Thursday, November 1, 2012

Case: mal rotation with small bowel volvulous^-www.drkeyurbhatt.in*

17 yr child with bilious vomiting and recurrent pain in abdomen
on investigation found to have  small bowel volvulous with mal rotation

Surgery: lap assisted derotation of bowel and release of lap band and appendectomy

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

                                   Dr Keyur Bhatt- Best GI Surgeon     

 

 

Sunday, September 23, 2012

CASE: Liver laceration with tare - Emergency left hepatectomy^-www.drkeyurbhatt.in*

young female with 6 weeks amenorrhoea and h/o fall from 3rd floor height
and hemoperitoneum
CECT: S/O LIVER left lobe with seg 8 extension hematoma and laceration with moderate free fluid in abdomen
however pt remained hemodynamically stable for 2 days, Hb remained stable around 10 after initial transfusion of two PCV.

Developed distension, fever, sepsis on day 3
repeat CT S/o gross free fluid with increased non enhancing liver paranchyma (on aspiration found to have blood and bile mixed peritonitis)

taken up for surgery and EMERGENCY LEFT HEPATECTOMY with ligation of left hepatic ducts was done (confirmed with intra op cholangiography) along with MTP.
post op pat had minor biliary lieak from paranchyma draining 20 mlbile/day..and was discharged with drain on normal diet on POD 11.




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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: Chronic pancreatitis with obstructive jaundice - LPJ With CDD^-www.drkeyurbhatt.in*

36 male with h/o  chronic alcohol intake
having chronic pancreatitis initially type A pain but now having type B
no endocrine or exocrine insufficiency
h/o jaundice for last 10 days

on CECT: found to have chronic calcific alcoholic pancreatitis with lower CBD long stricture and dilated proximal CBD AND IHBRD.

CA: 19.9 : NORMAL

surgery: LPJ With CDD. patient discharged on  POD 6. With normal diet.




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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 : Acute bowel gangrene of proximal jejunum^-www.drkeyurbhatt.in*

65 yrs male with pain in abdomen for 2 days sever, with sepsis, ARF, 
On evaluation with CT : found to have jejunal gangrene starting from DJ flexure to early ileal loops

surgery: Resection and primary anastomosis at DJ Flexure after mobilizing duodenum 4th part
patient diascharged on day 10 after surgery 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     

 

 


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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You Tube : Dr Keyur Bhatt

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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