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Borse, Hemantkumar
- Evisceration of Small Intestine through Thigh Due to Bull Gore Injury - A Rare Case
Abstract Views :182 |
PDF Views:82
Authors
Affiliations
1 Department of General Surgery, Dr. Vasantrao Pawar Medical College Hospital & RC, Nashik - 422003, IN
1 Department of General Surgery, Dr. Vasantrao Pawar Medical College Hospital & RC, Nashik - 422003, IN
Source
MVP Journal of Medical Sciences, Vol 5, No 1 (2018), Pagination: 118-120Abstract
Bull horn injuries are common injuries in the rural population 1. These types are injuries are seen in farmers who take care of the cattles. Generally the injuries are seen in the perineal area and lower abdomen 2. I am reporting a rare case where there was penetrating injury in the right thigh extending into the peritoneal cavity with evisceration of small intestine though the thigh.Keywords
Bull Gore Injury, Evisceration of Small Intestine through the Thigh.References
- Shukla HS, Mittal DK, Naithani YP. Bull horn injury- A clinical study. Injury, the British Journal of Accident Surgery. 1977; 9(2):164–7. https://doi.org/10.1016/0020138328772990013-4.
- Senthilkumar S, Madan M, Mahesh MS. Bull Gore injuryIts impact and surgical management. International Journal of Biomedical and Advance Research. 2014; 5(6):279–80.
- Sekhon MS, Khatri HL, Grewal SS, Marya SKS. Bull horn injury. Indian J Surgery. 1983; 486–8.
- Pal DK, Bora V, Bisoi SC, Dwivadi US. Urethrorectal fistula by Bull horn injury. J Indian Med Assoc. 2002; 100(1):47. PMid:12206345.
- Chambers O, Girand C, Gouffrant JM, Debry C. A detailed examination of injuries to the head and neck caused by bull fighting, and of their surgical treatment; the role of the cervico-facial surgeon. Rev Laryngol Otol Rhinol. 2003; 124(4):221–8.
- Dogan KH, Demirci S, Erkol Z, Sunam GS, Kucukkartallar TJ. Injuries and deaths occurring as a result of bull attack. Agromedicine. 2008; 13(3):191–6. https://doi.org/10.1080/10599240802405975 PMid:19064423.
- Rau JBV. Bull gore injuries in rural areas. Indian J Surgery. 1982; 664–71.
- Shashirekha CA, Krishnaprasad K. Evisceration of small intestine through the femoral tringle following exsaguinating bull gore injury. Euroasian J Hepato-Gastroenteral. 2012; 2(1):54–5. https://doi.org/10.5005/jp-journals-10018-1033.
- Pilomatrixoma of the Thigh - A Case Report
Abstract Views :167 |
PDF Views:70
Authors
Affiliations
1 Department of General Surgery, Dr. Vasantrao Pawar Medical College Hospital & RC, Nashik - 422003, IN
1 Department of General Surgery, Dr. Vasantrao Pawar Medical College Hospital & RC, Nashik - 422003, IN
Source
MVP Journal of Medical Sciences, Vol 5, No 1 (2018), Pagination: 121-124Abstract
Pilomatrixoma is a benign skin tumor derived from hair follicle matrix cells. They typically present as a superficial, firm, solitary, slow-growing, painless mass in the dermis. Pilomatricomas are frequently misdiagnosed and are not usually considered in differential diagnoses, either in clinical set-up or during cytological reporting. These lesions are typically found in the head and neck region. Involvement of the lower extremities is relatively uncommon and can be mistaken for malignancy. We present the case of a 55-year-old male with a pilomatrixoma of thigh which is a rare site of occurrence of the lesion and we review the literature regarding pilomatrixomas.Keywords
Hemorrhagic Stroke, Ischemic Stroke, Risk Factors, Socioeconomic Status.References
- Rapini RP, Bolognia JL, Jorizzo JL. Dermatology. St. Louis: Mosby; 2007.
- James WD, Berger TG, et al. Andrews’ diseases of the skin: Clinical dermatology. Saunders Elsevier; 2006.
- Schweitzer WJ, Goldin HM, Bronson DM, Brody PE. Solitary hard nodule on the forearm. Pilomatricoma Arch Dermatol. 1989 Jun; 125(6):828–9. https://doi.org/10.1001/archderm.125.6.828 PMid:2730106
- Kumaran N, Azmy A, Carachi R, Raine PA, Macfarlane JH, Howatson AG. Pilomatrixoma- accuracy of clinical diagnosis. J Pediatr Surg. 2006 Oct; 41(10):1755–8. https://doi.org/10.1016/j.jpedsurg.2006.05.005 PMid:17011283
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- Pirouzmanesh A, Reinisch JF, Gonzalez-Gomez I, Smith EM, Meara JGP Pilomatrixoma: A review of 346 cases. Plast Reconstr Surg. 2003 Dec; 112(7):1784–9 https://doi.org/10.1097/01.PRS.0000091160.54278.64 PMid:14663221
- Graham JL, Merwin CF. The tent sign of pilomatricoma. Cutis. 1978 Nov; 22(5):577–80. PMid:729402
- Agarwal RP, Handler SD, Matthews MR, Carpentieri D. Pilomatrixoma of the head and neck in children. Otolaryngol Head Neck Surg. 2001 Nov; 125(5):510–5. https://doi.org/10.1067/mhn.2001.117371
- Graells J, Servitje O, Badell A, Notario J, Peyri J. Multiple familial pilomatricomas associated with myotonic dystrophy. Int J Dermatol. 1996 Oct; 35(10):732–3. https://doi.org/10.1111/j.13654362.1996.tb00651.x PMid:8891827
- James WD, Berger TG, Elston D. Andrews’ diseases of the skin: Clinical dermatology. Saunders Elsevier; 2015. p. 666.
- Hassanein AM, Glanz SM, Kessler HP, Eskin TA, Liu C. Beta-catenin is expressed aberrantly in tumors expressing shadow cells. Pilomatricoma, craniopharyngioma, and calcifying odontogenic cyst. Am J Clin Pathol. 2003; 120(5):732–6. https://doi.org/10.1309/EALEG7LD6W7167PX PMid:14608900
- Farrier S, Morgan M. BCL-2 expression in pilomatricoma. Am J Dermatopathol. 1997 Jun; 19(3):254–7. https://doi.org/10.1097/00000372-199706000-00009 PMid:9185911
- Thomas RW, Perkins JA, Ruegemer JL, Munaretto JA. Surgical excision of pilomatrixoma of the head and neck: A retrospective review of 26 cases. Ear Nose Throat J. 1999 Aug; 78(8):541, 544–6, 548. PMid:10485145
- Agarwal RP, Handler SD, Matthews MR, Carpentieri D. Pilomatrixoma of the head and neck in children. Otolaryngol Head Neck Surg. 2001 Nov; 125(5):510–5. https://doi.org/10.1067/mhn.2001.117371
- Clinico-Pathological Study of Cervical Lymphadenopathy in a Tertiary Care Centre
Abstract Views :342 |
PDF Views:136
Authors
Affiliations
1 Department of Surgery, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Adgaon - 422003, Nashik, Maharashtra, IN
1 Department of Surgery, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Adgaon - 422003, Nashik, Maharashtra, IN
Source
MVP Journal of Medical Sciences, Vol 6, No 1 (2019), Pagination: 22-27Abstract
Introduction: Cervical lymphadenopathy is common in India and may present as diagnostic problem to the clinician. Diseases affecting cervical lymph nodes are of varying severity starting from simple curable infection to difficult incurable malignant disease. Objective: The purpose of this study was to observe the various clinical presentations of cervical lymphadenopathy and correlate histopathological findings with the clinical diagnosis. Methods: A cross sectional study was conducted during the period from August 2015 to December 2017 at a tertiary care centre on 50 patients presenting with cervical lymphadenopathy. Results: In this series, tissue diagnosis by biopsy found Tuberculosis (TB) 74% cases, metastatic carcinoma in 12%, and non-specific reactive hyperplasia in 10% and lymphoma in 4% cases. Seventy six percent cases were below 40 years of age. Conclusion: Thirty-Seven (74%) cases were diagnosed clinically as tubercular lymphadenitis, 05(10%) as metastatic carcinoma, 06(12%) non-specific reactive hyperplasia and 02(4%) cases were of lymphoma which was nearly similar to histopathological diagnosis.Keywords
Biopsy, Cervical Lymphadenopathy, Fine Needle Aspiration Cytology (FNAC), Non-Specific Reactive Hyperplasia, Tubercular Lymphadenitis.References
- Gosche JR, Vick L. Acute, subacute, and Chronic Cervical Lymphadenitis in children, Semin. Pediatr. Surg. 2006; 15:99-106. https://doi.org/10.1053/j.sempedsurg. 2006.02.007. PMid: 16616313.
- Bradbury AW. «Lymphedema» in Bailey and Love’s Short Practice of Surgery, 24th Edition Arnold, 2004; 974p.
- Bhatt JV, Shah JM, Shah F. Clinico-pathological profile of cervical lymphadenopathy: A prospective study, J. Appl. Basic. Med. Sci. 2002; 2(2):35-39 http://www.nhlmmcgym.com/clinico- pathological-profile-cervical.htm.
- Fijten GH, Blijham GH. Unexplained lymphadenopathy in family practice. An evaluation of the probability of malignant causes and the effectiveness of physicians’ workup, J. Fam. Pract. 1988; 27:373-76.
- Buli G, Lukas F. Cytologic patterns of lymph node diseases in Hawassa University Referral Hospital, Southern Ethiopia, Journal of Coastal Life Medicine. 2015; 3:395-97. https://doi.org/10.12980/JCLM.3.2015JCLM-2015-0024.
- Shaikh SM, Balochi I, Bhatti Y, Shah AA, Shaikh GS, Deenari RA. An audit of 200 cases of cervical lymphadenopathy, Med. Channel. 2010; 16(1):85-87.
- Mukherjee AK. Tuberculosis control programme in India: Progress and prospects, Indian J. Tuberc. 1995; 42:75-85.
- Hooper AA. Tuberculous peripheral lymphadenitis, Br. J. Surg. 1972; 59:353-9. https://doi.org/10.1002/bjs.1800590506. PMid: 5021137.
- Parisi E, Glick M, Cervical lymphadenopathy in the dental patient: A review of clinical approach, Quintessence Int. 2005; 36(6):423-426.
- Shakya G, Malla S, Shakya KN, Shrestha R. A study of FNAC of cervical lymph nodes, J. Nepal Health Res. Counc. 2009; 7(14):1-5. https://doi.org/10.3126/jnhrc.v7i1.2267.
- Larsson LO, Bentzon MW, Berg K, Mellander L, Skoogh BE, Stranegård IL. Palpable lymph nodes of the neck in Swedish schoolchildren, Acta. Paediatrica. 1994; 83,1092-94. https://doi.org/10.1111/j.1651-2227.1994.tb12992.x. PMid:7841711.
- Andrew Coughlin, Shraddha S Mukerji. Pediatric_Cervical_Lymphadenopathy. Grand Rounds Presentation, The University of Texas Medical Branch, Department of Otolaryngology, Sep 2019. https://www.researchgate.net/publication/267551437_Pediatric_ Cervical_Lymphadenopathy
- Cummings: Otolaryngology: Head and Neck Surgery, 4th ed.
- Narang RK, Pradhan S, Singh RP, Chaturvedi S. Place of fine needle aspiration cytology in the diagnosis of lymphadenopathy, Ind. J. Tub. 1990; 37:29-31.
- Khan RA, Wahab S, Chana RS, Naseem S, Siddique S. Children with significant cervical lymphadenopathy: Clinico- pathological analysis and role of fine-needle aspiration in Indian setup, J. Pediatr. 2008; 84(5):449-54. https://doi.org/10.2223/JPED.1840. PMid: 18923792.
- Khajuria R, Goswami KC, Singh K, Dubey VK. Pattern of lymphadenopathy on FNAC in Jammu, JK Science. 2006; 8(3):157-9.
- Biswas G, Das A, Haldar D, Mukherjee A, Dutta S, Sinha R. Clinico-pathological correlates of cervical lymphadenopathy: A hospital based study, Indian Journal of Otolaryngology and Head and Neck Surgery. 2013 Jul 1; 65(1):42-7. https://doi.org/10.1007/s12070-011-0443-z. PMid:24427614, PMCid:PMC3718945.
- Morland B. Lymphadenopathy, Arch. Dis. Child. 1995; 73:476-79. https://doi.org/10.1136/adc.73.5.476. PMid:8554372, PMCid:PMC1511364.
- Pangalis GA, Vassilakopoulos TP, Boussiotis VA, Fessas P. Clinical approach to lymphadenopathy, Semin. Oncol. 1993; 20:570-82.
- McHenry CR, Cooney MM, Slusarczyk SJ, Khiyami A, A Supraclavicular lymphadenopathy: The spectrum of pathology and evaluation by fine needle aspiration biopsy, Am. Surgery. 1999; 65:742-46.
- Choi P, Qin X, Chen EY, Inglis AF Jr, Ou HC, Perkins JA, Sie KC, Patterson K, Berry S, Manning SC. Poly- merase chain reaction for pathogen identification in persistent pediatric cervical lymphadenitis, Arch. Oto-laryngol Head Neck Surg. 2009; 135:243-48. https://doi.org/10.1001/archoto.2009.1. PMid:19289701.
- Vincet C, Cervical lymphadenopathy: What radiologists need to know, Cancer Imaging. 2004; (4):116-20. https://doi.org/10.1102/1470-7330.2004.0020. PMid: 18250018, PMCid: PMC1434593.
- Clinical Study of Acute Pancreatitis and its Management at a Tertiary Care Centre
Abstract Views :136 |
PDF Views:99
Authors
Affiliations
1 1Professor, Department of Surgery, Dr. Vasantrao Pawar Medical College Hospital and Research Centre, Nashik – 422003, IN
2 Former PG Resident, Department of Surgery, Dr. Vasantrao Pawar Medical College Hospital and Research Centre, Nashik – 422003,, IN
1 1Professor, Department of Surgery, Dr. Vasantrao Pawar Medical College Hospital and Research Centre, Nashik – 422003, IN
2 Former PG Resident, Department of Surgery, Dr. Vasantrao Pawar Medical College Hospital and Research Centre, Nashik – 422003,, IN
Source
MVP Journal of Medical Sciences, Vol 8, No 1 (2021), Pagination: 41-45Abstract
Introduction: Acute pancreatitis includes wide spectrum of disease, from one with mild self-limiting symptoms, to fulminant processes with multiorgan failure and high mortality. Most experience relatively minor episodes of disease characterized by mild parenchymal edema without distant organ dysfunction and uneventful recovery. Severe episodes, however, may involve a progression to extensive pancreatic necrosis, development of the systemic inflammatory response syndrome (SIRS), multiorgan failure, rapid clinical deterioration, and even death. Although the overall mortality rate for acute pancreatitis is 2–10%, this is related primarily to 10–30% of patients with severe disease characterized by pancreatic and peripancreatic necrosis. Aims and Objectives: To study the etiology and clinical profile of acute pancreatitis. Material and Methods: Data collection by meticulous history taking and clinical examination, appropriate laboratory and radiological investigations and follow-up of cases. Results: Study was conducted with 50 patients. The peak incidence of acute Pancreatitis was observed in 2nd to 4th decade. Mean age of the study subjects was 39.78 years with 55% of the cases between 21-40 years of age. The findings shows that pancreatitis occurs in relatively younger adults. Strong male predominance was seen among study subjects as there were 72% males and 28% females with male to female ratio as 2.57:1. Conclusion: Acute Pancreatitis is more common in 2nd to 4th decades. Acute Pancreatitis is more common in males. Pancreatitis was observed to be more common among young adults especially male with alcoholism induced pancreatitis being the commonest etiology followed by biliary etiology. Most of the patients were presented with pain in abdomen with ascites being the commonest complication. Majority of the cases can be managed successfully with conservative approach and the overall mortality is low, however cases with severe pancreatitis and associated organ failure tends to have higher mortality.Keywords
Alcoholism, Acute Pancreatitis, Young AdultsReferences
- Williams NS, Bulstrode CJK, O’Connell PR. The pancreas Chapter 64, Bailey and Love’s Short Practice of Surgery, 25th edn., Arnold H (editor), London; 2008. p.1130–53.
- Gallagher SF, Jaffray CE, et al. Acute pancreatitis, Chapter 87, Shackelford’s Surgery of the Alimentary Tract 6th edn., Yeo CJ (editor), Saunders Elsevier; 2007. p. 1296–309.
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- Prasad HL, et al. Clinical profile of patients with Acute pancreatitis. International Surgery Journal. 2016; 4(7):2994– 7. https://doi.org/10.18203/2320-6012.ijrms20161991
- Negi N, Mokta J, Sharma B, Sharma R, Jhobta A, Bodh V, et al. Clinical profile and outcome of acute pancreatitis: A hospital-based prospective observational study in Subhimalayan State. Journal of The Association of Physicians of India. 2018; 66:22.
- Kashid A, et al. Acute pancreatitis experience at Manipal Hospital, Bangalore, Appendix 1-A, in Management of Acute Pancreatitis, Bhansali SK and Shah SC, Jaslok Hospital; 2006. p. 173–5.
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