background: the evaluation of prosthetic valves is very difficult with two-dimensional transthoracic echocardiography alone. doppler and color flow imaging as well as transesophageal echocardiography are more reliable to detect prosthetic valve dysfunction. however, doppler study sometimes tends to be misleading due to the load-depending characteristics of peak and mean pressure gradients. the ...

Introduction: The selection of   optimal treatment of obstructive nephrouropathy requires information about the functional status of each kidney. Nuclear renal scanning objectively measure differential renal function, multiple studies have demonstrated the role of assessment of renal perfusion and GFR with triphasic CT. The aim of this study is to assess the role of CT based on renal parenchyma...

  Introduction: Urinary obstructive disease is one of the most common disorders in urinary system. Dilatation which is detected by sonography, is a key finding in obstruction in most of the cases, also could be found following surgery, lithotripsy and vesico–urethral reflux. Radioistope diuretic washout renography is a useful method to differentiate mechanical and non...

Superior vena cava (SVC) syndrome is not an uncommon occurrence in patients with malignancy and it is often described as a medical emergency. In majority of the cases, SVC syndrome occurs due to mechanical obstruction of the SVC by extraluminal compression with primary intrathoracic malignancies. However, intraluminal obstruction due to thrombosis can also produce symptoms and signs of SVC synd...

choanal polyps are a form of nasal polyps that grow toward the choana with a single stalk. septochoanal polyp is a rare entity that originates from the mucosa of the nasal septum with choanal extension. the most common site of its origin is mainly the superior aspect of the posterior portion of the nasal septum. however, metaplastic ossification is a rare event in nasal polyp and to the best of...

he incidence of the diverticulum of the small bowel varies from 0.2-1.3% in autopsy studies to 2.3% when assessed on enteroclysis. it occurs mostly in patients in the 6th decade of their life. of all the small bowel diverticuli, jejunal diverticulum is the most common type. this rare entity is usually asymptomatic. however, they may cause chronic non-specific symptoms for a long period of time ...

purpose : to report a patient with retained broken probe tip in the false passage site after nasolacrimal duct (nld) probing case report : a 18-month-baby with epiphora and a nontender mass in the site of lacrimal sac was visited in clinic. she had a history of probing six months ago by another ophthalmologist. the probing was repeated successfully but the mass size didn’t change. the mass was ...