Abstract: Introduction: Situs inversus is a rare congenital malformation. It can be associated with other malformations. It is often discovered incidentally by medical imaging. The latter also makes it possible to take stock of all associated malformations. Observation: The authors report a particular association in a 4-year-old male patient. Following a transthoracic cardiac Doppler ultrasound indicated for dyspnea at the slightest effort. The examination revealed dextrocardia, minimal membranous septum interventricular communication with left-right shunt, ostium primum inter-atrial communication measured at 6 mm with moderate impact on the left atrium, good systolic function of both ventricles, thin heart valves, dry pericardium. The chest x-ray requested systematically highlighted dextrocardia, enlargement of the upper mediastinum, and a gastric air pocket visible under the right diaphragmatic dome. The thoraco-abdomino-pelvic scan carried out made it possible to demonstrate that the situs inversus was complete and associated with other anomalies. It was a type 3b superior cava venous return anomaly with a single left kidney and an anomaly of the retroperitoneal vessels. Conclusion: Situs inversus is a rare and particular congenital anomaly because it can be associated with several types of malformations, sometimes very complex. Hence the interest in carrying out a complete imaging assessment in cases of situs inversus.
Abstract: Introduction: Situs inversus is a rare congenital malformation. It can be associated with other malformations. It is often discovered incidentally by medical imaging. The latter also makes it possible to take stock of all associated malformations. Observation: The authors report a particular association in a 4-year-old male patient. Following a tra...Show More
Abstract: Background: Renal disease is a leading cause of death and morbidity in Bangladesh, and hypertension and dyslipidemia are important risk factors for this condition. Objective: The objective of this study was to find out the possible renal damage and its relation with cholesterol level among the hypertensive and non-hypertensive patients by using ultrasonographic paramaters. Methods: This was a case control study. The sample size was 135 in each group (Hypertensive and normotensive) which was selected purposively. Data were collected on different renal parameters, blood pressure, smoking status, and lipid profile, including total cholesterol (TC), triglyceride (TG), low-density lipoprotein (LDL), and high-density lipoprotein (HDL). Results: Relationship between TC, TAG, HLD, LDL and different renal parameters (Renal bipolar length, Renal anterior-posterior diameter, Renal cortical thickness, Renal cortical echogenecity, Corticomedullary differentiation) were found statistically significant. This indicates that increased cholesterol levels among the hypertensive patients there were possibility of renal damage. We need to identify it earlier and protecting the renal conditions. This finding provides more evidence that hypertension patients with high cholesterol levels are at increased risk for developing kidney impairment down the road. Ultrasonographic parameters showed the variations between the two groups. Conclusion: Patients with hypertension in Bangladesh should undergo routine blood pressure and ultrasonography examinations of renal parameters and lipid profiles to detect and prevent renal disease, which is frequently associated with high cholesterol.
Abstract: Background: Renal disease is a leading cause of death and morbidity in Bangladesh, and hypertension and dyslipidemia are important risk factors for this condition. Objective: The objective of this study was to find out the possible renal damage and its relation with cholesterol level among the hypertensive and non-hypertensive patients by using ult...Show More