Wednesday, September 5, 2012

CASE: CA SIGMOID With LGI bleed^-www.drkeyurbhatt.in*

elderly (86 yrs) female with LGI Bleed for last one year
on evaluation found to have CA SIGMOID.

PLANNED FOR ANTERIOR RESECTION AND primary anastomosis..

successfully discharged with normal diet on day 7.
 BX. : S/O adenocarcinoma with all nodes negative and T3 lesion.. all margins free


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CASE: CA COLON With adjacent liver infiltration^-www.drkeyurbhatt.in*

middle aged male with constipation and anemia, CABG was done six months ago
evaluated and worked up ..found to have CA hepatic flexure with adjacent liver infiltration

CECT:



SURGERY: Extended rt hemicolectomy and in toto segment 6 resection of liver

all margins clear..adeno ca with free liver margin.... 6/12 lymph nodes positive..

pt schedule for chemotherapy

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CASE: Corossive esophagial and gastric injury^-www.drkeyurbhatt.in*

young female with ingestion of acid 5 months ago
on FJ Feeds

dysphagia grade 4
barium s/o long standing lower 1/3 esophagila stricture with pyloric stricture

surgery: esophago coloplasty with pyloroplasty




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CASE: Spontenous rupture of CDC and biliary peritonitis - CDC EXCISION AND ryhj^-www.drkeyurbhatt.in*

3 yrs old child with abdominal pain and distension with fever
initially diagnosed as perforated appendix and peritonitis
laparoscopy was done by Dr. Ashok Jagani and immediately found to have biliary peritonitis and there was bile leaking near hilum..was confirmed...drain kept and closed
next day opened at institute..

Diagnosis confirmed by doing intra op cholengiography


CDC was excised and end to side hepatico jejunostomy was done
child was discharged on DAY 6  uneventfully.

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Saturday, June 23, 2012

CASE: NCPF With recurrent bleeding and failed endotherapy^-www.drkeyurbhatt.in*

middle aged female with recurrent UGI bleed , more than 35 glue injection sessions

repeated episodes of gastric and duodenal varices bleeding

Surgery: splenectomy for decompression and liver BX


BX: NCPF, No evidence of cirrhosis of liver

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