ABSTRACT
Nodular fasciitis is a rare benign soft tissue tumor. The similarity in the cytological appearance of nodular fasciitis to that of pleomorphic adenoma makes it diffi cult to diagnose preoperatively that adds to its peculiarity. We report here a case of a middle-aged female with swelling in the neck that was diagnosed as pleomorphic adenoma on cytology. Surgical excision of the swelling was done and histopathological examination revealed it to be nodular fasciitis. This case is presented to highlight the challenge of correctly diagnosing nodular fasciitis.
ABSTRACT
Duodenal trauma presents both diagnostic as well as management dilemma. In majority of duodenal trauma cases, primary duodenal repair is sufficient. But in complex duodenal injuries, adjuvant procedures to protect suture line may prove to be helpful. Herein, we share our experience of managing 4 cases of blunt duodenal injuries who presented in emergency at the hospital from 2008 to 2011. All 4 cases had followed road traffic accidents. Their intra-operative findings, operative procedures, complications, and recovery time were recorded and described
ABSTRACT
Both intestinal tuberculosis and celiac disease can cause malnutrition and failure to thrive. High index of suspicion is required to diagnose intestinal tuberculosis in a known case of celiac disease as both conditions present with similar complaints. We report a case of celiac disease with intestinal tuberculosis and perforation peritonitis.
ABSTRACT
BACKGROUND: Immediate outcomes after pancreatic necrosectomy have improved in recent years. This study reviews our short-term to medium-term experience of structural and functional changes in the pancreas after necrosectomy. METHODS: Ten patients (8 males, median age 35 years), discharged after pancreatic necrosectomy for acute necrotizing pancreatitis between 1996 and 1998 were reviewed after a median period of 22 months. Clinical evidence of pancreatic dysfunction was documented at follow-up interview. Patients underwent computed tomography of the abdomen, endoscopic retrograde pancreatography, oral glucose tolerance test, fecal fat estimation and fasting serum C-peptide estimation (CPE). RESULTS: No patient had repeat episodes of pancreatitis during the follow-up period. Three patients developed de-novo diabetes after discharge. No patient had symptoms of steatorrhea. Five patients showed severe changes on CECT. ERCP showed marked changes in six patients, the commonest being an abrupt cut-off of the main pancreatic duct. Glucose tolerance was abnormal in three patients and impaired in two patients while fecal fat excretion was abnormal in 8 patients. CONCLUSIONS: Severe acute pancreatitis and necrosectomy are associated with significant structural and functional changes on medium-term follow-up.