Primary Pelvic Hydatid Cyst: A Case Report

This is a case report of a young man who presented to us as a case of hypogastric pain and frequency of micturation. General physical examination and radiological evaluation confirmed a multiloculated pelvic swelling. Patient was subjected to laparotomy which confirmed the diagnosis of a primary pelvic hydatid disease. Patient was put on chemotherapy after surgery and is doing well on follow up

Carcinoma lung: Clinical presentation, diagnosis, and its surgical management

The aim of this article is to review the surgical management of lung carcinoma. Lung cancer is the most common cancer in the world, and a leading cause of death in men and women. By any conventional measure, the enormity of this global problem is immense. In some countries incidence and mortality rates have peaked and are beginning to decline. In many developing nations, the burden of disease is rising and will continue to rise because of aggressive tobacco industry marketing which is leading to a growing prevalence of cigarette smoking. This is also one of the major causes of cancer deaths in our Kashmir valley. The method of literature search was from articles published in PubMed and Google Scholar

Evaluating conservative treatment for acute appendicitis with lump formation

Background: Interval appendectomy after acute appendicitis with lump formation (phlegmon) remains controversial. We conducted this study to determine the risk of recurrent appendicitis following initial non-operative treatment for appendicitis, and evaluate factors associated with recurrence. Secondarily, we evaluate the efficacy of interval appendectomy versus no appendectomy. Materials and Methods: Patients who received conservative treatment for appendicitis with lump formation were prospectively studied from June 2006 to June 2008. These patients were followed for recurrence of appendicitis. Results: Of 763 patients with acute appendicitis some 220 patients had lump formation (28.8%). Median age was 28 years. Conservative treatment was successful in 213 (96.8%) patients. The rate of recurrence was 13.1%, all occurring within six months after the index admission. Mean follow-up was 26±18 months. Conclusion: Conservative treatment of appendicitis with lump formation is efficient and the recurrence rate is low. Routine interval appendectomy after initial conservative treatment for lump formation is not a cost-effective intervention and not recommended

Clinico-Pathological Profile and Management of Acute Mechanical Small Bowel Obstruction: A Prospective Study

Aim: To identify and analyze the clinical presentation, etiopathology, management and outcome of patients with acute mechanical small bowel obstruction. Materials and methods: This is a prospective study of patients admitted with acute mechanical small bowel obstruction between 2001 and 2006. Results: Of the 300 patients included in the study, 296 (98.66%) patients presented with abdominal pain, while distention of the abdomen was the most common physical finding on clinical examination, which was present in 236 (78.66%) patients. Ascaris lumbricoides (44.60%) and adhesions (34.0%) were the most frequent causes of obstruction. 86 patients (28.66%) were managed conservatively and 214 (71.33%) patients were operated on. Simple obstruction was present in 190 (63.33%) patients, while strangulation was present in 110 (36%) patients. Intussusception was the most common etiology associated with non-viable strangulation, which was present in 12/14 patients (85.71%). Enterotomy and adhesiolysis were the most commonly performed operative procedures (28.97% and 14.95% respectively). Superficial surgical site infection was the most frequently noted complication and ndash; 84/300 (28.0%). Septicemia was the commonest cause of mortality in our series and ndash; 4/300 (1.33%). Conclusion: Abdominal pain and distention of the abdomen are the most common symptoms and physical findings in patients presenting with acute mechanical small bowel obstruction (SBO). Worm (ascaridial) obstruction is the most common cause of obstruction followed by postoperative adhesions. Although all patients were managed conservatively to start with, the operative rate in our series remained very high because it is very difficult to distinguish simple from strangulation obstruction on clinical, biochemical and/or radiological grounds with certainty. [Arch Clin Exp Surg 2013; 2(3.000): 154-160