https://dspace.sduaher.ac.in/jspui/handle/123456789/768 Mon, 17 Aug 2026 15:27:14 GMT 2026-08-17T15:27:14Z https://dspace.sduaher.ac.in/jspui/handle/123456789/9976 Title: Sealed-Off Uterine Rupture: A Report of a Rare Case Authors: Vimal, Chaudhary; Naik, Deepti; Anil K., Sakalecha Abstract: Uterine rupture is a rare but potentially life-threatening obstetric complication, most commonly associated with labor in women with a scarred uterus. However, spontaneous rupture in an unscarred uterus, particularly in the second trimester and in primigravida patients, is exceedingly rare and often underrecognized. We present the case of a 26-year-old primigravida woman at approximately 21 weeks of gestation who presented with acute abdominal pain and vaginal bleeding. Ultrasound revealed a 3.1 cm defect in the uterine fundus, with herniation of fetal parts suggestive of a sealed-off uterine rupture. Fetal demise was confirmed sonographically. This case highlights the importance of maintaining a high index of suspicion for uterine rupture, even in early gestation and in the absence of prior uterine surgery. Radiological imaging, especially ultrasonography, is pivotal in early diagnosis and timely intervention to minimize maternal risk. Sun, 01 Jun 2025 00:00:00 GMT https://dspace.sduaher.ac.in/jspui/handle/123456789/9976 2025-06-01T00:00:00Z https://dspace.sduaher.ac.in/jspui/handle/123456789/9732 Title: Evaluation of the Evan’s and Bicaudate index for South Karnataka Population using computed tomography Authors: Praveen Basavaraj, Kumbar.; Anil Kumar Sakalecha, M.; Chaithanya, A.; Rajeswari.; Revanth R B.; Jayendra Mannan V Abstract: Background: Radiological markers that are useful in the diagnosis of normal pressure hydrocephalus include the Bicaudate index (BCI) and the Evans index (EI), which are practical indicators of ventricular volume. Worldwide, variation exists in normative studies for both these indices. The majority of research for EI and BCI is based on data from the Western population. The study has been performed on the South Karnataka population. Aims and Objectives: This study’s goal is to derive age and gender specific cutoff values on normative data of Evans and BCI. Materials and Methods: This was a prospective and observational study.Patients referred to “RL Jalappa Hospital” for computed tomography (CT) scan of the brain who meet the inclusion criteria will be included in this study. CT brain of all the patients will be performed in Siemens Somatom emotion 16 slice CT scanner. Ninety-seven were selected for this study, and EI and BCI were calculated for them. Results: The mean value of EI and BCI in our study was 0.26±0.02 and 0.1167±0.02, respectively. The difference in EI and BCI between males and females shown significant statistical difference between males and females but the values increased as increase in age. Conclusion: Our study for South Indian population concludes that EI and BCI have a significant statistical difference between males and females. Both EI and BCI values increase with age. Hence cutoff values of EI and BCI index according to age and gender are important for evaluation of hydrocephalus. Thu, 01 Jun 2023 00:00:00 GMT https://dspace.sduaher.ac.in/jspui/handle/123456789/9732 2023-06-01T00:00:00Z https://dspace.sduaher.ac.in/jspui/handle/123456789/9729 Title: Evaluation of normal measurements of fourth ventricle by computed tomography Authors: Kalathuru, Uhasai.; Deepti, Naik.; Anil Kumar Sakalecha, M.; Chaithanya, A.; Buchipudi Sandeep, Reddy.; R Mahima, Kale.; Nallapaneni Poojitha, Chowdary Abstract: Background: Size of fourth ventricle varies in different pathologies, in the context of enlarged brain ventricles size observed in routine clinical practices, knowledge of the usual range of exact measurement is required. Aims and Objectives: This study is hospital-based observational study to derive normal measurement range of fourth ventricle and correlating it with measurements of cerebrum and age of patients. Materials and Methods: Hospital-based prospective study was conducted in the department of radiodiagnosis in a teaching medical college. Patients with virtually normal study on unenhanced head CT scan of both sex and age groups from 2 year to 60 years, were included in the study. Patients with CT scans showing gross pathological changes affecting the normal anatomy of ventricles were excluded from the study. Results: The mean age of the cases was 37.0±16.88 years. Mean fourth ventricle anterioposterior dimension is 7.5±2.5 mm and transverse dimension is 12±3.1 mm. Anteroposterior diameter of fourth ventricle showed non-significant correlation (r=0.06, P=0.56) with anteroposterior diameter of skull and no significant correlation with (r=0.07, P=0.45) transverse diameter (TD) of skull. AP diameter of fourth ventricle showed a positive correlation with age, which was statistically significant (r2=0.698, P=0.01). TD of fourth ventricle showed slight positive correlation (r=0.202 P=0.048) with anteroposterior diameter of skull and (r=0.142, P=0.168) TD of skull whereas nil with. TD of fourth ventricle showed a positive correlation with age, which was statistically non-significant (r2=0.659, P=0.01). It increases with age. Conclusion: Knowledge of normal measurements helps in assessing, dilated fourth ventricle in various pathologies. Sat, 01 Apr 2023 00:00:00 GMT https://dspace.sduaher.ac.in/jspui/handle/123456789/9729 2023-04-01T00:00:00Z https://dspace.sduaher.ac.in/jspui/handle/123456789/9719 Title: Efficacy of MRI Over Ultrasound in Evaluation of Abnormal Uterine Bleeding With Histopathological Correlation Authors: Kalathuru, Uhasai.; Deepti, Naik.; Rathnamma, P Abstract: Introduction Abnormal uterine bleeding (AUB) is one of the most common problems in gynecologic practice. In the periand postmenopausal age group, it accounts for more than 70% of all gynecological complaints. The current study's objective was to compare the effectiveness of MRI and ultrasonography (USG) in detecting the cause of abnormal uterine bleeding with pathological correlation. Material and methods We conducted an observational study involving subjects with abnormal uterine bleeding. Patients who presented with abnormal uterine bleeding were referred to the department of radiodiagnosis and underwent USG of the abdomen and pelvis, followed by an MRI of the pelvis. Findings were analyzed and compared with the histopathological examination (HPE) of the samples of hysterectomized uterus, polypectomy, myomectomy, and dilation and curettage (D&C) of the endometrium. Results Among the study population, USG reports showed two patients (4.10%) with polyps, seven patients (14.58%) with adenomyosis, 25 patients (52.08%) with leiomyomas, and 14 patients (29.16%) with malignancies. On MRI examination, three patients (6.25%) were diagnosed with polyps, nine patients (18.7%) with adenomyosis, 22 patients (45.8%) with leiomyomas, and 14 patients (29.16%) were reported to have malignancies. The measure of agreement with the kappa value for MRI and HPE in evaluating the causes of abnormal uterine bleeding is 1.0 (very good). Whereas the kappa agreement value of USG and HPE in evaluating the causes of abnormal uterine bleeding is 0.903 (acceptable). The sensitivity of USG in diagnosing polyps, adenomyosis, leiomyoma, and malignancy was observed at 66%, 77.78%, 100%, and 100%, respectively. The sensitivity of MRI in diagnosing polyps, adenomyosis, leiomyoma, and malignancy was 100% for each. Conclusion MRI is the most effective method for accurate identification of the location, number, and characterization of lesions, extensions, and staging of carcinomas. Sat, 01 Apr 2023 00:00:00 GMT https://dspace.sduaher.ac.in/jspui/handle/123456789/9719 2023-04-01T00:00:00Z