Evaluation of splenic enlargement is important in the diagnosis and management of various diseases including liver disease, lymphoma and other primary or metastatic neoplasm. This cross sectional study was conducted in the Department of Radiology and Imaging in Bangladesh Institute of Research and Rehabilitation in Diabetes, Endocrine and Metabolic Disorders (BIRDEM) from July 2007 to June 2009. The main objective of the study was to find out a more accurate sonographic measurement of splenic volume that well correlate with gold standard computed tomography (CT) volume. A total of 228 subjects were included in the study. All the subjects underwent ultrasound and CT examinations for measurement of splenic volume. 3 . Sonographic splenic volumes were calculated by using the prolate Ellipsoid method AVL (average length) and also expressed in cm 3 .The mean difference of splenic volume evaluated by CT and sonography was 7.43±5.39 cm 3 with standard deviation of 5.39 cm 3 measured from average length (AVL). The mean difference of splenic volume evaluated by two modalities measured by average length was statistically significant (p<0.05).A significant positive correlation was found between splenic volume evaluated by CT and ultrasonogram by using the Prolate Ellipsoid method AVL (r=0.9854, p<0.001).

Uterine arteriovenous malformation (AVM) is a rare condition with fewer than 100 cases reported in the literature1. Despite being rare, it is a life threatening condition. In most cases, it is diagnosed during a severe and acute hemorrhagic event. It has a diverse symptomatology. Clinical presentation varies from no symptom to various degree of menorrhagia with massive life threatening vaginal bleeding. Clinical suspicion is essential for a prompt diagnosis and treatment. This case report describes a 24year old woman who presented with recurrent episodes of severe vaginal bleeding for the last 3 years. Initial episode was after a curettege for incomplete abortion 3years back. Trans-abdominal and transvaginal Doppler ultrasound of the pelvis showed presence of numerous tortuous and engorged vessels throughout the myometrium and both adnexal regions. Bilateral uterine and ovarian artery ligation was performed with significant improvement of patient’s symptom.Bangladesh J Ob et Gynaecol, 2014; Vol. 29(1) : 49-53

Hepatocellular carcinoma (HCC) is a common tumor with an incidence of 1 -6 % among cirrhotic patients. Dysplastic nodule often occurs within regenerative cirrhotic nodules. They can show low or high grade dysplasia. MRI best differentiates this iso or hypo intense lesion from hyper intense HCC. The current study was designed to assess the usefulness of Triple-phase multiphasic multidetector computed tomography (MDCT) in evaluation of hepatic space occupying lesion in cirrhotic patients. This cross sectional study was carried out in the Radiology and Imaging department in collaboration with Hepatology and Hepatobiliary surgery department, of Bangabandhu Sheikh Mujib Medical University, Dhaka during July 2014 to June 2016. A total of 62 cirrhotic patients with hepatic space occupying lesion were included in this study. MDCT was done in all these patients and they were followed-up from the admission up to post operative tissue diagnosis of hepatic space occupying lesion in respective pathology departments to assess the histopathological correlation. Patients with suspected hepatic space occupying lesion diagnosed by clinical and ultrasonography and having high serum α-fetoprotein level were enrolled. The mean age was 50.0±13.6 years with ranged from 25 to 79 years. Male female ratio was 2.3:1. In MDCT, a total of 54 malignant cases were to be found, out of which 49(79.0%) patients had HCC, 4(6.5%) had metastases and 1(1.6%) had dysplastic nodule. In benign tumor group, 6(9.7%) patients had cirrrhotic nodule, 1(1.6%) had hepatic adenoma and 1(1.6%) had haemangioma. In histopahology, a total 53 malignant cases were found, out of them 48(77.5%) patients had HCC, 3(4.8%) had metastases and 2(3.2%) had dysplastic nodule. Triphasic MDCT in diagnosis of hepatic space occupying lesion in cirrhotic patients revealed a sensitivity of 98.1%, specificity of 77.8%, accuracy 95.2%, positive predictive values 96.3% and negative predictive values 87.5%. While the same diagnostic tool showed a sensitivity 95.8%, specificity 78.6%, accuracy 91.9%, positive predictive values 93.9% and negative predictive values 84.6% in identification of HCC. In evaluation of metastasis MDCT had a sensitivity of 100.0%, specificity 98.3%, accuracy 98.4%, positive predictive values 75.0% and negative predictive values 100.0%. In evaluation of dysplastic nodule MDCT had sensitivity 50.0%, specificity 100.0%, accuracy 98.4%, positive predictive values 100.0% and negative predictive values 98.4%. So, MDCT can be an ideal diagnostic tool for detecting as well as characterizing the hepaticspace occupying lesion (SOLs) in cirrhotic patients.