis developing after trauma is a rare occurrence.We report a rare case of posttraumatic tubercular osteomyelitis of mid-tarsal bone of the right foot. Patient was treated with regular dressing and anti-tubercular drugs. Posttraumatic skeletal tuberculosis should be considered in patient with non-healing ulcer.
Adolescent
;
Foot Diseases
;
etiology
;
therapy
;
Foot Injuries
;
complications
;
Humans
;
Male
;
Osteomyelitis
;
etiology
;
therapy
;
Tuberculosis, Osteoarticular
;
etiology
;
therapy
6.An iatrogenic proximal radioulnar synostosis: a case report and review of literature.
Varun Kumar SINGH ; Gauresh Shantaram VARGAONKAR
Chinese Journal of Traumatology 2014;17(6):370-372
The most common cause of proximal radioulnar synostosis in adults is traumatic, usually after forearm fractures. Disabling complications are mainly loss of rotatory movements of the forearm. Various surgical procedures have been described in the literature to end up in forearm synostosis as a complication. We here presented a rare case of proximal forearm synostosis following a common but improper surgical technique for an olecranon fracture complicated by implant infection. The synostosis was treated by resection and fascia lata interposition graft.
Adult
;
Humans
;
Iatrogenic Disease
;
Radius
;
Synostosis
;
etiology
;
surgery
7.A novel pectoral muscle segmentation from scanned mammograms using EMO algorithm
Santhos Kumar AVUTI ; Varun BAJAJ ; Anil KUMAR ; Girish Kumar SINGH
Biomedical Engineering Letters 2019;9(4):481-496
Mammogram images are majorly used for detecting the breast cancer. The level of positivity of breast cancer is detected after excluding the pectoral muscle from mammogram images. Hence, it is very significant to identify and segment the pectoral muscle from the mammographic images. In this work, a new multilevel thresholding, on the basis of electro-magnetism optimization (EMO) technique, is proposed. The EMO works on the principle of attractive and repulsive forces among the charges to develop the members of a population. Here, both Kapur's and Otsu based cost functions are employed with EMO separately. These standard functions are executed over the EMO operator till the best solution is achieved. Thus, optimal threshold levels can be identified for the considered mammographic image. The proposed methodology is applied on all the three twenty-two mammogram images available in mammographic image analysis society dataset, and successful segmentation of the pectoral muscle is achieved for majority of the mammogram images. Hence, the proposed algorithm is found to be robust for variations in the pectoral muscle.
Breast Neoplasms
;
Dataset
8.Double level Chance-type fractures of spine in ankylosing spondylitis.
Gauresh Shantaram VARGAONKAR ; Varun Kumar SINGH ; Abhishek KASHYAP ; Ramesh KUMAR
Chinese Journal of Traumatology 2014;17(6):361-363
Chance fractures are usually associated with seat belt injuries. Mechanism is always related to flexion-distraction at vertebral level. Double level Chance-type fractures have rarely been reported in published literature. We presented such a fracture at D10 and L3 level in a 38-year-old patient with ankylosing spondylitis. Management was done with posterior decompression and short segment fixation separately.
Adult
;
Fracture Fixation
;
methods
;
Humans
;
Spinal Fractures
;
therapy
;
Spondylitis, Ankylosing
;
complications
9.Von Hippel-Lindau Syndrome: Demonstration of Entire Disease Spectrum with 68Ga-DOTANOC PET-CT.
Punit SHARMA ; Varun Singh DHULL ; Chandrasekhar BAL ; Arun MALHOTRA ; Rakesh KUMAR
Korean Journal of Radiology 2014;15(1):169-172
Von Hippel-Lindau (VHL) syndrome is a rare neoplastic disorder characterized by central nervous system (CNS) and visceral tumors. We here present 68Ga-labelled [1, 4, 7, 10-tetraazacyclododecane-1, 4, 7, 10-tetraacetic acid]-1-Nal3-Octreotide positron emission tomography computed tomography findings in a 52 year old female with VHL syndrome, demonstrating both CNS and visceral tumors.
Brain Diseases/radionuclide imaging
;
Female
;
Humans
;
Kidney Diseases/radionuclide imaging
;
Liver Diseases/radionuclide imaging
;
Middle Aged
;
Multimodal Imaging/*methods
;
Organometallic Compounds/diagnostic use
;
Pancreatic Diseases/radionuclide imaging
;
Positron-Emission Tomography/*methods
;
Tomography, X-Ray Computed/*methods
;
von Hippel-Lindau Disease/*radionuclide imaging
10.Exclusive enteral nutrition for induction of remission in anti-tumor necrosis factor refractory adult Crohn’s disease: the Indian experience
Ajit SOOD ; Arshdeep SINGH ; Ritu SUDHAKAR ; Vandana MIDHA ; Ramit MAHAJAN ; Varun MEHTA ; Yogesh Kumar GUPTA ; Kirandeep KAUR
Intestinal Research 2020;18(2):184-191
Background/Aims:
Exclusive enteral nutrition (EEN) is recommended for induction of remission in pediatric Crohn’s disease (CD). However, it is not currently recommended for inducing remission in adults. This report describes the use of 12-week EEN for induction of remission in anti-tumor necrosis factor (anti-TNF) refractory adult CD.
Methods:
This is a retrospective analysis of adults with moderate to severe active (Crohn’s Disease Activity Index [CDAI] >220) anti-TNF refractory CD, who received EEN for 12 weeks between April 2018 and March 2019 at Dayanand Medical College and Hospital, Ludhiana, India. Primary outcomes included achievement of clinical remission and fistula healing at 12 weeks. Improvement in inflammatory markers and nutritional status were the secondary end points.
Results:
Out of 23 patients who received anti-TNF agents, 7 (30.4%) were refractory and were offered EEN as a salvage therapy. Six patients (66.7% females, mean age 25.6±6.5 years) consented. Four patients (66.6%) achieved clinical remission (CDAI <150). Mean CDAI of patients decreased significantly after 12 weeks of EEN (388.8±74.8 vs. 160.0±25.2, P<0.001). Perianal fistulas showed clinical response (drainage decreased by >50%), though none achieved remission. Entero-enteric fistulae showed complete healing. Mean body mass index improved from 15.6±3.1 to 18.9±1.9 kg/m2 at week 12 (P=0.003). Hemoglobin and serum albumin also improved from 8.2±1.1 g/dL and 2.8±0.3 g/dL at baseline to 12.6±0.6 g/dL and 3.6±0.5 g/dL post-EEN respectively (P<0.001 and P=0.006 respectively).
Conclusions
EEN appears to be an effective and well tolerated therapy for induction of remission in anti-TNF refractory adult CD. More data from prospective trials with larger number of patients is required.