"As a rule we conduct TA scanning before performing endovaginal ultrasound. Pathology lying in a distant position usually cann't be visualized in endovaginal scan. Therefore, transabdominal ultrasound is a must before approaching for…"
"chronic peritonitis or chr peritoneal collection gives honey combed appearance , some times called cocoons. Mesenteric Koch.s is a possibility as is mesentetic cysts
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"Thank you for your comments. Would you please let me know how can I differentiate it from peritoneal inclusion cysts. Kidneys of this patient were normal."
A lady of 25 came with short amenorrhoea and slight PV bleeding. On TA ultrasound concurrent pregnancies were identified located within uterus and left tubo-ovarian region (heterotopic pregnancy). Embryos were present one in each GS but no cardiac pulsation was detected in the embryo of ectopic site. Subsequently ectopic one was ruptured and patient was underwent for surgery.
"agreed with all of you--it is also common in Pakistan.A video clip for moving worm could be more attractive,even you can diagnose either worm is hungery or elimentary canal is full."
"1) MULTICYSTIC KIDNEY--- If kidneys are not normal,
2) APKD
3)MESENTERIC CYST
WE NEED FURTHER DETAILS---did you rule out mesenteric and ovarian cysts."
"If you were not able to see the kidneys, then the diagnosis is very likely "ADULT POLYCYSTIC KIDNEY DISEASE".
...any other clinical finding, like hypertension and hematuria? There should some first or second degree relatives with more or…"
"Thanks Dr Nazrul. Biliary ascariasis & any ascariasis for that matter , Dr Bashir, is so common & prevalent in this part of the world, it seldom generates any interest here. Particularly gut AL is found in every 3rd or 4th patient ,…"
"Yes! Right you are! Gut was full with worms!!! Unfortunately I couldn't follow up those patients because they were referred by the doctors of remote places. Thank you.
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"Great images, thank you Doc. I have some comments:
1. Any observations in the gut showing similar worms? I guess there should be. Do you have clinical presenting and follow up details of the patient; I'm curious to know the outcome.
2. I…"