Saturday, December 31, 2011

CASE: Trans gastric necrosectomy for WOPN

Young male with post alcoholic necrotizing pancreatitis...with persistent vomiting and wt loss, fever, discomfort..

CECT: S/O Engulfing necrosis in antropyloric region of stomach and in head of pancreas..creating gastric outlet obstruction., with another simple psuedocyst in body tail region of pancreas..

SURGERY: Trans gastric necrosectomy and external drainage of tail pseudocyst











Pt was discharged on POD 6 with normal diet..


CASE: chronic Alcoholic pancreatitis - LPJ

Middle aged male with chronic alcoholic pancreatitis with pseudocyst in head of pancreas..and multiple calcifications and stones..

surgery: LPJ


CASE: Obstructive jaundice due to impacted claculi in lower end of long cystic duct - inserting behind duodenum

middle aged male with SOJ
CECT/MRCP :; S/O long cystic duct with low insertion in CBD almost near pancreas and impacted calculi in lower end with compression over CBD.

Surgery: open cholecystectomy






case : multiple jejunal intussecptions - lap assistdd resection

Young female with Known case of pseustes jeghers syndrome
presented with severe abdominal pain and nausea/vomiting..

Investigation s/o multiple intussecptions and one loop of intestine gangrenous...

surgery: lap assisted reduction and polypectomy with enterotomy and resection anastomosis..









CASE: Malrotation with DJ obstruction - release of Ladd band and Duodeno jejunostomy

middle aged male with persistat vomiting

CECT : S/o malrotation with D3/4 obstruction





SURGERY: release of Ladd band and Duodeno jejunostomy




Pt discharged with normal diet on POD 7.

Case : ca rectum with 3liver mets - LAR & resection of mets with segmentectomty

Middle aged male with ca rectum and multiple (3) liver mets
upper rectal growth.. 3 cycles of chemotherapy given..
taken up for surgery:

surgery:







LAR With metastectomy and segmentectomy of liver segment 5.
discharged on POD 7 . no need for trasfusion.


CASE: CA GB - RADICAL CHOLECYSTECTOMY

60 yrs male with GB MASS in fundus, 120 kg wt

Surgery: Radical cholecystectomy with liver resection of adjacent segments..
No blood transfused and pt discharged on POD 6.

CECT:



SURGERY:







case: sigmoid diverticular perforation

old age male with perforated sigmoid diverticula
surgery: excision of sigmoid colon and exteriorization and lavage..