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  1. Article ; Online: Hookworm infestation as a rare cause of melaena in tropics: A case report.

    Pandit, Narendra / Bhattarai, Sameer / Nalbo, Dinesh / Yadav, Sanjay

    Tropical doctor

    2024  Volume 54, Issue 2, Page(s) 191–192

    Abstract: Melaena due to hookworm infestation is a rare clinical presentation. It usually presents with symptoms of iron-deficiency anaemia owing to slow blood loss. Here we present a case of 45-year male who presented with a one-year history of intermittent ... ...

    Abstract Melaena due to hookworm infestation is a rare clinical presentation. It usually presents with symptoms of iron-deficiency anaemia owing to slow blood loss. Here we present a case of 45-year male who presented with a one-year history of intermittent melena requiring multiple blood transfusions. Preliminary endoscopies at different centres were normal. The presence of hookworm in the duodenum was only detected on repeat upper endoscopy as the cause of blood loss, and treatment with albendazole was successful in curing the patient.
    MeSH term(s) Animals ; Humans ; Male ; Melena/etiology ; Ancylostomatoidea ; Hookworm Infections/complications ; Hookworm Infections/diagnosis ; Hookworm Infections/drug therapy ; Duodenum ; Anemia, Iron-Deficiency
    Language English
    Publishing date 2024-01-21
    Publishing country England
    Document type Case Reports ; Journal Article
    ZDB-ID 193169-6
    ISSN 1758-1133 ; 0049-4755
    ISSN (online) 1758-1133
    ISSN 0049-4755
    DOI 10.1177/00494755231226356
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Spontaneous idiopathic omental bleeding: a case report of rare cause of acute abdomen.

    Sah, Raju / Nalbo, Dinesh / Neupane, Durga / Pandit, Narendra

    Journal of surgical case reports

    2023  Volume 2023, Issue 6, Page(s) rjad380

    Abstract: Idiopathic omental hemorrhage is a rare cause of an acute abdomen, which is potentially life threatening. Here, we report a case of a 34-year-old male who presented to the emergency department with sudden, severe pain abdomen and abdominal distension for ...

    Abstract Idiopathic omental hemorrhage is a rare cause of an acute abdomen, which is potentially life threatening. Here, we report a case of a 34-year-old male who presented to the emergency department with sudden, severe pain abdomen and abdominal distension for 1 day. There was no history of trauma, abdominal surgeries or any significant past medical history. The diagnosis was suspected on contrast computed tomography, which revealed hyperdense areas of blood in the peritoneal cavity with contrast extravasation from the omentum. The patient underwent successful emergency laparotomy, peritoneal lavage and greater omentectomy to achieve hemostasis.
    Language English
    Publishing date 2023-06-30
    Publishing country England
    Document type Case Reports
    ZDB-ID 2580919-2
    ISSN 2042-8812
    ISSN 2042-8812
    DOI 10.1093/jscr/rjad380
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Resectability and prognosis of gallbladder cancer: a cross-sectional study of 100 cases from a tertiary care centre of Eastern Nepal.

    Pandit, Narendra / Neupane, Durga / Nalbo, Dinesh / Bhattarai, Sameer / Deo, Kunal B / Jaiswal, Lokesh S / Adhikary, Shailesh

    Annals of medicine and surgery (2012)

    2023  Volume 85, Issue 5, Page(s) 1755–1760

    Abstract: Gallbladder cancer (GBC) is the fifth most common neoplasm of the digestive tract and has an overall incidence of 3 per 100 000 people. Only 15-47% of the preoperatively known GBC are suitable for resection. The objective of the study was to investigate ... ...

    Abstract Gallbladder cancer (GBC) is the fifth most common neoplasm of the digestive tract and has an overall incidence of 3 per 100 000 people. Only 15-47% of the preoperatively known GBC are suitable for resection. The objective of the study was to investigate the resectability and prognosis of GBC patients.
    Materials and methods: It is a prospective observational study including all cases of primary cancers of the gallbladder in the Department of Surgical Gastroenterology at a tertiary care center over the period from January 2014 to December 2019. The primary endpoint was resectability and overall survival.
    Results: During the study period, 100 patients with GBC were reported. The mean age at the time of diagnosis was 52.5 years, with a female predominance (67%). The curative intent resection (radical cholecystectomy) was possible in 30 (30%) patients; while 18 (18%) required palliative surgical treatment. The overall survival of the entire group was 9 months; while those patients who underwent surgery with curative intent had a median overall survival of 28 months after a median follow-up of 42 months.
    Conclusion: This study found that only one-third of patients achieve radical surgery with curative intent. Overall, the prognosis of patients is poor with a median survival of less than a year due to the advanced stage disease. Multimodality treatment, screening ultrasound, and neo-/adjuvant therapy may improve survival.
    Language English
    Publishing date 2023-04-17
    Publishing country England
    Document type Journal Article
    ZDB-ID 2745440-X
    ISSN 2049-0801
    ISSN 2049-0801
    DOI 10.1097/MS9.0000000000000699
    Database MEDical Literature Analysis and Retrieval System OnLINE

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