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Cystic lesion of pancreas treated with distal pancreatico-splenectomy
Cystic lesion of pancreas treated with distal pancreatico-splenectomy A 62 yearold gentleman presented to us with complaints of upper abdominal pain with radiation to back since 2 months. He also complained of weight loss, however this was not significant. Ultrasound and contrast enhanced CT scan of the abdomen (figure 1) was suggestive of a cystic lesion in body and tail of pancreas. To further characterize the lesion a MRI with MRCP of the abdomen was done. This was suggestive of a mixed-micro & macro-cystic lesion in tail of pancreas. A communication between the lesion and pancreatic duct was demonstrated (figure 2). These features pointed to a branch duct intraductal papillary mucinous neoplasm (BD-IPMN). An endoscopic ultrasound (figure 3) was suggestive of a mixed micro- and macrocystic lesion of pancreas and myxoid material was aspirated. The cyst fluid amylase and CEA was 154 U/L and 0.12 ng/ml respectively and were normal, indicating a non-mucinous cyst. In view o
A STITCH IN TIME SAVES THE INTESTINE !!
Clinical History A 50 year female presented to the emergency of Metro Multispeciality Hospital with a h/o of acute abdominal pain and recurrent vomiting of 3-4 hours duration and a painful tender swelling in the mid abdomen. She gave a h/o of a swelling in the supra-umbilical region for the last 2-3 years. Clinical examination revealed a tender. Irreducible para-umbilical hernia. Large Irreducible Supraumbilical Swelling Urgent CT abdomen confirmed a small intestinal loop to be stuck in the hernia sack. She was taken up for urgent laparotomy within 2 hours of presentation to the emergency .On opening the hernia sac a discoloured loop of small intestine was seen. The constricting ring was released and the intestine regained its normal colour and viability – allowing for the intestine to be saved. Patient underwent a Mesh Henioplasty and was discharged on the 2nd post operative day. TIMELY AND QUICK INTERVENTION SAVED THE PATIENT FROM AN INTESTINAL RESECTION AND ALLOWED FOR A QUICK
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