9 research outputs found

    Laparoscopic management of a case of accessory gall bladder with review of literature

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    Gall bladder duplication is a rare congenital anomaly. True duplication is still rarer. Pre-operative detection helps in avoiding complications or missing the gall bladder during surgery. Ultrasonography (USG) and magnetic resonance cholangiography are investigation of choice. Laparoscopic cholecystectomy is the preferred modality for management of double gall bladder. We present a case diagnosed as cholelithiasis on USG. While doing laparoscopic surgery 2 gall bladders were found. She had a normal gall bladder that was lying in the supraduodenal area. It had cystic duct that joined the common bile duct. There was an accessory gall bladder attached to the anterior free margin of the liver. This gallbladder was occluded with a big solitary calculus occupying the whole of gall bladder cavity and had a small feeding vessel; whereas its duct had fibrosed

    Malignant Mucosal Melanoma of Nasal Cavity (melanic variant)

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    Malignant melanoma of nasal mucosa and paranasal sinuses is a very rare tumor, which can be melanin producing or non melanin producing ie amelanotic variant. Rhinosinusal mucosal melanoma constitutes less than 1% of all melanic tumors and 2-8% of overall cancers developing in nasal fossae and paranasal sinuses. Patient gets medical attention very late in the course of disease due to ignorance of early mild/nonspecific symptoms in the way of high degree of local and distant invasion by the disease, and this finally leads to poor prognosis. Studies show average 5 year survival as 20-30% for cutaneous and 10-15% for mucosal melanomas. Here, we present a case of 60 yrs old male presenting with right nasal mass associated with off and on nasal bleeding. On suspicion of malignancy he was investigated, confirmed by Biomarkers study and operated after final diagnosis, Later, patient was referred to Radiation oncology for appropriate treatment

    British Society of Breast Radiology Annual Scientific Meeting 2016

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