An adhesive omental band can be disastrous

Young female patient presented with central abd pain. CT showed thickened ileal loop with proximal dilatation and this is what we found.

Comments

Post a Comment

Popular posts from this blog

Dr. Deepak Govil | Surgical Gastroenterologist & GI Cancer Surgeon

Image
Dr. Deepak Govil: An Experienced Surgical Gastroenterologist & a GI Cancer Surgeon From insightscare magazine Surgery overall is a very interesting field. It’s my passion. Whether you do open surgery, Laparoscopy or Robotic surgery, the basic principles of surgery remain the same and need to be followed strictly to achieve good outcomes for patients,”  are the views of a renowned  Surgical Gastroenterologist, Dr. Deepak Govil,  who has over 30 years of experience as a Surgeon, he is currently working with  Indraprastha Apollo Hospitals, New Delhi . Dr. Deepak was fascinated since childhood to see the prefix ‘Dr.’ before his name. Speaking of his motivation to become a doctor he says,  “Also this being one of the most respected professions has always impressed me. Coming from a simple family, my parents wanted me to become a Doctor.” His parents never let the limited resources stand in the way of providing him the highest of education and made l...
Read more

Cystic lesion of pancreas treated with distal pancreatico-splenectomy

Image
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...
Read more