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  1. Article ; Online: Colloid nodular goitre associated with hemiagenesis of the thyroid gland.

    Sadhasivan, Lakshminarayanan / Abhinaya, Reddy / Kumbhar, Uday Shamrao

    BMJ case reports

    2024  Volume 17, Issue 1

    Abstract: Hemiagenesis of the thyroid gland is a rare congenital abnormality usually left unnoticed without associated thyroid disorders. The most common congenital anomaly of the thyroid gland is a thyroglossal cyst, followed by ectopic thyroid tissue and thyroid ...

    Abstract Hemiagenesis of the thyroid gland is a rare congenital abnormality usually left unnoticed without associated thyroid disorders. The most common congenital anomaly of the thyroid gland is a thyroglossal cyst, followed by ectopic thyroid tissue and thyroid dysgenesis, which may be agenesis or hemiagenesis. Preoperative underevaluation of the thyroid hemiagenesis (THA) associated with other thyroid disorders may cause intraoperative difficulty in identifying the gland and difficulty in preservation or even identification of major neurovascular structures during neck exploration. We report a patient who presented to us with right-sided neck swelling. On further evaluation and neck exploration, the patient was diagnosed with THA of the left lobe with right colloid goitre.
    MeSH term(s) Humans ; Goiter, Nodular/complications ; Goiter, Nodular/diagnostic imaging ; Goiter, Nodular/surgery ; Neck ; Thyroid Dysgenesis/diagnosis ; Thyroid Dysgenesis/diagnostic imaging ; Colloids
    Chemical Substances Colloids
    Language English
    Publishing date 2024-01-09
    Publishing country England
    Document type Case Reports ; Journal Article
    ISSN 1757-790X
    ISSN (online) 1757-790X
    DOI 10.1136/bcr-2022-253843
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Telescopic dissection versus balloon dissection during laparoscopic totally extraperitoneal inguinal hernia repair: A prospective randomised control trial.

    Varun, Rajanna / Shaikh, Oseen Hajilal / Sagar, Prakash / Vijayakumar, Chellappa / Balasubramanian, Gopal / Kumbhar, Uday Shamrao

    Journal of minimal access surgery

    2024  

    Abstract: Background: Totally extraperitoneal (TEP) repair involves creating a preperitoneal space. The preperitoneal space can be created by balloon or telescopic dissection (TD). Nevertheless, these techniques may have some complications. However, there are ... ...

    Abstract Background: Totally extraperitoneal (TEP) repair involves creating a preperitoneal space. The preperitoneal space can be created by balloon or telescopic dissection (TD). Nevertheless, these techniques may have some complications. However, there are very few studies that compare these two techniques. This study aims to assess the impact and comprehensively compare the TD and balloon dissection (BD) methods in patients undergoing laparoscopic TEP inguinal hernia repair.
    Patients and methods: This was a single-centre, double-blinded, prospective, randomised, controlled trial comparing BD and TD for the creation of the preperitoneal space. The primary end point was to compare the post-operative pain score, intraoperative complications and surgical site occurrence between the two groups. The secondary end point was to assess the impact of the dissection technique on operative time for the creation of extraperitoneal space during laparoscopic TEP inguinal hernia repair.
    Results: A total of 46 patients were included in the study (23 in each group). Baseline parameters were comparable between the groups. The total operative time between the groups (120 min vs. 160 min; P < 0.005) was statistically significant. The incidence of the peritoneal breach was statistically less in the BD group (43% vs. 13%; P < 0.005). Other short-term and long-term complications were less in the BD group but not statistically significant.
    Conclusions: BD in TEP inguinal hernia repair reduces the operative time and peritoneal breach. When compared to TD in terms of operative time, routine use of BD can be proposed. It will be beneficial in the early part of the learning curve.
    Language English
    Publishing date 2024-05-10
    Publishing country India
    Document type Journal Article
    ZDB-ID 2186884-0
    ISSN 1998-3921 ; 0972-9941
    ISSN (online) 1998-3921
    ISSN 0972-9941
    DOI 10.4103/jmas.jmas_373_23
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Pancreatitis with infected pseudocyst presenting as a prevertebral abscess with spontaneous rupture into the oesophagus.

    Shivakumar, Madan / Prakash, Sagar / Shaikh, Oseen Hajilal / Kumbhar, Uday Shamrao

    BMJ case reports

    2023  Volume 16, Issue 8

    Abstract: The development of a prevertebral abscess due to an infected pancreatic pseudocyst and its spontaneous rupture into the oesophagus is a rare complication. We report a man who presented with odynophagia, dyspnoea and abdominal pain. Contrast-enhanced CT ... ...

    Abstract The development of a prevertebral abscess due to an infected pancreatic pseudocyst and its spontaneous rupture into the oesophagus is a rare complication. We report a man who presented with odynophagia, dyspnoea and abdominal pain. Contrast-enhanced CT showed evidence of pancreatitis and a prevertebral space abscess communicating with the pancreas through the oesophageal hiatus. The patient was diagnosed to have a prevertebral abscess with chronic pancreatitis. Surgical drainage was planned, but the patient died of spontaneous drainage of the prevertebral abscess into the oesophagus and aspiration of the collection into the lungs.
    MeSH term(s) Male ; Humans ; Abscess/diagnostic imaging ; Abscess/etiology ; Rupture, Spontaneous/complications ; Pancreatitis/complications ; Pancreas ; Pancreatic Pseudocyst/complications ; Pancreatic Pseudocyst/diagnostic imaging ; Cysts/complications ; Drainage/adverse effects ; Esophagus
    Language English
    Publishing date 2023-08-03
    Publishing country England
    Document type Case Reports ; Journal Article
    ISSN 1757-790X
    ISSN (online) 1757-790X
    DOI 10.1136/bcr-2022-252950
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Hepatic haemangioma causing isolated right-sided pleural effusion and bilateral pedal oedema.

    Shaikh, Oseen Hajilal / Kumbhar, Uday Shamrao / Suresh, Chilaka / Gopal, Balasubramanian

    BMJ case reports

    2022  Volume 15, Issue 1

    Abstract: Hepatic haemangioma (HH) is a common benign tumour of the liver and is usually asymptomatic. HH causing isolated right-sided pleural effusion and bilateral pedal oedema due to inferior vena cava (IVC) compression have never been reported in the ... ...

    Abstract Hepatic haemangioma (HH) is a common benign tumour of the liver and is usually asymptomatic. HH causing isolated right-sided pleural effusion and bilateral pedal oedema due to inferior vena cava (IVC) compression have never been reported in the literature. We report a 35-year-old male patient who presented with breathlessness and mass per abdomen. On examination, the patient was found to have right-sided pleural effusion, bilateral pedal oedema, hepatomegaly. Contrast-enhanced CT showed compression of the IVC by the HH. The patient was managed with right-sided intercostal drain insertion for pleural effusion and hepatic artery embolisation. The patient improved gradually with reduced pleural effusion and resolving pedal oedema.
    MeSH term(s) Adult ; Exudates and Transudates ; Hemangioma/complications ; Hemangioma/diagnostic imaging ; Humans ; Liver Neoplasms/complications ; Liver Neoplasms/diagnostic imaging ; Male ; Pleural Effusion/diagnostic imaging ; Pleural Effusion/etiology ; Vena Cava, Inferior
    Language English
    Publishing date 2022-01-04
    Publishing country England
    Document type Case Reports ; Journal Article
    ISSN 1757-790X
    ISSN (online) 1757-790X
    DOI 10.1136/bcr-2021-245374
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Regurgitation and prolapse of oesophageal mucosa: a dramatic presentation of the oesophagitis dissecans superficialis.

    Shaikh, Oseen Hajilal / Gaur, Naveen Kumar / Vijayakumar, Chellappa / Kumbhar, Uday Shamrao

    BMJ case reports

    2022  Volume 15, Issue 3

    Abstract: Oesophagitis dissecans superficialis is a rare benign entity that is usually self-limited, characterised by sloughing of the oesophageal mucosa. We preset a 38-year-old woman, known case of epidermolysis bullosa acquisita who presented to us with ... ...

    Abstract Oesophagitis dissecans superficialis is a rare benign entity that is usually self-limited, characterised by sloughing of the oesophageal mucosa. We preset a 38-year-old woman, known case of epidermolysis bullosa acquisita who presented to us with regurgitation and prolapse of the oesophageal mucosa from the mouth. Upper gastrointestinal endoscopy showed sloughing of the mucosa. The patient was managed conservatively and discharged.
    MeSH term(s) Adult ; Esophageal Mucosa/diagnostic imaging ; Esophagitis/complications ; Esophagitis/diagnosis ; Esophagoscopy ; Female ; Humans ; Mouth ; Prolapse
    Language English
    Publishing date 2022-03-22
    Publishing country England
    Document type Case Reports ; Journal Article
    ISSN 1757-790X
    ISSN (online) 1757-790X
    DOI 10.1136/bcr-2022-249006
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Isolated pancreatic tuberculosis masquerading pancreatic malignancy.

    Shaikh, Oseen Hajilal / Sunil, Julia / Prakash, Sagar / Vijaykumar, Chellappa / Kumbhar, Uday Shamrao

    BMJ case reports

    2023  Volume 16, Issue 7

    Abstract: Pancreatic tuberculosis is the rarest form of abdominal and extrapulmonary tuberculosis. We present a patient in his 40s who presented with pain abdomen and a fever. On examination, the patient had mild jaundice and right hypochondriac tenderness. Blood ... ...

    Abstract Pancreatic tuberculosis is the rarest form of abdominal and extrapulmonary tuberculosis. We present a patient in his 40s who presented with pain abdomen and a fever. On examination, the patient had mild jaundice and right hypochondriac tenderness. Blood investigation was suggestive of obstructive jaundice. Imaging studies were representative of pancreatic head lesion, causing mild intrahepatic biliary radical dilatation. Endoscopic ultrasound-guided fine-needle aspiration done from the pancreatic head lesion was diagnostic of tuberculosis. The patient was started on antitubercular medications and responded well.
    MeSH term(s) Humans ; Pancreatic Neoplasms/diagnostic imaging ; Pancreatic Neoplasms/drug therapy ; Pancreas/diagnostic imaging ; Pancreas/pathology ; Tuberculosis/diagnosis ; Tuberculosis/drug therapy ; Tuberculosis/pathology ; Antitubercular Agents/therapeutic use ; Endoscopic Ultrasound-Guided Fine Needle Aspiration
    Chemical Substances Antitubercular Agents
    Language English
    Publishing date 2023-07-04
    Publishing country England
    Document type Case Reports ; Journal Article
    ISSN 1757-790X
    ISSN (online) 1757-790X
    DOI 10.1136/bcr-2022-254250
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Duodeno-duodenal intussusception presenting as upper gastrointestinal bleed.

    Das, Snehasis / Sunil, Julia / Prakash, Sagar / Shaikh, Oseen Hajilal / Reddy, Abhinaya / Kumbhar, Uday Shamrao

    BMJ case reports

    2023  Volume 16, Issue 8

    Abstract: Duodeno-duodenal intussusception (DDI) is the type of intestinal intussusception in which a segment of the duodenum invaginates into the next part of the duodenum. We present a case of a male patient in his 50s presenting with right upper abdominal pain ... ...

    Abstract Duodeno-duodenal intussusception (DDI) is the type of intestinal intussusception in which a segment of the duodenum invaginates into the next part of the duodenum. We present a case of a male patient in his 50s presenting with right upper abdominal pain with multiple episodes of vomiting and a history of melena for 1 month. Imaging studies showed the presence of DDI without apparent growth. The patient underwent upper gastrointestinal endoscopy, which showed a doubtful growth in the duodenum, and the biopsy, was suggestive of adenocarcinoma. The patient underwent Whipple's procedure, and postoperative histology was diagnostic of Brunner's gland adenoma. The patient improved well without any complications.
    MeSH term(s) Humans ; Male ; Intussusception/diagnostic imaging ; Intussusception/etiology ; Intussusception/surgery ; Gastrointestinal Hemorrhage/diagnostic imaging ; Gastrointestinal Hemorrhage/etiology ; Melena ; Abdominal Pain ; Adenocarcinoma/diagnosis ; Adenocarcinoma/diagnostic imaging
    Language English
    Publishing date 2023-08-22
    Publishing country England
    Document type Case Reports ; Journal Article
    ISSN 1757-790X
    ISSN (online) 1757-790X
    DOI 10.1136/bcr-2022-250003
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Tension pneumoperitoneum following colonic perforation due to barotrauma.

    Kumar, Rashmi Vijaya / Shaikh, Oseen Hajilal / Vijayakumar, Chellappa / Kumbhar, Uday Shamrao

    BMJ case reports

    2022  Volume 15, Issue 6

    Abstract: Barotrauma of the colorectum is an uncommon entity that usually occurs after colonoscopy. Perforation of the colon by non-iatrogenic barotrauma of the colon, with tension pneumoperitoneum, is very rare. We present a case of a male patient in his 20s with ...

    Abstract Barotrauma of the colorectum is an uncommon entity that usually occurs after colonoscopy. Perforation of the colon by non-iatrogenic barotrauma of the colon, with tension pneumoperitoneum, is very rare. We present a case of a male patient in his 20s with colon barotrauma caused by industrial compressed air, causing perforation of the transverse colon, with multiple serosal tears throughout the colon. There was also evidence of contusion in the caecum and ascending colon. Primary repair of the perforation and repair of the serosal tears were done along with a covering loop ileostomy.
    MeSH term(s) Barotrauma/complications ; Colon/injuries ; Colon/surgery ; Colonic Diseases/complications ; Colonic Diseases/surgery ; Colonoscopy/adverse effects ; Compressed Air ; Humans ; Intestinal Perforation/complications ; Intestinal Perforation/surgery ; Male ; Pneumoperitoneum/diagnostic imaging ; Pneumoperitoneum/etiology
    Language English
    Publishing date 2022-06-24
    Publishing country England
    Document type Case Reports ; Journal Article
    ISSN 1757-790X
    ISSN (online) 1757-790X
    DOI 10.1136/bcr-2022-250043
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Rare case of traumatic bilateral testicular dislocation.

    Naik, Mude Naveen / Shaikh, Oseen Hajilal / Vijayakumar, Chellappa / Kumbhar, Uday Shamrao

    BMJ case reports

    2021  Volume 14, Issue 8

    Abstract: Bilateral traumatic testicular dislocation is an uncommon condition and usually occurs after a direct impact on the scrotum. Herein, we report this as a rare case of a 21-year-old man presenting with bilateral traumatic dislocation of testes into the ... ...

    Abstract Bilateral traumatic testicular dislocation is an uncommon condition and usually occurs after a direct impact on the scrotum. Herein, we report this as a rare case of a 21-year-old man presenting with bilateral traumatic dislocation of testes into the inguinal canal following a motorcycle accident. Imaging studies ruled out any other associated injuries. The patient underwent bilateral orchidopexy without any further complications.
    MeSH term(s) Adult ; Humans ; Inguinal Canal ; Joint Dislocations ; Male ; Orchiopexy ; Scrotum ; Testis/diagnostic imaging ; Testis/surgery ; Young Adult
    Language English
    Publishing date 2021-08-24
    Publishing country England
    Document type Case Reports ; Journal Article
    ISSN 1757-790X
    ISSN (online) 1757-790X
    DOI 10.1136/bcr-2021-244085
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Feeding gastrostomy stoma site cutaneous myiasis: a rare entity.

    Das, Snehasis / Gaur, Naveen Kumar / Shaikh, Oseen Hajilal / Kumbhar, Uday Shamrao

    BMJ case reports

    2021  Volume 14, Issue 7

    Abstract: Infestation of any dead or necrotic tissues by the larvae of flies (maggots) is myiasis. This form of habitation is not restricted to any particular tissues in the body and can occur anywhere. However, myiasis at the surgical stoma site is very rare. We ... ...

    Abstract Infestation of any dead or necrotic tissues by the larvae of flies (maggots) is myiasis. This form of habitation is not restricted to any particular tissues in the body and can occur anywhere. However, myiasis at the surgical stoma site is very rare. We present a 55-year-old woman diagnosed with metastatic carcinoma of the oesophagus who underwent feeding gastrostomy (FG). The patient later presented with worms at the FG site. We removed the FG tube, cleared all the maggots, thoroughly cleaned the wound and placed a new FG tube. Although its occurrences have been reported enough in medical history, there are only two documented cases of percutaneous endoscopic gastrostomy stoma site myiasis. Hence, we present the first case in the literature of cutaneous myiasis around an FG stoma site.
    MeSH term(s) Animals ; Diptera ; Female ; Gastrostomy/adverse effects ; Humans ; Larva ; Middle Aged ; Myiasis/diagnosis ; Myiasis/therapy ; Surgical Stomas/adverse effects
    Language English
    Publishing date 2021-07-22
    Publishing country England
    Document type Case Reports ; Journal Article
    ISSN 1757-790X
    ISSN (online) 1757-790X
    DOI 10.1136/bcr-2021-244352
    Database MEDical Literature Analysis and Retrieval System OnLINE

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