Subject(s)
Child, Preschool , Eye Diseases/pathology , Female , Humans , Hyperplasia , Vitreous Body/pathologyABSTRACT
A 26-year-old, 30 weeks primigravida presented with a gastric fistula through a left intercostal drain, which was inserted for drainage of suspected haemopneumothorax following minor trauma. It was confirmed to be a diaphragmatic hernia, with stomach and omentum as its contents. On exploratory laparotomy, disconnection of the tube and fistulous tract, with reduction of herniated contents and primary suturing of stomach was carried out. Diaphragmatic reconstruction with polypropylene mesh was also carried out. Post-operative recovery was uneventful with full lung expansion by 3rd postoperative day. Patient was asymptomatic at follow-up 6 months.
Subject(s)
Adult , Diagnostic Errors , Drainage/adverse effects , Female , Gastric Fistula/etiology , Hernia, Diaphragmatic, Traumatic/etiology , Humans , Iatrogenic Disease , Pregnancy , Surgical MeshABSTRACT
Foramen of Morgagni hernias require surgical treatment; laparoscopic repair is another option with lower morbidity. We describe a 35-year-old man with Morgagni hernia treated successfully by laparoscopy.
Subject(s)
Adult , Hernia, Diaphragmatic/diagnosis , Humans , Laparoscopy/methods , MaleABSTRACT
Successful laparoscopic cholecystectomy has been reported in patients with cirrhosis of liver with portal hypertension; the procedure has, however, not been reported in patients with portal vein thrombosis, portal cavernoma and portal hypertension. We report an 18-year-old man with portal hypertension due to portal vein thrombosis and portal cavernoma who had symptomatic gallstone disease and was successfully treated with laparoscopic cholecystectomy.
Subject(s)
Adolescent , Budd-Chiari Syndrome/complications , Cholecystectomy, Laparoscopic/methods , Follow-Up Studies , Hemangioma, Cavernous/complications , Humans , Hypertension, Portal/complications , Male , Portal Vein , Tomography, X-Ray Computed , Treatment OutcomeABSTRACT
True aneurysm of the splenic artery is rare. Two cases of ruptured true splenic artery aneurysms are presented. The first patient was a 62-year-old female who presented within 6 hours of the onset of symptoms. The other was a 27-year-old non-alcoholic male patient who was admitted in a state of shock after 2 days of observation in a peripheral hospital. Both patients had haemoperitoneum and were subjected to exploratory laparotomy. Aneurysmectomy was performed in both the patients in addition to left splenopancreatectomy in the first case and splenectomy in the second. However, due to the prolonged preoperative shock, the second patient succumbed on the third postoperative day.
Subject(s)
Abdomen, Acute/diagnosis , Adult , Aneurysm/complications , Aneurysm, Ruptured/complications , Emergency Treatment/methods , Female , Follow-Up Studies , Hemoperitoneum/diagnosis , Humans , Laparotomy , Male , Middle Aged , Splenic ArteryABSTRACT
We describe the laparoscopic excision of a hydatid cyst in the liver. During the procedure, done after treatment with the scolicidal agents praziquantel and albendazole, care was taken to prevent spillage of scolices during evacuation of contents and to excise the entire germinal epithelium. The patient had no immediate or short-term complications and is asymptomatic 3 months later.
Subject(s)
Adult , Albendazole/administration & dosage , Anthelmintics/administration & dosage , Combined Modality Therapy , Echinococcosis, Hepatic/drug therapy , Female , Humans , Laparoscopy , Praziquantel/administration & dosageABSTRACT
Synchronous cancer of the small and large bowel is rare. We report a 45-year-old woman with synchronous primary cancer of the jejunum and descending colon who presented with intestinal obstruction.
Subject(s)
Adenocarcinoma/diagnosis , Colonic Neoplasms/diagnosis , Diagnosis, Differential , Female , Humans , Jejunal Neoplasms/diagnosis , Middle Aged , Neoplasms, Multiple Primary/diagnosisABSTRACT
A 25 year old man male presented with a lump in the left side of the abdomen. Ultrasonography revealed an echogenic retroperitoneal mass with hyperechoic areas within it suggestive of bone. CT scan confirmed the presence of a large retroperitoneal mass with bone within it. On exploration there was a large encapsulated retroperitoneal lump. There was a soft tissue mass within the lump surrounded by a yellow pultaceous material admixed with pus. Examination of the specimen showed a bone at the cephalic end with teeth embedded within it. There were two limb buds near the cephalic end. The whole specimen was covered with skin with all its appendages. There was coelomic cavity present. The distinction between fetus in fetus and teratoma has for long been the subject of controversy. According to the criteria described by Willis, there should be a vertebral axis present to make the diagnosis of fetus in fetu. But there have been a few reports where cases have been described as fetus in fetu even in the absence of a vertebral axis. A review of the literature concerning this controversy is briefly given.
Subject(s)
Adult , Diagnosis, Differential , Fetus/abnormalities , Humans , Male , Retroperitoneal Neoplasms/pathology , Teratoma/pathologyABSTRACT
INTRODUCTION: Intestinal fistulae are a daunting clinical problem. AIM: To evaluate the influence of various severity factors on morbidity and mortality in patients with intestinal fistulae. METHOD: In 29 patients with intestinal fistulae, eight severity factors, viz., age, associated bowel disease, anemia, hypoalbuminemia, high-output fistula, category IV fistula, excoriation of skin surrounding the stoma, and sepsis, were analyzed prospectively to assess their effect on healing of fistulae and mortality. Chi-squared test with Yates' correction was used. RESULTS: Age, presence of associated bowel disease, and hemoglobin levels had no significant effect on healing or mortality. Hypoalbuminemia, category IV fistulae, presence of local skin excoriation, and sepsis significantly delayed healing (p < 0.05). High-output fistula, category IV fistula, local skin excoriation, and sepsis were significantly associated with high mortality (p < 0.05). CONCLUSION: Identification of these prognostic factors in intestinal fistulae may guide the need for more intensive care or intervention.