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  1. Article: A Rare Phenomenon of Stercoral Ileal Perforation in a Pregnant Woman.

    Das, Snehasis / Prakash, Sagar / Sunil, Julia / Shaikh, Oseen / Balasubramanian, Gopal

    Cureus

    2023  Volume 15, Issue 7, Page(s) e41529

    Abstract: Perforation peritonitis is one of the most common emergency presentations in Indian hospitals. Stercoral perforations are rare due to increased intraluminal pressure on the gut wall from impacted feces. This is associated with transmural necrosis. We ... ...

    Abstract Perforation peritonitis is one of the most common emergency presentations in Indian hospitals. Stercoral perforations are rare due to increased intraluminal pressure on the gut wall from impacted feces. This is associated with transmural necrosis. We present a 31-year-old pregnant woman who reported abdominal pain and vomiting at 34 weeks of gestation. The diagnosis was unclear from examination and imaging studies, and a provisional diagnosis of acute appendicitis was made. The patient underwent laparotomy and was found to have fecal contamination and multiple stercoral ileal perforations. The bowel segment was resected and exteriorized as a stoma.
    Language English
    Publishing date 2023-07-07
    Publishing country United States
    Document type Case Reports
    ZDB-ID 2747273-5
    ISSN 2168-8184
    ISSN 2168-8184
    DOI 10.7759/cureus.41529
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Cardiac Arrest Due to Anaphylactic Shock Following Vecuronium Injection.

    Das, Snehasis / Prakash, Sagar / Sunil, Julia / Shaikh, Oseen / Balasubramanian, Gopal

    Cureus

    2023  Volume 15, Issue 6, Page(s) e40931

    Abstract: Anaphylaxis under anesthesia is a rare but potentially severe disease. Although anaphylaxis is rare, it can be lethal if not diagnosed and treated appropriately. We present the case of a 43-year-old male with no prior allergy history who experienced a ... ...

    Abstract Anaphylaxis under anesthesia is a rare but potentially severe disease. Although anaphylaxis is rare, it can be lethal if not diagnosed and treated appropriately. We present the case of a 43-year-old male with no prior allergy history who experienced a severe anaphylactic reaction that resulted in cardiac arrest after the intravenous injection of vecuronium. His surgery was postponed, and the patient required intensive care with ventilator support and other supportive measures. Post-reaction dermal sensitivity tests revealed a clear allergic reaction to vecuronium which confirmed the diagnosis retrospectively. Eventually, the patient made a full recovery and was rescheduled for surgery at a later date.
    Language English
    Publishing date 2023-06-25
    Publishing country United States
    Document type Case Reports
    ZDB-ID 2747273-5
    ISSN 2168-8184
    ISSN 2168-8184
    DOI 10.7759/cureus.40931
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Incidental Meckel's Diverticulum in Umbilical Hernia.

    Prakash, Sagar / Sunil, Julia / Shivakumar, Madan / Shaikh, Oseen / Balasubramanian, Gopal

    Cureus

    2023  Volume 15, Issue 6, Page(s) e41115

    Abstract: The presence of a Meckel's diverticulum in the hernial sac is called a Littre's hernia. It is a rare complication of Meckel's diverticulum. We present a 56-year-old male patient who complained of swelling in the umbilical region. After the clinical ... ...

    Abstract The presence of a Meckel's diverticulum in the hernial sac is called a Littre's hernia. It is a rare complication of Meckel's diverticulum. We present a 56-year-old male patient who complained of swelling in the umbilical region. After the clinical examination and imaging studies, we diagnosed the patient with a partially reducible umbilical hernia. The patient underwent exploration and was found to have omentum, Meckel's diverticulum, and part of the ileum within the sac. The patient underwent segmental resection of the bowel, primary repair of the hernial defect, and onlay meshplasty. Postoperatively, the patient did not develop any complications.
    Language English
    Publishing date 2023-06-28
    Publishing country United States
    Document type Case Reports
    ZDB-ID 2747273-5
    ISSN 2168-8184
    ISSN 2168-8184
    DOI 10.7759/cureus.41115
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: Pancreatic Carcinoma Causing Schnitzler's Metastasis.

    Giri, Laya B / Sunil, Julia / Stephen, Norton / Shaikh, Oseen / Balasubramanian, Gopal

    Cureus

    2023  Volume 15, Issue 7, Page(s) e42465

    Abstract: Schnitzler's metastasis occurs due to the deposition of the tumor cells in the submucosa of the rectum, leading to rectal stenosis. We present a 60-year-old female who presented with abdominal pain, distension, and vomiting. Abdominal examination showed ... ...

    Abstract Schnitzler's metastasis occurs due to the deposition of the tumor cells in the submucosa of the rectum, leading to rectal stenosis. We present a 60-year-old female who presented with abdominal pain, distension, and vomiting. Abdominal examination showed a distended abdomen and palpable bowel loops, and per rectal examination showed rectal stenosis. Imaging studies suggest rectal stenosis with carcinoma of the pancreas head. The patient was diagnosed with Schnitzler's metastasis with carcinoma of the pancreas head, which has not been reported in the literature. The patient underwent a diversion sigmoid colostomy and was planned for palliative chemotherapy after stenting the common bile duct.
    Language English
    Publishing date 2023-07-25
    Publishing country United States
    Document type Case Reports
    ZDB-ID 2747273-5
    ISSN 2168-8184
    ISSN 2168-8184
    DOI 10.7759/cureus.42465
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. 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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  6. 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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