Sabina Parajuli - Academia.edu (original) (raw)
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Papers by Sabina Parajuli
Nepalese Journal of Radiology
A 33 years male presented with obstructive jaundice and was diagnosed as chronic cholecystitis wi... more A 33 years male presented with obstructive jaundice and was diagnosed as chronic cholecystitis with choledochocystolithiasis. The gastroenterology team performed ERCP with sphincterotomy to retrieve stone in common bile duct but failed. Open cholecystectomy with common bile duct exploration was done after few days. T-tube was placed in common bile duct. In the 8th post operative day, tube manipulation was done due to reduced drain output and pain abdomen. We performed T-tube cholangiogram on 12th postoperative day which showed duodenal migration of T tube. The displaced T tube was retrieved using a simple technique.
Nepal Medical Journal, 2021
Introduction: Microbial keratitis is sight threatening infective keratitis caused by non-viral pa... more Introduction: Microbial keratitis is sight threatening infective keratitis caused by non-viral pathogens like bacteria, fungus or protozoa which may lead to blindness when neglected. It is the most common cause of unilateral corneal blindness which is a major public health concern for developing countries. Incidence of microbial keratitis in Nepal is higher (799/100000 per year) compared to developed countries like United States (11/100000 per year) due to varying epidemiological factors. Early clinical diagnosis, initiation of proper antibiotic therapy, identification of causative microorganism and management of predisposing factors together are necessary for rapid recovery and prevention of severe visual loss. Methods: This was a retrospective study of all consecutive patients diagnosed with suspected microbial keratitis and subjected to corneal scrapping in Cornea Department of Rapti Eye Hospital who attended during November 2021 to October 2022. The major outcome measures studi...
Nepalese Journal of Radiology
A 33 years male presented with obstructive jaundice and was diagnosed as chronic cholecystitis wi... more A 33 years male presented with obstructive jaundice and was diagnosed as chronic cholecystitis with choledochocystolithiasis. The gastroenterology team performed ERCP with sphincterotomy to retrieve stone in common bile duct but failed. Open cholecystectomy with common bile duct exploration was done after few days. T-tube was placed in common bile duct. In the 8th post operative day, tube manipulation was done due to reduced drain output and pain abdomen. We performed T-tube cholangiogram on 12th postoperative day which showed duodenal migration of T tube. The displaced T tube was retrieved using a simple technique.
Nepal Medical Journal, 2021
Introduction: Microbial keratitis is sight threatening infective keratitis caused by non-viral pa... more Introduction: Microbial keratitis is sight threatening infective keratitis caused by non-viral pathogens like bacteria, fungus or protozoa which may lead to blindness when neglected. It is the most common cause of unilateral corneal blindness which is a major public health concern for developing countries. Incidence of microbial keratitis in Nepal is higher (799/100000 per year) compared to developed countries like United States (11/100000 per year) due to varying epidemiological factors. Early clinical diagnosis, initiation of proper antibiotic therapy, identification of causative microorganism and management of predisposing factors together are necessary for rapid recovery and prevention of severe visual loss. Methods: This was a retrospective study of all consecutive patients diagnosed with suspected microbial keratitis and subjected to corneal scrapping in Cornea Department of Rapti Eye Hospital who attended during November 2021 to October 2022. The major outcome measures studi...