Highlights
Hydatid cyst is fairly common in endemic areas & can involve any part of the body.
Involvement of Pectoralis major muscle is rare.
Ultrasound and CT scan help in diagnosing them.
Most of the times, surgery is the usual treatment modality, followed by irrigation with a scolicidal agent.
A course of albendazole should be prescribed after surgery.
Hydatid cyst is fairly common in endemic areas & can involve any part of the body.
Involvement of Pectoralis major muscle is rare.
Ultrasound and CT scan help in diagnosing them.
Most of the times, surgery is the usual treatment modality, followed by irrigation with a scolicidal agent.
A course of albendazole should be prescribed after surgery.
HighlightsPseudo aneurysms of gastroduodenal artery (GDA) are rare. They mostly have an association with pancreatitis.Rupture of the GDA can present with GI hemorrhage, however, they may present late following gastric or pancreatic surgery or trauma as melena.They are potentially fatal if they rupture. Hence, early diagnosis and prompt treatment is necessary.Intervention radiology has a key role in the management of rupture of GDA aneurysm. CT Angiography is the investigation of choice.And Angioembolization is the preferred treatment modality.
IntroductionLaparoscopic transabdominal pre-peritoneal (TAPP) repair is a minimally invasive technique that is becoming the procedure of choice among surgeons for inguinal hernia repair and research work is still going on comparing TAPP repair with Lichtenstein open mesh repair. The objective of our study is to compare common postoperative complications in Lichtenstein mesh repair and laparoscopic TAPP repair for unilateral inguinal hernia in our unit.
MethodsBetween August 2016 and August 2018, patients with unilateral inguinal hernia and ASA grade I/II were selected in the surgical outpatient department (OPD) and prospectively randomized into two equal groups. Lichtenstein open mesh repair was done in Group-I and laparoscopic TAPP repair in Group-II. The visual analog scale (VAS) was used for the assessment of the intensity of pain.
ResultsA total of 100 patients with a diagnosis of unilateral inguinal hernia were included in the study. Overall, our study showed that there was less postoperative pain in those patients who underwent TAPP repair as compared to patients with Lichtenstein mesh repair (p= <0.05). There were more postoperative complications in Group-I as compared to Group-II.
ConclusionLaparoscopic TAPP repair for inguinal hernia is associated with less postoperative pain and other postoperative complications in addition to a shorter hospital stay as compared to Lichtenstein mesh repair. Thus, this is helping in the early return of patients to daily life activities.
Background and aimVanek's tumor is a rare solitary lesion that is non-neoplastic, and arises from the submucosa of the gut. The most commonly affected sites are the stomach and the ileum [1]. IFP causing intestinal obstruction is uncommon and that ileo-ileal intussusception has been reported in the literature rarely. We present a case of an ileo-ileal intessuception in a patient who presented with acute on chronic pain abdomen and anorexia. CT abdomen & pelvis revealed a 46 × 36 mm intraluminal mass in the left iliac fossa causing ileo-ileal intussusception.Case presentationA 60 years old gentleman was brought to the A&E with a history of intestinal obstruction. He was examined and admitted to the surgical unit. CBC revealed unique feature of reactive thrombocytosis apart from a low hemoglobin and a raised TLC. His CT scan demonstrated findings of ileo-ileal intussusception. After an informed written consent, patient underwent an exploratory laparotomy and had resection and anastomosis of the bowel. Histopathology of the specimen revealed findings compatible with IFP. Patient made an uneventful recovery post-operatively and was sent home in the next few days. On follow-up, the patient was doing well and had no complaints of abdominal pain or anorexia.ConclusionVanek's tumor although a rare entity, should be considered in each case of acute abdomen and physicians and surgeons need to have a high degree of suspicion in such cases. Moreover, IFP can cause reactive thrombocytosis that gets resolved after a post-operative period of 6–8 weeks.
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