scholarly journals Posterior Gastric Perforation – Rare Surgical Emergency: A Case Report

2021 ◽  
pp. 143-146
Author(s):  
Tushar Nagtode ◽  
Y. R. Lamture ◽  
Venktesh Rewale ◽  
P. Tanveer ◽  
Aditya Mundada
Keyword(s):  
Case Report ◽  
Gastric Perforation ◽  
Care Center ◽  
Central India ◽  
Exploratory Laparotomy ◽  
Posterior Wall ◽  
Delayed Presentation ◽  
Health Care Center ◽  
History Of ◽  
Abdominal Examination

Background: Incidence of perforation on posterior wall of stomach is rare throughout world; its occurrence has not been found till now in literature of central India. diffuse symptoms with delayed presentation to health center and poorly skilled faculty with facilities make a way to raise in total number of deaths associated with posterior gastric perforation. Objective: To report a rare case of posterior gastric perforation at a tertiary health care center in Central India, which would be first to be documented. Case Presentation: A 74-year-old male patient was referred to Department of General Surgery, AVBRH, with chief complaint of acute abdominal pain for two days. He had a history of alcohol consumtion which was stopped 2 years back A moderately distended, distinctly tender abdomen accompanied by guarding, rigidity and excluded bowel sounds was unveiled by abdominal examination. Patient has been resuscitated with intravenous fluids, antibiotics and analgesics. Consequently, an emergency exploratory laparotomy revealed a significant collection of purulent peritoneal fluid, 1x1 cm sized perforation on posterior wall of stomach. Perforation was repaired and thus patient recovered in a satisfactory way. Conclusion: And since posterior gastric perforation is extremely uncommon and expected to worsen, associated with increased morbidity and mortality leading to missed presence, this case report indicates that evaluation of patients with gastric perforation, identify risk factors and ability to repair perforations right away along with resuscitation will greatly enhance clinical outcome.

Study of musculoskeletal complications of hemophilia at a tertiary health-care center in Central India

2019 ◽  
Vol 2 (1) ◽  
pp. 7
Author(s):  
Deepak Maravi ◽  
Sujeet Mishra ◽  
SantoshKumar Mishra ◽  
Suresh Uikey
Keyword(s):  
Health Care ◽  
Care Center ◽  
Central India ◽  
Health Care Center

scholarly journals Case report on fatal human rabies infection in central India

2021 ◽  
Vol 9 (1) ◽  
pp. 324
Author(s):  
Pratik Kumar ◽  
Vijay Domple ◽  
Gautam Khakse
Keyword(s):  
Public Awareness ◽  
Care Center ◽  
Tertiary Care ◽  
Clinical Signs ◽  
Human Rabies ◽  
Tertiary Care Center ◽  
Unusual Behavior ◽  
Probable Case ◽  
Health Care Center ◽  
History Of

Rabies is a zoonotic disease that affects the central nervous system of mammals and has a high mortality rate. It is a viral disease that can be prevented by vaccination. Dogs are the leading cause of human rabies deaths, accounting for up to 99% of all human rabies transmissions. On 15th December 2019 an 8 years old male child was bitten by a stray dog outside of his house. The patient visited with his parents to a nearby primary health care center on same day where his wound was washed with water. He received first dose of anti-rabies vaccine and was referred to a tertiary care center for immunoglobulin because of a history of wound bleeding. They did not visit tertiary care center for immunoglobulin as advised. 15 days after exposure on 1st January 2021 the patient presented with unusual behavior like fear of water and tremor. On examination his pupils were found dilated and he was referred to isolation ward of tertiary care center. Based on the history of animal bites and clinical signs, the patient was diagnosed as probable case of rabies. The patient eventually died within 24 hours of admission. Such kind of incident shows that there is lack of awareness regarding rabies in community. In this case, if the patient had completed the anti-rabies vaccination schedule and visited a higher centre on time for immunoglobulin, death could have been avoided. Mortality due to rabies can be prevented by raising public awareness about immunization.

scholarly journals Primary ileal volvulus: a rare cause of small intestinal obstruction

2020 ◽  
Vol 7 (4) ◽  
pp. 1304
Author(s):  
Syed Faizan ◽  
Amit Kumar C. Jain ◽  
Durganna Thimmappa
Keyword(s):  
Intestinal Obstruction ◽  
Iliac Fossa ◽  
Significant Risk ◽  
Exploratory Laparotomy ◽  
Small Bowel Volvulus ◽  
The Past ◽  
Risk Of Mortality ◽  
History Of ◽  
Abdominal Examination ◽  
Small Intestinal

A 50-year-old lady presented to us in the emergency department with history of acute abdominal pain and vomiting since the past 24 hours. Abdominal examination showed tenderness and guarding in the hypogastrium, lumbar and right iliac fossa region. Initial diagnosis of ruptured appendicitis was considered but exploratory laparotomy gave us an intra-operative surprise. Small bowel volvulus is extremely rare in clinical practice and their symptoms are usually nonspecific. The diagnosis is typically confirmed at surgery most of the time just like in this case. No etiology of this volvulus was found in this patient. Ileal volvulus carries a significant risk of mortality. Awareness of this condition among surgeons will help to reduce the morbidity and mortality associated with this unusual form of intestinal obstruction.

scholarly journals Knowledge, attitude and practices of hand hygiene among nurses and nursing students in a tertiary health care center of Central India: a questionnaire based study

2019 ◽  
Vol 6 (12) ◽  
pp. 5154
Author(s):  
Abhishek Mehta ◽  
Kiran Tripathi
Keyword(s):  
Health Care ◽  
Nursing Students ◽  
Hand Hygiene ◽  
Care Center ◽  
Central India ◽  
Study Groups ◽  
Staff Nurses ◽  
Multi Drug Resistance ◽  
Cross Sectional ◽  
Health Care Center

Background: Health care associated infections and emerging multi drug resistance in nosocomial pathogens is perceived as a serious public health threat with grievous concerns. Hand hygiene if practiced properly is cheapest, simplest and most effective tool in tackling this problem. The objective of this study was conducted to assess levels of knowledge, attitude and practice in various aspects of hand hygiene in nurses and nursing students in the study area for identifying gaps for planning necessary corrective measures.Methods: A cross sectional study involving self-administered pre-structured anonymous questionnaires administered to 50 staff nurses and 80 nursing students posted at a tertiary health care center of Central India. Z test of proportions was used to compare the percentages for each of the appropriate responses between the two study groups.Results: Most of the study participants exhibited moderate levels of knowledge and practice with marginal difference between two study groups. While nursing students were found to exhibit a remarkably higher level of attitude than staff nurses, difference being statistically significant.Conclusions: This study stresses upon the growing need for prompt interventions at institutional level for addressing the gaps evident from the study. 

scholarly journals Small bowel malignant tumor: a diagnostic dilemma, a case report and literature review

2020 ◽  
Vol 7 (11) ◽  
pp. 3785
Author(s):  
Mahmood A. Makhdoomi ◽  
Abdulaziz Almotlaq ◽  
Nader A. Tawfiq
Keyword(s):  
Case Report ◽  
Small Bowel ◽  
Abdominal Distension ◽  
Exploratory Laparotomy ◽  
Diagnostic Dilemma ◽  
Small Bowel Tumor ◽  
Introduction History ◽  
Abdominal Examination ◽  
Bowel Dilatation ◽  
Saudi Male

A 47 years old Saudi male was admitted to king Khalid hospital with complaints of constipation and abdominal distension. Abdominal examination showed as a case of intestinal obstruction. He was fully evaluated and was treated first conservatively, until all investigative study confirmed as huge small bowel dilatation (mainly jejunum). Exploratory laparotomy confirmed small bowel tumor and on histology an adenocarcinoma. The introduction, history and research paper will also be discussed in this report.

scholarly journals PICA LEADING TO LITHOBEZOAR AND TRICHOBEZOAR IN ADULT MALE: A CASE REPORT

2020 ◽  
pp. 1-3
Author(s):  
Bhuvana Lakshmi Sundararajan ◽  
Siddartha Gowthaman ◽  
Arul Kumar ◽  
Ramanathan M
Keyword(s):  
Abdominal Pain ◽  
Case Report ◽  
Developmental Disabilities ◽  
Adult Male ◽  
Conservative Management ◽  
Foreign Bodies ◽  
Exploratory Laparotomy ◽  
Life Threatening ◽  
History Of

INTRODUCTION: Pica is common in patients with developmental disabilities and can be life-threatening. It is important to identify pica and manage it appropriately. CASE REPORT:A 19-year-old male presented with history of abdominal pain and vomiting for two days.On imaging he was found to have multiple foreign bodies within the small and large bowel.After trial of conservative management,he was taken up for exploratory laparotomy. He was found to have trichobezoar and lithobezoar obstructing the bowel at terminal ileum.Bezoars when removed via enterotomy. DISCUSSION: Bezoars are conglomerates of non-absorbable food or fibre formed in the alimentary tract.Trichobezoar forms following ingestion of hair and usually leads to gastric outlet obstruction.Lithobezoar refers to the accumulation of stones in the GIT. Reports of colonic lithobezoar are rare. Pica is the persistent ingestion of non-nutritive substances beyond a developmentally inappropriate age. Patients should be referred to a psychologist/behaviour analyst and caregivers should also be educated

scholarly journals Acquired colonic atresia in a 4-month old term male infant: a rare case report

2017 ◽  
Vol 4 (2) ◽  
pp. 669
Author(s):  
Kamal Nain Rattan ◽  
Gurupriya J. ◽  
Shruti Bansal ◽  
Rohit Kapoor ◽  
Roomi Yadav
Keyword(s):  
Case Report ◽  
Necrotizing Enterocolitis ◽  
Rare Case ◽  
Male Infant ◽  
Abdominal Distension ◽  
Exploratory Laparotomy ◽  
Inflammatory Mass ◽  
Colonic Atresia ◽  
Rare Case Report ◽  
History Of

Acquired colonic atresias are very rare but, are known in association with necrotizing enterocolitis. We report a case of a 4-month term male infant with recurrent episodes of abdominal distension, bilious vomiting and constipation off and on, without the history of necrotizing enterocolitis. Exploratory laparotomy was performed, an inflammatory mass with multiple dense interloop adhesions were found in the mid-transverse colon. These adhesions were lysed to identify the proximal dilated and distal blind end of the colon.  Rest of the gut was normal.  This case is unique for the fact that, it is a case of acquired colonic atresia without history of necrotizing enterocolitis, unlike other reported cases of acquired colonic atresia.

scholarly journals Frontal sinus adenocarcinoma

2000 ◽  
Vol 118 (4) ◽  
pp. 118-120 ◽  
Author(s):  
Márcio Abrahão ◽  
Ana Paula Vieira Gonçalves ◽  
Roberto Yamashita ◽  
Rogério Aparecido Dedivitis ◽  
Rodrigo Oliveira Santos ◽  
...  
Keyword(s):  
Case Report ◽  
Frontal Sinus ◽  
Tumor Resection ◽  
Posterior Wall ◽  
Wood Dust ◽  
Medial Aspect ◽  
En Bloc ◽  
Tissue Mass ◽  
History Of ◽  
The Right

CONTEXT: Paranasal sinus cancer is considered rare, with an incidence of less than 1 per 100,000 per year, with the frontal sinus being the primary site in only 0.3%. We report a case of adenocarcinoma arising in the frontal sinus. DESIGN: Case report. CASE REPORT: A 59-year-old woman, secretary, came in February 1998 with a 4-month history of low intensity frontal headache. She denied contact with wood dust. On examination a non-tender swelling was noted over her right forehead next to the medial aspect of the right orbit. CT scan showed a soft-tissue mass involving frontal sinus with intracranial invasion through the posterior wall. The anterior ethmoid sinus and the medial aspect of the right orbit were also involved. MRI demonstrated dural thickening in communication with the frontal mass. She underwent an en-bloc tumor resection by craniotomy including orbital clearance. Histology revealed an adenocarcinoma. After surgery she had tumor recurrence, and chemotherapy and radiotherapy were started resulting in partial improvement.

scholarly journals Apple peel atresia: a case report

2019 ◽  
Vol 6 (5) ◽  
pp. 1821
Author(s):  
Pradeep Balineni ◽  
Shruthi Kamal ◽  
Prasanna Manickam ◽  
Keerthana Shivaji
Keyword(s):  
Case Report ◽  
Duodenal Atresia ◽  
Abdominal Distention ◽  
X Rays ◽  
Positive History ◽  
Apple Peel ◽  
Chief Complaints ◽  
History Of ◽  
Abdominal Examination ◽  
Apple Peel Atresia

A 3 days old child presented with chief complaints of bilious vomiting and abdominal distention since few hours duration. Prenatal history revealed mother to be polyhydraminos and pregnancy induced hypertensive was on treatment with labetolol. Baby was a term, emergency lscs delivery. On examination baby was active, alert and with fair hydration. On per abdominal examination abdomen was distended and dilated bowel loops were seen. On per rectal wash pale jelly stools were expelled. Baby was taken up for emergency laprotomy and found to be having illeal atresia for which resection and anastamosis is done. Post operatively baby was doing well with satisfactory weight gain. Intestinal atresias are the major cause of intestinal obstruction in cases of neonates. They may be illeal or duodenal atresia. It is hypothesized to be occurring due intrauterine vascular assault and failure of recanalization. Babies present with vomiting and abdominal distention with mother having a positive history of polyhydraminos. On examination there will be abdominal distention with dilated bowel loops. X-rays would show dilated bowel loops and ultrasound shows decreased peristalisis in the bowel loops. Emergency laprotomy and surgical resection is the treatment of choice.

Sign in / Sign up

Export Citation Format

Share Document