Sunday, September 23, 2012

CASE: CA GALL BLADDER^-www.drkeyurbhatt.in*

Middle aged female with with pain in abdomen in Rt flank
USG: S/o rt renal stag horn calculi, with mass in fundus of G.B.


CECT: s/o gundic mass in GB with RT renal Stag Horn calculi


surgery: Radical cholecystectomy with lymphadinectomy and Removal of Rt stag horn claculi and stenting.

pt discharged on day 10.

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

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CASE: Gastric GIST, excision with wedge of stomach^-www.drkeyurbhatt.in*

middle aged male with pain in epigastric region, increase in size of lump in last 10-15 days
on evaluation found to have huge mass arising near greater curvature of stomach with close proximity to pancreas, spleen, stomach

CECT S/o likely GIST of stomach



Endo Sono: s/o GIST arising from the fourth layer of greater curvature of stomach.

surgery: excision of in toto tumor with gastric sleeve. discharged on POD 5.



BX With IHC s/o Gastric GIST, high grade, pt is now on the oral targeted therapy (gleevec)

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www.sidshospital.com

You Tube : Dr Keyur Bhatt

www.gisurgerysurat.com/

www.drkeyurbhatt.in/

www.sidshospital.com

 

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 - Dr Keyur Bhatt - Best Gastro Surgeon

                                   Dr Keyur Bhatt- Best GI Surgeon     

 

 

CASE: APPENDICULAR PSEUDOMYXOMA^-www.drkeyurbhatt.in*

Young male with non specific pain in central and rt side of abdomen
P/A: soft no palpable mass, 
USG S/O : exophytic mass in abdomen of more than 10 x 8 cm.

CECT: S/o soft lump in RIF region surrounding appendix with calcification within
p/o  appendicular pseudomyxoma.


















Surgery: modified Sugabaker's procedure
( Extended Rt hemicolectomy, peritonectomy, cholecystectomy, omentectomy )


patient discharged on pod 6.

bx: s/o appendicular pseudomyxoma


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www.sidshospital.com

You Tube : Dr Keyur Bhatt

www.gisurgerysurat.com/

www.drkeyurbhatt.in/

www.sidshospital.com

 

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 - Dr Keyur Bhatt - Best Gastro Surgeon

                                   Dr Keyur Bhatt- Best GI Surgeon     

 







CASE: Mallignangt melanoma of Ano-Rectum - APR^-www.drkeyurbhatt.in*

65 yrs male presented with mass protruding from the anus and bleeding per rectum
on evaluation found to have Malignant melanoma of rectum / anal canal
CECT: Chest and abdomen: No e/o metastatic disease apart from local tumor.

surgery: APR

pt discharged in time
Bx: Malignant melanoma of rectum growth limited to rectum, and 5/11 nodes positive.

www.gisurgerysurat.com

www.sidshospital.com

You Tube : Dr Keyur Bhatt

www.gisurgerysurat.com/

www.drkeyurbhatt.in/

www.sidshospital.com

 

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 - Dr Keyur Bhatt - Best Gastro Surgeon

                                   Dr Keyur Bhatt- Best GI Surgeon     

 

 

CASE: CA HOP - Classical WPD^-www.drkeyurbhatt.in*

62 yrs female with SOJ, On evaluation found to have CA HOP with Dilated CBD And PD
After stenting re evaluated for resectablity

CECT: With doubtful plains near portal vein CA HOP.



SURGERY: Classical Whipple's pancreatico duodenectomy



pt was discharged on day 6 post op with normal diet.

www.gisurgerysurat.com

www.sidshospital.com

You Tube : Dr Keyur Bhatt

www.gisurgerysurat.com/

www.drkeyurbhatt.in/

www.sidshospital.com

 

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 - Dr Keyur Bhatt - Best Gastro Surgeon

                                   Dr Keyur Bhatt- Best GI Surgeon