/library/oar/handle/123456789/33426 2025-12-23T16:06:49Z /library/oar/handle/123456789/32540 Title: Adenomatoid tumour of the epididymis in a torsion testis : a histopathological surprise! Authors: Pai, Deepti; Kalra, Karan; Tejaswy, Kapil; Rodrigues, Gabriel Abstract: Testicular or paratesticular adenomatoid tumours are benign swellings of the human genital tract. Although benign, they prove a challenge to diagnose clinically, and thereafter treat appropriately. Often, an adenomatoid tumour can be mistaken for a testicular malignancy, causing a patient to undergo an orchidectomy. When symptomatic and diagnosed preoperatively, a testis sparing surgery can be performed in these patients. We report a patient who underwent an orchidectomy for torsion testis, and incidentally was found to have an adenomatoid tumour of epididymis. Though this patient had dull aching pain of the left testis for a significant time, he failed to seek medical help, which if he had done, would have helped him to save his testis! A detailed literature review has been done. 2018-07-01T00:00:00Z /library/oar/handle/123456789/32539 Title: Oral ranula : report of a case with review of literature Authors: Said Hamed, Mohammed; Abdelatty Eid Abdemagyd, Hossam; Ram Shetty, Shishir Abstract: Ranula is a soft bluish translucent swelling that occurs in floor of mouth usually causing mild discomfort to the patient. Ranula can be categorized as simple or plunging. Simple ranula manifests as bluish colored swelling in the floor of the mouth whereas plunging ranula spread through the facial plans posterior to the mylohyoid muscle into the submandibular and neck spaces. To highlight the clinical features and surgical management simple ranula we hereby present a case of 28- year-old female. 2018-07-01T00:00:00Z /library/oar/handle/123456789/32495 Title: Ankle X-ray use at Mater Dei's accident and emergency department Authors: Abela, Janice; Cuschieri, Sarah; Grech, Stephan Abstract: Aim: To determine the amount of X-rays performed at the Accident and Emergency Department (A&E) at Mater Dei Hospital to investigate ankle injuries. Objectives: A comparison between the X-ray report and the examining physician’s request was also performed. The audit will propose the possibility of implementing a standard protocol of care for ankle injuries namely, based upon the Ottawa Ankle Rules. Methods: A retrospective observational study was carried out between the 20th September and the 20th December 2015. All ankle X-rays performed at A&E during this period were analysed using the Picture and Archiving System (PACS). Results: The commonest reason for requesting an X-ray following a traumatic event was to identify the presence of a fracture. Only 27.8% of these X-ray reports identified a fracture. X-rays were also requested for non-traumatic injuries very often due to swelling. Physicians’ requests often contained minimal clinical details but only one request had no details whatsoever. Conclusion: Ankle X-rays were most commonly performed to identify a fracture but very often no fracture was identified. Fractures were a relatively uncommon finding raising the possibility of inappropriate prescription of X-rays. Use of guidelines or an alternative investigation could be beneficial in order to reduce inappropriate radiography usage. Appropriately filled in request forms including clinical presentation would help the communication between the physician and the radiologist. 2018-07-01T00:00:00Z /library/oar/handle/123456789/32494 Title: The value of multiple 2D ultrasound scanning views in the detection of Congenital Heart Disease in the second trimester (18 to 24 weeks) Authors: Spiteri, Maria; Attard Montalto, Simon; Grech, Victor E. Abstract: Antenatal detection for Congenital Heart Disease (CHD) is poor, but may be improved by adding views to routine ultrasound scanning. From June 2014-July 2015, 600 randomly selected women between 18 to 24 weeks of pregnancy, had a routine 4-chamber ultrasound scan at Mater Dei Hospital view (Basic 4CV). In addition, they completed an Extended Cardiac Ultrasound Examination (ExCUSE) including the left outflow tract, right outflow tract, 5-chamber view and 3-vessel view. All views were timed. The results obtained from the 600 women who received Basic and the ExCUSE scanning were followed-up clinically after delivery of the infants. Validity testing of both 4CV and ExCUSE views was carried out, and the detection rate of CHD compared. During the 12-month period, 61 cases from a total of 4,200 children up to 1 year of age were diagnosed with CHD by Paediatric Echocardiography. 19 were included in the 600-study cohort, of which 12 were detected antenatally, 1 via the 4CV alone, 4 by both the 4CV plus at least 1 of the ExCUSE views and 7 by 1 or more of the ExCUSE views alone. On average, ExCUSE views took approximately 6 minutes longer, yet there was a significant difference between the detection rate of CHD by the 4CV compared with the ExCUSE views (χ2 = 0.031, p=0.05). Sensitivity and specificity of the 4CV were 31.6% and 100%, respectively, and 63.1% and 100%, respectively for ExCUSE views. Antenatal diagnosis of CHD is improved with additional ultrasound views, but this will necessitate staff training and adjustments in clinic schedules to accommodate increased scan time. 2018-07-01T00:00:00Z