CASE: Mesenteric cyst......Whats the diagnosis....please comment^-www.drkeyurbhatt.in*

32 yrs female with recurrent abdominal distension
PAST HISTORY: 7 yrs back aspirated 3 liter of ascitis....> Asymptomatic for 3 yrs --> again aspirated 2 liters of ascitis......--> again developing abdominal distension.

NO OTHER SYMPTOMS, NO H/O KOCH'S, Family complete. , no fever, no wt loss,

CECT:

FLUID EXAMINATION: amylase 1300mg/dl    Triglyceride : 3 mg /dl    ADA : normal.... TLC: < 150 With predominant lymphocytes...

Gross: straw colored transparent fluid....

SURGERY: Exploration & removal of rt ovarian cyst.

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Dr. Keyur Bhatt- Best GI Surgeon - Dr Keyur Bhatt - Best Gastro Surgeon

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CASE: Old age Huge Recurrent strangulated incisional hernia + HTN + IHD + Obesity^-www.drkeyurbhatt.in*

72 yrs female with Huge Recurrent strangulated incisional hernia + HTN + IHD + Obesity
came with acute onset vomiting , fever, distension, constipation, tachycardia
Past history: Lap chole and paraumbilical hernia repair 1.5 yrs back. (mesh plasty, lap)

CECT:

SURGERY:

anterior abdominal wall had total 11 defects all transmiting bowel

Discharged after 7 day.

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Dr. Keyur Bhatt - Best Gastro Surgeon

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Dr. Keyur Bhatt - Best Gastro Surgeon

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Dr. Keyur Bhatt- Best GI Surgeon - Dr Keyur Bhatt - Best Gastro Surgeon

                                   Dr Keyur Bhatt- Best GI Surgeon     

 

 

CASE: Mirizzi syndrome type 1/2 with gangrenous cholecystitis (retro virus positive)^-www.drkeyurbhatt.in*

42 yr male and RV positive for 2 yrs on HAART
Developed sever pain in RHC and diagnosed as acute gangrenous cholecystitis

MRCP :   Phrygian Cap with Mirizzi type 2.

SURGERY: Open cholecystectomy and choledochoplasty:

pt discharged afte 6 days of surgery

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Dr. Keyur Bhatt - Best Gastro Surgeon

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Dr. Keyur Bhatt - Best Gastro Surgeon

Dr. Keyur Bhatt- Best GI Surgeon - Dr Keyur Bhatt - Best Gastro Surgeon

Dr. Keyur Bhatt- Best GI Surgeon - Dr Keyur Bhatt - Best Gastro Surgeon

                                   Dr Keyur Bhatt- Best GI Surgeon     

 

 

CASE: MINIMAL INVASIVE PANCREATIC NECROSAECTOMY^-www.drkeyurbhatt.in*

28 yrs male with severe nerotizing pancreatitis
with sepsis.  on 28 days of illness

CECT:

SURGERY:
 Lap assisted minimal invasive pancreatic necrosectomy:

pt discharged on POD 7 with drain in situ..

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Dr. Keyur Bhatt - Best Gastro Surgeon

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Dr. Keyur Bhatt - Best Gastro Surgeon

Dr. Keyur Bhatt- Best GI Surgeon - Dr Keyur Bhatt - Best Gastro Surgeon

Dr. Keyur Bhatt- Best GI Surgeon - Dr Keyur Bhatt - Best Gastro Surgeon

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CASE: LAPAROSCOPIC TRANS PERITONEAL NECROSECTOMY^-www.drkeyurbhatt.in*

Middle aged male with acute necrotizing pancreatitis  (Alcoholic). with persistent fever and nausea.
26 kg of wt loss. and on and off abdominal pain. 2 months following acute attack of necrotizing pancreatitis.

CECT:

SURGERY: TOTAL Laparoscopic Trans peritoneal necrosectomy, lavage and drainage.

opening of lesser sac

stomach lifted and lesser sac entered at the area of necrosis

removal of necrosis

placement of drain

post op

dirty necrotic material

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Dr. Keyur Bhatt- Best GI Surgeon - Dr Keyur Bhatt - Best Gastro Surgeon

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