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Ghimire P, Sah BK, Khadka N, Jha AK, Sapkota H, Paudel N. Rare case of coexisting hepatic, splenic, and vertebral hemangiomas - A case report. Radiol Case Rep 2024; 19:1556-1559. [PMID: 38317698 PMCID: PMC10839767 DOI: 10.1016/j.radcr.2023.12.057] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/16/2023] [Accepted: 12/27/2023] [Indexed: 02/07/2024] Open
Abstract
Synchronous existence of hepatic, splenic, and skeletal hemangiomas has not been reported previously in the English literature to our knowledge. In this case report, we present a case of coexistence of hepatic, splenic, and skeletal hemangiomas in a 30-year-old woman with on and off bilateral lumbar region pain and no significant past medical history. Radiological investigations, including ultrasound and computed tomography and magnetic resonance imaging helped identify the synchronous existence of hepatic, splenic, and skeletal hemangiomas. The patient improved with conservative management and was kept on follow-ups. Although there have been reports of coexistence of splenic and hepatic hemangiomas in the literature, to our knowledge, this is the first report of synchronous existence of hepatic, splenic, and skeletal hemangiomas.
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Affiliation(s)
- Prasanna Ghimire
- Department of Radiology, Nepalgunj Medical College and Teaching Hospital, Banke, Nepal
| | - Brijendra Kumar Sah
- Department of Radiology, Nepalgunj Medical College and Teaching Hospital, Banke, Nepal
| | - Niruka Khadka
- Department of Radiology, Nepalgunj Medical College and Teaching Hospital, Banke, Nepal
| | - Amit Kumar Jha
- Department of Radiology, Nepalgunj Medical College and Teaching Hospital, Banke, Nepal
| | - Hari Sapkota
- Department of Radiology, Nepalgunj Medical College and Teaching Hospital, Banke, Nepal
| | - Nabin Paudel
- Department of Radiology, Nepalgunj Medical College and Teaching Hospital, Banke, Nepal
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Ghimire P, Sah BK, Shrestha S, Ghimire PG. Neglected case of recurrent abdominal pain due to a chronically retained and broken double J (DJ) stent following percutaneous nephrolithotomy (PCNL): A case report. Radiol Case Rep 2024; 19:812-817. [PMID: 38111564 PMCID: PMC10726330 DOI: 10.1016/j.radcr.2023.11.030] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/03/2023] [Revised: 11/08/2023] [Accepted: 11/10/2023] [Indexed: 12/20/2023] Open
Abstract
Double J (DJ stent) is commonly used in urology practices. Short- and long-term complications of indwelling catheters are increasingly noted resulting in significant morbidity and at times mortality. Retained and broken DJ stent is however rare complication with few cases reported in the literature. We present a case of neglected retained and broken DJ stent in a 55-year-old male who had undergone percutaneous lithotripsy (PCNL) 4 years back presenting with recurrent abdominal pain and was misdiagnosed as peptic ulcer disease at various centers. Radiological investigations including ultrasound, radiographs, and computer tomography helped in identifying the retained and broken DJ stent. Patient improved with conservative management and left against medical advice for definite treatment. Patient education and ensuring proper follow-up can reduce the likelihood of complications associated with DJ stents.
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Affiliation(s)
- Prasanna Ghimire
- Department of Radiology, Nepalgunj Medical College and Teaching Hospital, Kohalpur, Banke, Nepal
| | - Brijendra Kumar Sah
- Department of Radiology, Nepalgunj Medical College and Teaching Hospital, Kohalpur, Banke, Nepal
| | - Simran Shrestha
- Department of Radiology, Nepalgunj Medical College and Teaching Hospital, Kohalpur, Banke, Nepal
| | - Pragya Gautam Ghimire
- Department of Pathology, Nepalgunj Medical College and Teaching Hospital; Kohalpur, Banke, Nepal
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Sah BK, Li J, Yan C, Li C, Yan M, Zhu ZG. Anastomosis for distal gastrectomy in Chinese patients: uncut roux-Y or roux-Y? BMC Surg 2020; 20:7. [PMID: 31918683 PMCID: PMC6953135 DOI: 10.1186/s12893-019-0672-8] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/12/2019] [Accepted: 12/25/2019] [Indexed: 02/03/2023] Open
Abstract
Background An appropriate method of anastomosis is crucial for gastric cancer patients who require gastrojejunal anastomosis. Surgeons have proposed different types of modified gastrojejunostomies in the last two decades. We focused on two types of standard anastomosis, i.e., Uncut Roux-Y and Roux-Y gastrojejunostomies, and compared the differences in immediate postoperative complications between the two types. Methods This is a retrospective study on 236 gastric cancer patients who underwent curative distal gastrectomy with gastrojejunal Roux-Y or Uncut Roux-Y anastomosis for six consecutive years. Immediate postoperative complications were compared between the two groups. The authors discussed the causes of the significant complications and their management. Results There was no difference in demographics between the two groups (92 Roux-y Versus 144 Uncut Roux-y). The overall complication rate was 20.8% with 1.4% anastomotic leakage in the Uncut Roux-Y group versus 33.7% with 7.6% anastomotic failures in the Roux-Y group (p < 0.05). More abdominal infections occurred in the Roux-Y anastomosis group compared with the Uncut Roux-Y anastomosis group (p < 0.05). Duration of postoperative stay was significantly longer in patients with Roux-y anastomosis group (p < 0.05). Conclusions Considering the surgical simplicity and postoperative complications, the Uncut Roux-Y is a better choice for anastomosis in patients with gastric cancer undergoing gastrojejunostomy. A well-designed large cohort in a multi-centre randomized controlled trial is necessary to support these findings and compare other aspects.
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Affiliation(s)
- B K Sah
- Department of General Surgery, Gastrointestinal Surgery Unit, Ruijin Hospital Shanghai Jiao Tong University School of Medicine, 197 Ruijin Er Road, Shanghai, 200025, China.
| | - J Li
- Clinical Research Centre, Ruijin Hospital Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - C Yan
- Department of General Surgery, Gastrointestinal Surgery Unit, Ruijin Hospital Shanghai Jiao Tong University School of Medicine, 197 Ruijin Er Road, Shanghai, 200025, China.
| | - C Li
- Department of General Surgery, Gastrointestinal Surgery Unit, Ruijin Hospital Shanghai Jiao Tong University School of Medicine, 197 Ruijin Er Road, Shanghai, 200025, China
| | - M Yan
- Department of General Surgery, Gastrointestinal Surgery Unit, Ruijin Hospital Shanghai Jiao Tong University School of Medicine, 197 Ruijin Er Road, Shanghai, 200025, China
| | - Z G Zhu
- Department of General Surgery, Gastrointestinal Surgery Unit, Ruijin Hospital Shanghai Jiao Tong University School of Medicine, 197 Ruijin Er Road, Shanghai, 200025, China
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Ratanasuwan W, Kim YH, Sah BK, Suwanagool S, Kim DR, Anekthananon A, Lopez AL, Techasathit W, Grahek SL, Clemens JD, Wierzba TF. Peru-15 (Choleragarde(®)), a live attenuated oral cholera vaccine, is safe and immunogenic in human immunodeficiency virus (HIV)-seropositive adults in Thailand. Vaccine 2015; 33:4820-6. [PMID: 26241948 DOI: 10.1016/j.vaccine.2015.07.073] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/27/2015] [Revised: 07/21/2015] [Accepted: 07/23/2015] [Indexed: 10/23/2022]
Abstract
BACKGROUND Many areas with endemic and epidemic cholera report significant levels of HIV transmission. According to the World Health Organization (WHO), over 95% of reported cholera cases occur in Africa, which also accounts for nearly 70% of people living with HIV/AIDS globally. Peru-15, a promising single dose live attenuated oral cholera vaccine (LA-OCV), was previously found to be safe and immunogenic in cholera endemic areas. However, no data on the vaccine's safety among HIV-seropositive adults had been collected. METHODS This study was a double-blinded, individually randomized, placebo-controlled trial enrolling HIV-seropositive adults, 18-45 years of age, conducted in Bangkok, Thailand, to assess the safety of Peru-15 in a HIV-seropositive cohort. RESULTS 32 HIV infected subjects were randomized to receive either a single oral dose of the Peru-15 vaccine with a buffer or a placebo (buffer only). No serious adverse events were reported during the follow-up period in either group. The geometric mean fold (GMF) rise in V. cholerae O1 El Tor specific antibody titers between baseline and 7 days after dosing was 32.0 (p<0.001) in the vaccine group compared to 1.6 (p<0.14) in the placebo group. Among the 16 vaccinees,14 vaccinees (87.5%) had seroconversion compared to 1 of 16 placebo recipients (6.3%). V. cholerae was isolated from the stool of one vaccinee, and found to be genetically identical to the Peru-15 vaccine strain. There were no significant changes in HIV viral load or CD4 T-cell counts between vaccine and placebo groups. CONCLUSION Peru-15 was shown to be safe and immunogenic in HIV-seropositive Thai adults.
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Affiliation(s)
- W Ratanasuwan
- Siriraj Hospital, Mahidol University, Bangkok, Thailand
| | - Y H Kim
- International Vaccine Institute, Seoul, Republic of Korea.
| | - B K Sah
- International Vaccine Institute, Seoul, Republic of Korea
| | - S Suwanagool
- Siriraj Hospital, Mahidol University, Bangkok, Thailand
| | - D R Kim
- International Vaccine Institute, Seoul, Republic of Korea
| | | | - A L Lopez
- University of the Philippines Manila - National Institutes of Health, Manila, Philippines
| | - W Techasathit
- Siriraj Hospital, Mahidol University, Bangkok, Thailand
| | - S L Grahek
- The George Washington University School of Medicine and Health Sciences, Washington, DC, United States; Sabin Vaccine Institute, Washington, DC, United States
| | - J D Clemens
- International Center for Diarrheal Disease Research, Dhaka, Bangladesh
| | - T F Wierzba
- International Vaccine Institute, Seoul, Republic of Korea
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Kanungo S, Sah BK, Lopez AL, Sung JS, Paisley AM, Sur D, Clemens JD, Nair GB. Cholera in India: an analysis of reports, 1997-2006. Bull World Health Organ 2010; 88:185-91. [PMID: 20428385 DOI: 10.2471/blt.09.073460] [Citation(s) in RCA: 77] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/20/2009] [Revised: 01/13/2010] [Accepted: 01/18/2010] [Indexed: 11/27/2022] Open
Abstract
OBJECTIVE To more accurately define the annual incidence of cholera in India, believed to be higher than reported to the World Health Organization (WHO). METHODS We searched the biomedical literature to extract data on the cases of cholera reported in India from 1997 to 2006 and compared the numbers found to those reported annually to WHO over the same period. The latter were obtained from WHO's annual summaries of reported cholera cases and National health profile 2006, published by India's Central Bureau of Health Intelligence. FINDINGS Of India's 35 states or union territories, 21 reported cholera cases during at least one year between 1997 and 2006. The state of West Bengal reported cases during all 10 years, while the state of Maharashtra and the union territory of Delhi reported cases during nine, and Orissa during seven. There were 68 outbreaks in 18 states, and 222 038 cases were detected overall. This figure is about six times higher than the number reported to WHO (37 783) over the same period. The states of Orissa, West Bengal, Andaman and Nicobar Islands, Assam and Chhattisgarh accounted for 91% of all outbreak-related cases. CONCLUSION The reporting of cholera cases in India is incomplete and the methods used to keep statistics on cholera incidence are inadequate. Although the data are sparse and heterogeneous, cholera notification in India is highly deficient.
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Affiliation(s)
- S Kanungo
- National Institute of Cholera and Enteric Diseases, P-33 - CIT Road Scheme XM, Beliaghata, Kolkata, 700 010, India
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Sah BK, Zhu ZG, Wang XY, Yang QM, Chen MM, Xiang M, Chen J, Yan M. Post-operative complications of gastric cancer surgery: female gender at high risk. Eur J Cancer Care (Engl) 2009; 18:202-8. [PMID: 19267738 PMCID: PMC2702005 DOI: 10.1111/j.1365-2354.2008.01036.x] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/03/2023]
Abstract
We applied physiological and operative severity score for the enumeration of morbidity and mortality (POSSUM) to evaluate overall surgical outcome and investigated the role of gender for early post-operative complications in gastric cancer surgery. The data from a total of 357 patients of gastric cancer were analysed by univariate and multivariate analysis. Post-operative complications were recorded according to definition of POSSUM. Post-operative complications of male and female patients were compared separately. The observed to estimated morbidity ratio (O:E) was 1.01. Among the pre-operative variables, patient gender was one of the independent risk factors for a higher rate of post-operative complications (risk ratio 1.777, P = 0.024). Post-operative complication was significantly higher in female patients. Similarly, post-operative length of stay was significantly longer and more severe complications were observed in female patients (P = 0.03). In conclusion, POSSUM system is a valid algorithm for risk-adjusted surgical audit. We conclude that a patient's gender influences the early post-operative complications after gastric cancer surgery. A detailed understanding on disparity of early post-operative complications between men and women may provide valuable information to improve surgical outcome of gastric cancer. However, results of this study need further confirmation by a prospective study involving a larger cohort.
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Affiliation(s)
- B K Sah
- Department of General Surgery, Rui Jin Hospital, Shanghai Jiao Tong University, School of Medicine. Shanghai Institute of Digestive Surgery, Shanghai, China
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