1
|
Affiliation(s)
- S B Grover
- Department of Radiology and Imaging- Vardhman Mahavir Medical College and Safdarjang Hospital, New Delhi - 110029
| | - P Gupta
- Department of Radiology and Imaging- Vardhman Mahavir Medical College and Safdarjang Hospital, New Delhi - 110029
| | - A Kumar
- Department of Radiology and Imaging- Vardhman Mahavir Medical College and Safdarjang Hospital, New Delhi - 110029
| | - H Mahajan
- Department of Radiology and Imaging- Vardhman Mahavir Medical College and Safdarjang Hospital, New Delhi - 110029
| |
Collapse
|
2
|
Bagga D, Teckchandani N, Kumar V, Grover SB, Yadav DK, Acharya SK. Predictive factors for successful vessel-intact laparoscopic orchiopexy for intra-abdominal testes. J Pediatr Urol 2013; 9:453-7. [PMID: 23269107 DOI: 10.1016/j.jpurol.2012.11.017] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/26/2012] [Accepted: 11/26/2012] [Indexed: 02/05/2023]
Abstract
OBJECTIVE To identify the predictive factors for successful vessel-intact laparoscopic orchiopexy (VILO) for nonpalpable intra-abdominal testes (NPIT). MATERIALS AND METHODS 25 boys with 28 NPITs within 2 cm of the internal ring underwent VILO. They were divided into two groups based upon outcome, for statistical comparison. Group A (successful VILO): patients with testes pexed in scrotum during surgery, and maintained viability and scrotal position of testes at 3-month & 6-month postoperative follow up. Group B: failed VILO. RESULTS Intrascrotal fixation at VILO was achievable for 17/28 NPITs. Postoperative follow up and final outcome data were available for 25/28 NPITs, of which 14 were successful (A) while 11 had failed VILO (B). The mean age of patients in group A differed significantly from that of patients in group B (4.16 years versus 6.64 years; p = 0.035). The mean testis-to-internal ring distance was 0.50 cm for group A and 1.05 cm for group B, but this was not statistically significant (p = 0.141). There was statistically a highly significant difference (p = 0.002) with respect to the mean internal ring-to-midscrotum distances in groups A and B: 5.56 cm and 7.05 cm, respectively. A scatter-plot of age or height against internal ring-to-midscrotum distance showed a fairly linear relationship. CONCLUSIONS Age or height of the patient at surgery is an independent factor predicting the success of VILO for intra-abdominal testis. The internal ring-to-midscrotum distance increases with age/height, resulting in increased testis-to-midscrotum distance and higher failure rate of VILO in older children.
Collapse
Affiliation(s)
- Deepak Bagga
- Department of Pediatric Surgery, Vardhman Mahavir Medical College & Safdarjang Hospital, New Delhi, India
| | | | | | | | | | | |
Collapse
|
3
|
Arora S, Grover SB, Batra S, Sharma VK. Comparative evaluation of postreduction intra-articular distal radial fractures by radiographs and multidetector computed tomography. J Bone Joint Surg Am 2010; 92:2523-32. [PMID: 21048172 DOI: 10.2106/jbjs.i.01617] [Citation(s) in RCA: 24] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/05/2023]
Abstract
BACKGROUND Computed tomography can be an adjunct to radiographs when evaluating intra-articular fractures of the distal part of the radius. Acute-phase multidetector computed tomography has better temporal, spatial, and contrast resolution than a conventional scanner has. The aim of this study was to determine prospectively whether the addition of a multidetector computed tomography scan (with various reconstructions) results in changes in the evaluation of intra-articular distal radial fractures and thus changes in the plans for further management. METHODS Radiographs and multidetector computed tomography scans were compared prospectively in the evaluation of 117 patients (120 wrists) with acute intra-articular distal radial fractures. The parameters that were measured included the ability to detect intra-articular step and gap displacements, central articular depression, coronal plane fracture, the number of articular fragments, comminution, and associated injuries in the wrist region (carpal bone fractures, distal radioulnar joint disruption, and ulnar styloid fracture). RESULTS The average measurements for intra-articular step and gap were 0.4 mm and 0.9 mm, respectively, on post-reduction radiographs and 1.3 mm and 2.4 mm, respectively, on sagittal multidetector computed tomography images (p < 0.0001 for each). Central articular depression was found in twenty-one wrists (18% of the total) on radiographs, but on multidetector computed tomography it was found to be present in seventy-four wrists (62% of the total) (p < 0.0001). Twenty-six radiographically occult injuries in the wrist region, including six scaphoid fractures, were detected with the help of multidetector computed tomography. Overall, the recommended treatment plan changed in 23% of the cases when the evaluation included multidetector computed tomography images in addition to conventional radiographs. Interobserver and intraobserver agreements were significantly increased when radiographs and multidetector computed tomography images both were available for evaluation (κ = 0.73 and 0.91, respectively) as compared with interobserver and intraobserver agreement with radiographs alone (κ = 0.43 and 0.69, respectively). CONCLUSIONS Multidetector computed tomography provides more accurate information regarding the anatomy of intra-articular distal radial fractures than radiography provides. The addition of multidetector computed tomography to plain films frequently changes the therapeutic recommendations for such cases.
Collapse
Affiliation(s)
- Sumit Arora
- Department of Orthopaedic Surgery, Maulana Azad Medical College and Lok Nayak Hospital, New Delhi 110002, India.
| | | | | | | |
Collapse
|
4
|
Batra S, Arora S, Meshram H, Khanna G, Grover SB, Sharma VK. A rare etiology of cauda equina syndrome. J Infect Dev Ctries 2010; 5:79-82. [PMID: 21330747 DOI: 10.3855/jidc.1001] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/04/2010] [Revised: 07/24/2010] [Accepted: 08/13/2010] [Indexed: 02/05/2023] Open
Abstract
Fungal infections of the spine are very rare and usually seen in immunocompromised patients. Acute cauda equina syndrome presenting in an immunocompetent patient is usually due to a prolapse of the intervertebral disc. Infective pathology caused by Mycobacterium tuberculosis with epidural collection can also have a similar presentation. We present a case of spinal epidural abscess caused by Aspergillus fumigatus, presenting as acute cauda equina syndrome. To the best of our knowledge, spinal aspergillosis presenting as cauda equina syndrome in an immunocompetent patient has not been reported before in the English-language based medical literature. Surgical decompression with antifungal treatment with oral itraconazole yielded a good recovery.
Collapse
Affiliation(s)
- Sumit Batra
- Central Institute of Orthopaedics, Vardhman Mahavir Medical College and Associated Safdarjung Hospital, New Delhi, India.
| | | | | | | | | | | |
Collapse
|
5
|
Abstract
Traction apophysitis of medial malleolus is very rare and presented in view of its rarity. A 13 years old boy presented with pain and swelling without history of trauma around left ankle of 3 months duration. The swelling was diffuse with tenderness on anterior aspect of medial malleolus. The overlying skin was normal. The X-rays revealed fragmented accessory ossification centre of medial malleolus an left side. MRI revealed multiple foci of hypointensity in T1 and T2 weighted images of left medial malleolus apophysis. Patient was treated in below knee plaster for three weeks with restriction of sports activities for 5 weeks. The patient became asymptomatic in 8 weeks.
Collapse
Affiliation(s)
- Rajiv Gupta
- Department of Orthopedics, Safdarjung Hospital, New Delhi,India; Vardhaman Mahavir Medical College and Associated Safdarjung Hospital, New Delhi, India
| | - Sumit Batra
- Department of Orthopedics, Safdarjung Hospital, New Delhi,India; Vardhaman Mahavir Medical College and Associated Safdarjung Hospital, New Delhi, India,Correspondence: Dr. Sumit Batra, B-39, Adarsh Kunj Apartments, Plot no. -42, Sector-13, Rohini, Delhi - 100 085, India. E-mail:
| | - Ashu Verma
- Department of Orthopedics, Safdarjung Hospital, New Delhi,India; Vardhaman Mahavir Medical College and Associated Safdarjung Hospital, New Delhi, India
| | - VK Sharma
- Department of Orthopedics, Safdarjung Hospital, New Delhi,India; Vardhaman Mahavir Medical College and Associated Safdarjung Hospital, New Delhi, India
| | - Shabnam B Grover
- Department of Radiodiagnosis, Safdarjung Hospital, New Delhi, India; Vardhaman Mahavir Medical College and Associated Safdarjung Hospital, New Delhi, India
| |
Collapse
|
6
|
Abstract
The clinical manifestations of chronic disseminated histoplasmosis are non-specific and resemble those of other chronic infections and malignancies. We report the radiographic, sonographic and contrast-enhanced CT appearances of histoplasmosis in an adult male with non-insulin dependent diabetes mellitus, who was HIV negative and presented with weight loss and pyrexia. Imaging studies simulated tuberculosis with mediastinal lymphadenopathy, bilateral fibrotic lung lesions, hepatomegaly and bilateral hypoattenuating adrenal enlargement, without clinical or laboratory evidence of hypoadrenalism. Computed tomography-guided fine-needle aspiration biopsy of adrenal glands revealed Histoplasma capsulatum. We report our experience to increase awareness of the imaging spectrum of disseminated histoplasmosis and its similarity to tuberculosis as, with increasing incidence of AIDS, the chances of these infections are likely to increase. Moreover, awareness of this entity is important because it is known that untreated disseminated histoplasmosis is fatal.
Collapse
Affiliation(s)
- S B Grover
- Department of Radiodiagnosis, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India.
| | | | | | | | | |
Collapse
|
7
|
|
8
|
Grover SB, Gupta P, Jain M, Kumar A, Gulati P. Characteristic CT and MR features of Krabbe′s disease: A case report. Indian J Radiol Imaging 2005. [DOI: 10.4103/0971-3026.28783] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/05/2023] Open
|
9
|
Sodhi PK, Grover SB, Mehta A, Malik K, Malik AC. Two Cases of Orbital Tuberculosis In Children With Unique Presentations. ACTA ACUST UNITED AC 2004. [DOI: 10.1385/ao:36:1:55] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/08/2023]
|
10
|
Grover SB, Aggarwal A, Uppal PS, Tandon R. The CT triad of malignancy in meningioma--redefinition, with a report of three new cases. Neuroradiology 2003; 45:799-803. [PMID: 12955368 DOI: 10.1007/s00234-003-1070-5] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/23/2001] [Accepted: 06/11/2003] [Indexed: 02/05/2023]
Abstract
The CT triad of extracranial soft-tissue tumour, underlying osteolysis and an intracranial tumour was reported as a sign of malignancy in meningioma, by Younis and Sawaya in 1992. We report the clinical and CT spectrum of three new cases with a similar triad, confirmed to be malignant meningioma. However, we redefine this sign and suggest that this triad is an unequivocal indicator of malignancy in meningioma, provided metastases have been excluded.
Collapse
Affiliation(s)
- S B Grover
- Department of Radiodiagnosis and Imaging, Vardhman Mahavir Medical College and Safdarjung Hospital, 110029 New Delhi, India.
| | | | | | | |
Collapse
|
11
|
Grover SB, Pati NK, Saluja S, Bhowmik KT. Solitary calvarial metastases: an unusual presentation of thoracic neuroblastoma. Indian J Cancer 2003; 40:120-2. [PMID: 14716118 DOI: pmid/14716118] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/08/2023]
Abstract
A primary thoracic origin occurs only in 20% of neuroblastomas, and their classical presentation is mediastinal or cord compression. Skeletal metastases of neuroblastomas are characteristically multiple, and calvarial deposits usually show simultaneous involvement of orbit. Solitary metastases in neuroblastoma, is an unusual entity and its presentation as a large calvarial mass, especially from a thoracic primary, is rare. Furthermore, calvarial metastases are relatively uncommon in children compared to adults. We discuss the clinical, radiographic, CT features, and differential diagnosis of a large calvarial mass with sunray spiculation in a child, which was due to a solitary metastases from an occult thoracic neuroblastoma. The possibility of neuroblastoma presenting in this unique fashion and the importance of considering a chemosensitive tumor such as neuroblastoma in the differential diagnosis of a solitary calvarial mass in a child is highlighted by our report.
Collapse
Affiliation(s)
- S B Grover
- Department of Radiodiagnosis, Vardhman Mahavir Medical College and Safdarjang Hospital, New Delhi - 110 029, India.
| | | | | | | |
Collapse
|
12
|
Grover SB, Pati NK, Saluja S, Bhowmik KT. Solitary calvarial metastases : An unusual presentation of thoracic neuroblastoma. Indian J Cancer 2003. [DOI: 10.4103/0019-509x.13057] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/08/2023]
|
13
|
Abstract
A neonate with right lung agenesis presenting with respiratory distress is described. The unusual radiological features were contralateral mediastinal shift (in contrast to expected ipsilateral shift) and diaphragmatic eventration on the affected side. Mediastinal shift to the opposite side was due to intrathoracic hepatic herniation under a high placed eventrated diaphragm. Both these features have not been reported in association with lung agenesis to date. The authors have discussed other causes of respiratory distress in newborns that can cause mediastinal shift and have urged a high degree of clinical suspicion to pick up the cases with lung agenesis. The newer diagnostic modalities and the causes of mortality in neonates with this anomaly have also been highlighted.
Collapse
Affiliation(s)
- S K Ratan
- Department of Pediatric Surgery, Safdarjung Hospital, New Delhi, India
| | | |
Collapse
|
14
|
Sodhi PK, Grover SB, Singh D, Gulati P. Diagnosis of optochiasmatic tuberculosis revealed by computed tomography and magnetic resonance imaging. ACTA ACUST UNITED AC 2001. [DOI: 10.1007/s12009-001-0038-5] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/08/2023]
|
15
|
Affiliation(s)
- S B Grover
- Department of Radiology, Safdarjung Hospital, New Delhi 10019, India.
| | | |
Collapse
|
16
|
Abstract
Diaphragmatic defects such as eventration and hernia are known to be associated with a high-sited, sometimes intrathoracic spleen. We report here a unique case of an 8-year-old boy found to have a left congenital diaphragmatic eventration and a suprapubic wandering spleen after presenting with symptoms of an "acute abdomen" due to torsion of the splenic pedicle. To our knowledge only one other case of a similar paradoxical association of these anomalies has been reported before; interestingly, in this patient splenic infarction had also resulted secondary to splenic torsion. We recommend careful evaluation of the location and vascular status of the spleen in all patients with congenital diaphragmatic defects due to the common occurrence of splenic vascular insult.
Collapse
Affiliation(s)
- S K Ratan
- Department of Paediatric Surgery, Safdarjung Hospital, West Kidwai Nagar, New Delhi, India
| | | | | | | | | |
Collapse
|
17
|
Abstract
We describe the sonographic diagnosis of Ascaris-induced acute cholecystitis and pancreatitis in a 2-year-old girl. Abdominal sonography revealed a grossly distended gallbladder with a thick (0.5-cm) wall. The common bile duct was dilated to 0.6 cm without sludge or calculi. The pancreas was hypoechoic, with an enlarged, 3.3-cm pancreatic head. Sonography showed dilatation of the small- and large-bowel loops, with multiple roundworms in duodenal and colonic loops. Sonography has an important role not only in the diagnosis of this uncommon condition but also in the documentation of its unusual etiologic agent.
Collapse
Affiliation(s)
- S B Grover
- Department of Radiodiagnosis and Imaging, Safdarjang Hospital, New Delhi 110029, India
| | | | | |
Collapse
|
18
|
Abstract
The classic radiographic presentation of multiple myeloma is lytic skeletal lesions. Primary sclerotic manifestations are rare and occur only in 3% of cases. The imaging spectrum in three cases of multiple myeloma with primary osteosclerosis is described. The first patient had spiculated sclerosis of the orbit, which is an uncommon site for myeloma. The second patient with POEMS syndrome had multiple, scattered, skeletal lesions with sclerotic margins. The third patient presented with a chest wall mass and had an expansile thick spiculated sclerosis in the rib. The wide imaging spectrum possible in sclerotic myelomas and their relevant differential diagnosis is emphasized.
Collapse
Affiliation(s)
- S B Grover
- Department of Radiology, Safdarjang Hospital, New Delhi, India
| | | |
Collapse
|
19
|
Das L, Grover SB, Chand K, Dawson L. Intracranial extension of a dermatofibrosarcoma protuberans of the scalp: a case report with brief review of literature. Surg Neurol 2000; 54:452-4. [PMID: 11240177 DOI: 10.1016/s0090-3019(00)00297-4] [Citation(s) in RCA: 16] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/08/2023]
Affiliation(s)
- L Das
- Department of Neurosurgery, Safdarjung Hospital, New Delhi, India
| | | | | | | |
Collapse
|
20
|
Abstract
Abdominal sonography of four infants with pyrexia and hepatomegaly demonstrated multiple hypoechoeic hepatic and splenic foci, guided biopsies of which showed caseating granulomas with acid-fast bacilli. Evidence of tuberculosis in maternal endometrium and its exclusion in the contacts further confirmed a diagnosis of congenital tuberculosis. Clinical suspicion supplemented by careful sonography facilitated early detection and antemortem diagnosis of this potentially fatal disease.
Collapse
Affiliation(s)
- S B Grover
- Department of Radiology and Imaging, Safdarjang Hospital, New Delhi 110029, India
| | | | | | | |
Collapse
|
21
|
|
22
|
Ratan SK, Grover SB. Acute idiopathic mesenteroaxial gastric volvulus in a child. Trop Gastroenterol 2000; 21:133-4. [PMID: 11084837 DOI: pmid/11084837] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/08/2023]
Abstract
Gastric volvulus is a rare abdominal emergency in children and occurs secondary to associated predisposing congenital defects. The less frequent idiopathic variety of gastric volvulus is mostly chronic in its clinical course. Acute idiopathic mesenteroaxial gastric volvulus is a rare subtype and two out of the four reported cases of this entity among children in the past 12 years have been from the Indian subcontinent. We report another case of acute idiopathic mesenteroaxial gastric volvulus in a 7 year old Indian girl. Possibly there is an increased propensity of Asians to this is potentially fatal disease.
Collapse
Affiliation(s)
- S K Ratan
- Safdarjung Hospital, New Delhi, India
| | | |
Collapse
|
23
|
Ratan SK, Grover SB, Kulsreshtha R, Puri V. Post-traumatic hepatic cyst. Indian Pediatr 1999; 36:1048-51. [PMID: 10745318 DOI: pmid/10745318] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/08/2023]
Affiliation(s)
- S K Ratan
- Department of Pediatric Surgery, Safdarjung Hospital, New Delhi 110 029, India
| | | | | | | |
Collapse
|
24
|
Grover SB, Ratan SK. Serial sonographic changes in hydatid cyst following medical therapy. Indian Pediatr 1999; 36:949-52. [PMID: 10744882 DOI: pmid/10744882] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/08/2023]
Affiliation(s)
- S B Grover
- Department of Radiology, Safdarjang Hospital, New Delhi 110 029, India
| | | |
Collapse
|
25
|
Grover SB, Pathak A, Saxena NC. Dandy Walker malformation. Indian Pediatr 1999; 36:833-5. [PMID: 10742743 DOI: pmid/10742743] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/08/2023]
|
26
|
Grover SB, Pathak A, Agarwal A, Saxena NC. An unusual mediastinal mass due to metastasis. Indian J Chest Dis Allied Sci 1999; 41:163-8. [PMID: 10534942 DOI: pmid/10534942] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/08/2023]
Abstract
During childhood the common anterior middle mediastinal masses are either lymph node enlargement or teratomas/dermoids. A case of ossific mediastinal metastasis and pleural metastases from osteosarcoma, presenting three years after the primary disease (late metastasis) is reported for its rarity.
Collapse
Affiliation(s)
- S B Grover
- Department of Radiology, Safdarjung Hospital, New Delhi
| | | | | | | |
Collapse
|
27
|
Grover SB, Charan KA, Saxena NC. Frontonasal dysplasia with corpus callosum lipoma. Indian Pediatr 1999; 36:398-401. [PMID: 10717702 DOI: pmid/10717702] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/08/2023]
Affiliation(s)
- S B Grover
- Department of Radiology and Imaging, Safdarjung Hospital, New Delhi 110 029, India
| | | | | |
Collapse
|
28
|
Grover SB, Taneja DK. Images in Clinical Practice. Caffey's disease. Indian Pediatr 1997; 34:1043. [PMID: 9567539 DOI: pmid/9567539] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/07/2023]
|