Wednesday, June 15, 2011

CASE: Infected liver cyst^-www.drkeyurbhatt.in*

55 yrs female with pain in abdomen
for 2 yrs..h/o aspiration from liver cyst in last 1 yr for 8 times

presented with severe pain in abdomen and fever with chills, nauesa vomiting,.

CECT: S/O infected huge simple cyst in liver


SURGERY: De roofing of cyst and drainage..


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CASE: Chronic alcoholic pancreatitis with huge sigmoid shaped pseudocyst of pancreas -- cysto gastrostomy^-www.drkeyurbhatt.in*

44 yrs male, chronic alcoholic pancreaitis..with huge pseudocyst of pancreas..

Initially considered for endoscopic management...but considering vascular colaterals and size of cyst...and discussion with GE physician taken up for cysto gastrostomy...




CECT:

SURGERY:

Pt discharged on POD 4.


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CASE: Necrotizing pancreatitis-- lap assisted R/P approach NECROSECTOMY^-www.drkeyurbhatt.in*

55 yrs male with episodes of pancreatitis with last episode being necrotizing pancreatitis
treated conservatively initially..
later developed sepsis and infected necrosis...
Treated with : lap assisted retroperitoneal approach necrosectomy
ICU stay : 2 day
Discharged on POD 6. With one drain insitu.
CECT:



SURGERY:



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Dr. Keyur Bhatt - Best Gastro Surgeon

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Thursday, June 2, 2011

CASE: Internal hernia with gangrene of bowel^-www.drkeyurbhatt.in*

24 yrs male with sever abdominal pain for 2 days
nausea , vomiting, distension

Xray s/o multiple air fluid levels.


USG: s/o mesenteric twist p/o internal hernia and edematous dilated bowels.

SURGERY: exploratory laparotomy and resection of terminal ileum and ileo ascending anastomosis
pt discharged on POD 7.

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Wednesday, June 1, 2011

CASE: Distal pancreatectomy with splenectomy^-www.drkeyurbhatt.in*

24 yrs female with blunt trauma abdomen
and headinjury
2 days old presentation with severe abdominal pain and distension, respiratory distress and hypotension

CECT: S/O pancreatic fracture near tail


surgery: exploration after 36 hrs of trauma...so changes of pancreatitis was evident..

 Distal pancreatectomy and splenectomy.





pt on oral diet POD 5 , on the line of discharge...

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