Sunday, July 31, 2011

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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www.sidshospital.com

 

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Dr. Keyur Bhatt- Best GI Surgeon

Dr. Keyur Bhatt - Best Gastro Surgeon

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

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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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www.sidshospital.com

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www.drkeyurbhatt.in/

www.sidshospital.com

 

Dr. Keyur Bhatt - Best Gastro Surgeon

Dr. Keyur Bhatt- Best GI Surgeon

Dr. Keyur Bhatt - Best Gastro Surgeon

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

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Tuesday, July 12, 2011

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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www.sidshospital.com

 

Dr. Keyur Bhatt - Best Gastro Surgeon

Dr. Keyur Bhatt- Best GI Surgeon

Dr. Keyur Bhatt - Best Gastro Surgeon

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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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www.sidshospital.com

 

Dr. Keyur Bhatt - Best Gastro Surgeon

Dr. Keyur Bhatt- Best GI Surgeon

Dr. Keyur Bhatt - Best Gastro Surgeon

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

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