SECOND OPINION: A surgeon’s view of healthcare and policy in India
Inferior vena cava thrombus with pulmonary embolism complicating amebic liver abscess
Amebic liver abscess leading to hepatic vein thrombus is described, but pulmonary embolism is exceedingly rare. Treatment was with percutaneous aspiration, metronidazole, and low molecular weight heparin with which symptoms resolved in 2 weeks with a resolution of the pulmonary thrombus on follow up CT.
Adult Onset Nesidioblastosis Treated by Subtotal Pancreatectomy
Nesidioblastosis should be suspected in patients with endogenous hyperinsulinemic hypoglycemia without any detectable pancreatic tumor on preoperative imaging.
Rectal adenocarcinoma in an adult with imperforate anus at birth
The relationship between imperforate anus, rectourethral fistula and carcinoma of rectum is disclosed.
Surgery in a Patient with Liver Disease
Secondary omental torsion
A case study that's a reminder of an important clinical lesson
Pseudomyxoma Peritonea: Uncommon Presentation
The clinical case of a 60-year-old patient who presented predominantly with urological symptoms. CECT revealed an appendiceal lesion infiltrating and projecting into the urinary bladder.
Major hemobilia--experience from a specialist unit in a developing country
Hemobilia is a rare but potentially life threatening problem, which can be difficult to diagnose and treat. The aim of this study was to analyze the etiology, clinical features, management and outcome of major hemobilia in a tertiary referral centre from western India.
An unusual surgical site infection in a liver transplant recipient
Mycobacterium abscessus is a rare cause of human infection and is difficult to diagnose unless it is suspected. We believe that this is the first documented case of surgical site infection by M abscessus in a liver transplant recipient.