Sunday, July 31, 2011

CASE: NECROTIZING PANCREATITIS RADIOLOGICAL Drainage followed by MRPN in second month of illness^-www.drkeyurbhatt.in*

32 yrs male alcoholic
with respiratory distress, constipation,  pain , fever, vomiting in third week of NECROTIZING PANCREATITIS...

treated with minimal invasive approach...(as a first stage) with  RADIOLOGICAL Drainage of pus in lesser sac.
stabilizing him for few more weeks and than planned for necrosectomy after 6 weeks of illness.
discharged after 8 days of conservative treatment (OPN WIH ABSCESS IN THIRD WEEK) with drain now in situ...
pt on Normal diet, no fever, and soft abdomen...and residual necrosis in situ..(planned surgery after 2-3 weeks)




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CASE: MINIMAL INVASIVE (Lap assisted) PANCREATIC NECROSAECTOMY^-www.drkeyurbhatt.in*

Middle aged male with pain in necrotizing pancreatitis and 3rd week of illness
kept conservatively for one more week
CECT:




taken up for necrosectomy on day 28 of illness
SURGERY: Lap assisted retroperitoneal  pancreatic necrosectomy



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CASE: Tropical pancreatitis (Retrovirus positive) - LPJ^-www.drkeyurbhatt.in*

28 Yrs female with Retro virus positive for last 3 yrs..
with significant pain in abdomen for 2-3 yrs ..diagnosed as Chronic calcific pancreatitis

CECT:




SURGERY: LPJ




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CASE : LOWER CBD STRICTURE With stone & cholangitis^-www.drkeyurbhatt.in*

55 yr male with sepsis, Pyogenic cholangitis .
Ostructing stone and lower cbd sticture.
STATUS : ERCP Failed.


SURGERY: Open CBD exploration & choledecho jejunostomy.


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Monday, July 18, 2011

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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