Median spleen size below left costal margin
was 9 cm in our study.
On the fourth day of treatment, the patient's body temperature returned to normal values and the spleen edge was palpable 1 cm below the left costal margin
. A total of seven doses of liposomal amphotericin B were given to the patient.
In his first evaluation at our center at 4 years of age, clinical examination showed enlarged abdominal circumference, round liver 5 cm below the right costal margin
, spleen 3 cm below the left costal margin
, and growth deficit, weighing 15 kg (z score of -1) and measuring 96 cm (z score of -2.4) with a body mass index (BMI) of 16.5 (z score of 0.92).
In physical examination, spleen can be palpated below the costal margin
or splenic mass can be palpated (5, 6).
Adopting lifestyle measures like avoiding obesity particularly central/ abdominal (abdominal girth midway between lower costal margin
and upper iliac crest less than) 35 1/2 in males and less than 31 1/2 inches in females by taking diet consisting of at least five portions of vegetables/fruits (one portion is one cup of leafy vegetable, 1/2 cup of solid vegetables, a small fruit), whole grains, pulses/legumes (beans, lentils, peas) nuts, seeds (90% plant based) rich fibre both soluble and insoluble, low-fat dairy products, fatty fish, white meat-low saturated fats and red meat, and low salt and low sugar diet, avoiding processed-food/ junk food, trans fatty acids.
In general, about 75%-80% of the greater curvature is excised, leaving a narrow stomach tube, also known as "banana." The key phases of the procedures are (1) access or port placement: peritoneal cavity was entered using a 5 mm Optiview trocar in the midclavicular line below the left costal margin
. This was done under direct vision using the optical trocar.
Based on the distribution of the T9-T12 branches, the lateral approach performed at the midaxillary line between the costal margin
and iliac crest could provide mainly periumbilical and infraumbilical analgesia, while the posterior approach performed posterior to the midaxillary line has the potential to provide some degree of lateral abdominal wall analgesia .
Abdominal examination revealed an abdominal mass on the left side measuring ~10 cm below the costal margin
that moved inferiorly on inspiration.
Abdominal examination revealed hepato-splenomegaly with liver and spleen edge palpable 6 and 3 cm below costal margin
VFW brown, base to proximal line of the post-discal band lighter, with a sub-basal lighter curved line and 3 spotted lines from costal margin
to the anal margin, area between the 2 lines with smooth ripple pattern; submarginal region, distal of the post-discal band, darker proximally, mixed with ochre centrally and bluish with ripple pattern marginally, and with 3 small creamy spots in [R.sub.5]-[M.sub.1], [M.sub.1]-[M.sub.2], and [M.sub.2]-[M.sub.3] in the central area.
On physical examination, she had jaundice in the sclera and the spleen was palpable about 3 cm below the costal margin
. Family history was negative for consanguinity in parents.
Liver was palpable one finger below the costal margin
tender having soft consistency.
Coloration: Head black, white spotted with tufts of white scales, eyes brownish black, antennae and proboscis black, maxillary palpi covered with black and white large scales; thorax black with white spots, forewings, ground color tawny, upperside brighter than underside, half of the apical part black with white bands, veins marked with broad black bands, costal margin
, apex and terminal margin black with semicircular white spots, hind wings, ground color tawny, upperside brighter than underside, veins marked with broad black bands, apex and terminal margin black with two rows of semicircular white spots; abdomen yellowish.
Four locations were tested during these mapping tests, and the first three locations used electrodes in a straight line with equal separation between electrodes: (1) along the midaxillary line, a line that is parallel and approximately 10 cm ventral to the vertebra; the four bilateral electrodes were placed from the seventh rib interspace to the third lumbar area (Figure 1); (2) along a line 4 cm dorsal to the midaxillary line; (3) along the rostral edge of costal margin
that separates the ribs from the abdomen, the line included three electrodes along the margin and the fourth dorsal to the margin; (4) a box arrangement was used with two electrodes ventral and two electrodes dorsal and placement of these electrodes was in the midlateral abdominal area.
A 10-mm camera port was placed to the right of the umbilicus; 2 additional 5-mm ports were placed at the right hypogastric area and another 10-mm port was placed just below the costal margin
at the right hemiclavicular line.