The Bombay Hospital journal最新文献

CSF ASCITES POST VP SHUNT AFTER 17 YEARS 17年后静脉分流后脑脊液腹水

The Bombay Hospital journal Pub Date : 2022-02-23 DOI: 10.15713/ins.bhj.91

Noopur Mehta, V. Somani, Suneel Shah, Aminoddin Siddiqui, Parthisarthi Chauhan

引用次数: 1

Rare Presentation Of Pregnancy With Deep Vein Thrombosis With History Of Covid-19 Infection 妊娠合并深静脉血栓合并Covid-19感染史的罕见表现

The Bombay Hospital journal Pub Date : 2022-02-23 DOI: 10.15713/ins.bhj.95

D. Salunke, S. Goyal, Varsha Pai Dhungat

引用次数: 0

Hematemesis Secondary to Isolated Gastric Metastasis from Ovarian Carcinoma 卵巢癌胃转移后继发呕血

The Bombay Hospital journal Pub Date : 2022-02-23 DOI: 10.15713/ins.bhj.92

Anuj Parikh, Samir Parikh, Neemish Kamat

{"title":"Hematemesis Secondary to Isolated Gastric Metastasis from Ovarian Carcinoma","authors":"Anuj Parikh, Samir Parikh, Neemish Kamat","doi":"10.15713/ins.bhj.92","DOIUrl":"https://doi.org/10.15713/ins.bhj.92","url":null,"abstract":"A 49 year old female presented with two episodes of hematemesis. Six years ago she had undergone a total hysterectomy with bilateral salpingo-oophorectomy, omentectomy and pelvic lymph node dissection for a serous papillary carcinoma of the ovary (FIGO stage IIA), followed by adjuvant chemotherapy. On regular follow up she remained disease free, until presentation. Her hemoglobin was 9.1g/dl and CA-125 level was elevated-128u/ml. Gastroscopy revealed an ulcerated submucosal tumor in the antrum measuring 5x4cms with no e/o active bleeding & minimal altered blood in stomach. Biopsy showed scanty metastatic tumor deposits from ovarian cancer. CT scan of chest, abdomen & pelvis showed a large, well-defined heterogeneously enhancing serosal mass lesion in the antrum of the stomach with soft calcification within, with no ascites. Few paraortic lymph nodes were enlarged. No other organ involvement was observed. She received chemotherapy and is currently on close follow up. Isolated gastric metastasis from an ovarian cancer is extremely rare and most often occur in advanced stage with synchronous lesions in the peritoneum. Histologically serous carcinoma is the most common variety. Clinicians should consider that in patients with submucosal tumor and history of ovarian carcinoma, the gastric lesion may be metastatic and not a primary gastric carcinoma.","PeriodicalId":85654,"journal":{"name":"The Bombay Hospital journal","volume":"33 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85054005","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Severe acute necrotising Community Acquired Pneumonia with Pyopneumothorax due to Pseudomonas aeruginosa in a healthy young girl 健康少女铜绿假单胞菌所致严重急性坏死性社区获得性肺炎伴脓气胸1例

The Bombay Hospital journal Pub Date : 2022-02-23 DOI: 10.15713/ins.bhj.93

Tasneem Bohra, P. Prabhudesai

{"title":"Severe acute necrotising Community Acquired Pneumonia with Pyopneumothorax due to Pseudomonas aeruginosa in a healthy young girl","authors":"Tasneem Bohra, P. Prabhudesai","doi":"10.15713/ins.bhj.93","DOIUrl":"https://doi.org/10.15713/ins.bhj.93","url":null,"abstract":"Aim: We report this case to acknowledge the presence of multi drug resistant Pseudomonas aeruginosa in the community setting, which transpired in a young female, without any known comorbidity or exposure risk. \u0000Background: Pseudomonas aeruginosa is an extremely unusual pathogen in community acquired pneumonia (CAP), especially in previously healthy young adults. Immune status, underlying lung disease and possible exposures like hot tub use, should always be ruled out. There have been reports of bacterial aetiology being next common after Tuberculosis for Pyopneumothorax, but ours is the first case to report P.aeruginosa as a cause of CAP and pyopneumothorax in an absolutely healthy young adult. \u0000Case description: A young female, developed Pneumonia from the community setting which grew a nosocomial organism. Complications involved cavity formation and Pyopneumothorax, which required Intercostal Drainage (ICD) and extensive intravenous antibiotics. Immediate and appropriate management is life saving. \u0000Conclusion: CAP due to heinous organisms like Pseudomonas aeruginosa should be suspected in any patient who presents with a rapidly progressive course, even in the absence of risk factors and exposures. In cases of Pleural effusion or Pneumothorax or both, ICD drain should be inserted. Broad spectrum antibiotic coverage especially in hemodynamically unstable patients should be initiated immediately, followed by antibiotic stewardship protocols. \u0000Clinical significance: We would like to emphasize the importance of acquiring cultures from respiratory site, for early initiation/switching of appropriate antibiotics. Also Pseudomonas being an ominous organism yields a finer prognosis only when treated with appropriate anti-pseudomonal antibiotics.","PeriodicalId":85654,"journal":{"name":"The Bombay Hospital journal","volume":"15 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85244155","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A unique way of 2nd trimester MTP in a case of Pregnancy with huge Fibroid – A case report 妊娠中期巨肌瘤MTP的独特方法- 1例报告

The Bombay Hospital journal Pub Date : 2022-02-23 DOI: 10.15713/ins.bhj.98

D. Salunke, S. Goyal, Prathima Chipalkatti, Prashant Bhamare

引用次数: 0

CASE OF TRANSVERSO-SIGMOID THROMBOPHLEBITIS WITH BILATERAL SUBDURAL EMPYEMA 乙状窦性血栓性静脉炎伴双侧硬膜下脓肿1例

The Bombay Hospital journal Pub Date : 2022-02-23 DOI: 10.15713/ins.bhj.90

Suneel Shah, A. Bhagwat

引用次数: 0

IVC thrombectomy in a patient with adrenal tumour with IVC thrombus. 肾上腺肿瘤伴下腔静脉血栓患者的下腔静脉血栓切除术。

The Bombay Hospital journal Pub Date : 2022-02-23 DOI: 10.15713/ins.bhj.97

Neeraja Tillu, J. Kulkarni

{"title":"IVC thrombectomy in a patient with adrenal tumour with IVC thrombus.","authors":"Neeraja Tillu, J. Kulkarni","doi":"10.15713/ins.bhj.97","DOIUrl":"https://doi.org/10.15713/ins.bhj.97","url":null,"abstract":"IntroductionAdrenocortical carcinoma (ACC) is a rare malignancy with a poor prognosis, and the association with tumour thrombus into the inferior vena cava (IVC) is infrequent. Radical surgery is the best treatment.Case ReportWe herein report a case of a large ACC of the left adrenal gland extending into the IVC through the left renal vein in a 68-year-old male patient. He presented with pain in the left side of the abdomen for one month and significant weight loss (7 kilograms). On examination, a hard irregular non-ballotable lump was palpable in the left lumbar region. Ultrasonography, computedtomography, and whole-body PET CT all revealed a large mass over the upper pole of the left kidney with tumour thrombus in the IVC. Laboratory tests showed creatinine levels of 0.9 mg/dl (normal range: 0.5–1.2 mg/dl) while plasma levels of cortisol, free metanephrines were normal. A midline laparotomy was performed, and the tumour was completely excised with regionallymphadenectomy, ipsilateral radical nephrectomy and IVC thrombectomy.Results And DiscussionWe emphasize that adrenal cortical carcinoma is a rare tumour and can have tumour thrombi invading the IVC. Such cases do not represent a contraindication to surgery, and we suggest radical surgical removal of cancer with the thrombus.","PeriodicalId":85654,"journal":{"name":"The Bombay Hospital journal","volume":"52 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76831574","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

METASTATIC NEUROENDOCRINE TUMOR OF THE OVARY - AN UNUSUAL SITE 卵巢转移性神经内分泌肿瘤-一个不寻常的部位

The Bombay Hospital journal Pub Date : 2022-02-23 DOI: 10.15713/ins.bhj.94

R. Parikh, A. Parikh, S. Arneja, P. Desai

引用次数: 0

Curious case of mesh associated foreign body granuloma- a case report 奇怪的网状异物肉芽肿1例报告

The Bombay Hospital journal Pub Date : 2022-02-23 DOI: 10.15713/ins.bhj.96

Dr Prathamesh Pathrikar, Dr Sanjay Chatterjee, Dr M Amir, Dr Sameer Deshmukh

引用次数: 0

Anesthesia management of patients posted for resection of rhino-orbital mucormycosis developed as a postCovid sequale: Sharing our experiences 术后鼻-眶毛霉菌病切除患者的麻醉管理:分享我们的经验

The Bombay Hospital journal Pub Date : 2022-02-23 DOI: 10.15713/ins.bhj.89

Ansari Azra Jabeen Wahab

{"title":"Anesthesia management of patients posted for resection of rhino-orbital mucormycosis developed as a postCovid sequale: Sharing our experiences","authors":"Ansari Azra Jabeen Wahab","doi":"10.15713/ins.bhj.89","DOIUrl":"https://doi.org/10.15713/ins.bhj.89","url":null,"abstract":"Background: Although Mucormycosis is a rare life-threatening fungal infection mainly seen in immunocompromised patients, there has been increasing number of mucormycosis cases presenting as a post COVID sequale mainly from India. Uncontrolled diabetes and overzealous use of steroid seems to be two main aggravating factors. Aggressive medical and surgical management of mucormycosis decreases mortality rate from 88% to 21%. \u0000Aim: This study is aimed to evaluate anaesthetic challenges in the post COVID patients coming for surgical clearance of mucormycosis. \u0000Demographic characteristics, associated comorbidities, procedural data, surgical details, hospital stay and mortality rates were reviewed in 32 patients. The mean age of our patients was 52.66 yrs. and 96.9% had associated comorbidities. Two (6.3%) patients had mallampati classification (MPC) IV and 12 had III (40.6%). Average anaesthesia duration was 282.5 min with mean blood loss 792 ml. Twenty-one (65.6%) patients were shifted to ICU (intensive care unit) out of which 15 (46.87%) were electively ventilated. Mortality was seen in 2 patients with mortality rate of 6.25%. \u0000Conclusion: Surgical resection of mucormycosis in post covid patients presents unique challenges – associated comorbidities, difficult airway, prolonged surgical duration, intraoperative hemodynamic instability massive blood loss, Amphotericin B related side effects mainly nephrotoxicity and hypokalemia, need for postoperative ventilation and prolonged hospital stay. Preoperative optimization, careful intraoperative monitoring and postoperative management are necessary for better outcome.","PeriodicalId":85654,"journal":{"name":"The Bombay Hospital journal","volume":"66 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90626130","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0