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Peritoneal Tuberculosis Leading to Acute Intestinal Obstruction due to Adhesions

Posted in GI Surgery

2 mn read Case History A 22 year old female presented with complaints of abdominal pain, abdominal distension, nausea, vomiting and anorexia. On examination the abdomen was distended with diffuse tenderness. But there was no guarding, rigidity or rebound tenderness. Abdomino-pelvic CT scan was suggestive of Intestinal obstruction and Abdominal Tuberculosis. It revealed  distended bowel loops, large amounts of […]

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Dr Sandeep Dr Sandeep
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GI Surgery
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2 mn read
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Case of Umbilical Granuloma: Diagnosis and Management

Posted in Surgery

2 mn read Following is the case presentation of Umbilical Granuloma: Case History A 2 year old male child presented with this moist and pink tissue popping out of the umbilicus.  Patient complained of  minimal amounts of drainage and irritation of the surrounding skin. This swelling started appearing from 3rd month. It was initially small but started growing in […]

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A rare case of Progressive Facial Hemiatrophy (Parry-Romberg syndrome)

< 1 mn read This is a patient of Parry-Romberg syndrome, also known as progressive facial hemiatrophy. It usually starts in childhood and gets worse with time, and it seems to be more common in girls. It is characterized by slow and progressive hemifacial atrophy of skin, subcutaneous tissue, muscle, and bone. Congenital mechanisms, disturbance of fat metabolism and […]

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Dr Sandeep Dr Sandeep
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Multiple Perforations in an Ileal segment managed with Segmental Ileal Resection and Hand Sewn End to End Anastomosis

2 mn read A 28 year old patient, a chronic alcoholic came with complaints of severe abdomen pain of 5 days duration and recurrent vomiting. An erect Xray of Abdomen showed Air under diaphragm. He gave a history of binge drinking 7 days back, which made us suspect a Gastric/ Duodenal Perforation. A separate history of fever or […]

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Dr Sandeep Dr Sandeep
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Pseudoainhum : A rare disease

2 mn read Pseudoainhum is a rare and poorly characterised phenomenon involving autoamputation of a digit associated with an identifiable or related disease process. Ainhum does not have any predisposing condition associated while pseudoainhum is associated with predisposing conditions like trauma, leprosy, scleroderma, and diabetes. Other diseases which can cause pseudoainhum include psoriasis, scleroderma, and Raynaud disease. The […]

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Dr Sandeep Dr Sandeep
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A case of Spina bifida occulta

Posted in Neurosurgery

< 1 mn read – Amongst neural tube defects, the disorders involving spine, vertebral column and nerve roots are included in spinal dysraphisms. They can be classified as Spina bifida aperta (open defects)  Spina bifida occulta (closed defects) – There is no specific treatment required for occult spina bifida if the abnormality is limited to the bone. – Usually […]

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Dr Sandeep Dr Sandeep
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Neurosurgery
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A case of Well Differentiated Adenocarcinoma Of Stomach In A Patient With ADPKD

Posted in GI Surgery

3 mn read Introduction Autosomal dominant polycystic kidney disease (ADPKD) is one of the most common hereditary renal disorders characterized by varied manifestations including renal cysts, extrarenal cysts, intracranial aneurysms and dolichoectasias, aortic root dilatation and aneurysms, mitral valve prolapse, and abdominal wall hernias Approximately one per 800-1000 population carries a mutation for this condition. There is established […]

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Dr Sandeep Dr Sandeep
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GI Surgery
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A Large Intramural Fibroid Uterus presenting as a Hypogastric mass

2 mn read Patient was a 40 year old nulliparous female coming from a remote village with h/o infertility, a long standing mass in lower abdomen, feeling of heaviness and on/off constipation. A smooth firm mass is seen and palpated extending from symphysis pubis to midway between umblicus and xiphisternum (equivalent to 32 weeks pregnancy). The mass was […]

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