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Research paper thumbnail of An uncommon hernia with an uncommon presentation: a case report on obturator hernia with ileal transection

International Surgery Journal

Obturator hernia is a rare pelvic hernia with an incidence of 1%. It is the protrusion of abdomin... more Obturator hernia is a rare pelvic hernia with an incidence of 1%. It is the protrusion of abdominal content through the obturator foramen. Here we report a rare case of obturator hernia in thin, emaciated female patient of age 60 years with complication of ileal transection, hence emphasizing early presentation and diagnosis.

Research paper thumbnail of A rare case of schwannoma of the mandibular nerve extending to parapharyngeal space managed with a preauricular trans mandibular approach

International Surgery Journal

Schwannoma also referred to as neurilemmoma or neurinomas arise from the Schwann cells of the aut... more Schwannoma also referred to as neurilemmoma or neurinomas arise from the Schwann cells of the autonomic nerves, peripheral nerves and cranial nerves except optic and olfactory nerves. Head and neck schwannomas account for 25 to 45% of schwannomas and the most common being vagal schwannomas and cervical sympathetic chain schwannomas. Schwannomas arising from the trigeminal nerve are rare and this case report consists of a schwannoma presenting as a left preauricular swelling involving the region of parotid extending from foramen ovale through the infratemporal fossa up to the parapharyngeal space. A combined preauricular trans mandibular approach enabled a complete excision of the tumor. Histopathological confirmation of a benign schwannoma was obtained and the patient is feeling well with minimal postoperative facial palsy with no trismus, occlusion abnormalities and no signs of recurrence on follow up.

Research paper thumbnail of Current Trends of Antibiotic Resistance in Pseudomonas Aeruginosa Strains in Tertiary Care Center in South India

University Journal of Pre and Paraclinical Sciences, 2016

PURPOSE OF THE STUDY To study the Antibiotic susceptibility patterns of isolates of Pseudomonas a... more PURPOSE OF THE STUDY To study the Antibiotic susceptibility patterns of isolates of Pseudomonas aeruginosa from hospitalized patients. We also aim at finding out the Extended Spectrum Beta Lactamase (ESBL) and Metallo Beta Lactamase (MBL) production in the isolates. MATERIALS AND METHODS Out of 2552 bacterial culture positive isolates in a period of 4 months (September-December,2011), from various specimens of Inpatients ,197 (7.72 percent ) isolates of Pseudomonas aeruginosa were isolated. These 197 Pseudomonas aeruginosa strains taken up for the study. They were subjected to antibiotic susceptibility testing by disc diffusion test as per the Clinical and Laboratory Standards Institute (CLSI) guidelines. Ceftazidime resistant isolates were selected for the detection of ESBL and MBL production by phenotypic confirmatory test and Modified Hodge test respectively. Appropriate standard strains were used as controls for antibiotic susceptibility testing, ESBL and MBL detection. Statisti...

Research paper thumbnail of Psoas Abscess – the Changing Trends

International Journal of Medical Science And Diagnosis Research, 2021

Introduction: Psoas abscess (IPA) is an abscess collection in the retroperitoneal space tracking ... more Introduction: Psoas abscess (IPA) is an abscess collection in the retroperitoneal space tracking along the psoas major muscle. The microbial etiology of Psoas abscess is variable and depends on the geographical area. This study attempts to evaluate the microbial etiology, its implication in deciding the management modalities, and outcomes in patients with Psoas abscess from a tertiary care center in South India. Materials and Methods: This was a retrospective study done in a tertiary care center in Southern India. Results: A total of 47 patients were enrolled in the study, with causative organism identified in 40 (85.15%) patients. In 17 patients (36.17%), it was found to be tuberculous origin; and of nontuberculous origin in 23 patients (48.93%). No causative organism could not be isolated in 7 patients (14.89%). While 33 patients were treated with percutaneous drainage (70.12%), open drainage was done in 14 patients (29.78%) and 1 patient died (2.12%). Conclusion: The most common ...

Research paper thumbnail of A rare case of bladder gangrene associated with inguinal hernia: case report

International Surgery Journal

Involvement of bladder in inguinal hernia is rare and occurs in less than 5% of the cases and str... more Involvement of bladder in inguinal hernia is rare and occurs in less than 5% of the cases and strangulated inguinal hernia has an overall prevalence of 1.3% affecting mainly senile patients. Bladder gangrene associated with strangulated inguinal hernia is an extremely rare entity and only one case has been reported so far. We report a rare case of strangulated left inguinal hernia with bladder and bowel as content and with gangrene of both. A 42-year male presented with left inguinal irreducible swelling with features of obstruction for 2 days with no urological symptoms. Preoperative CT abdomen revealed obstructed left direct inguinal hernia with jejunum and omentum as content. Emergency laparotomy done and it revealed an indirect sac containing bladder with supratrigonal bladder gangrene and gangrenous ileum. Partial cystectomy and resection and anastomosis of ileum with herniorrhaphy was done.

Research paper thumbnail of A rare case of bladder gangrene associated with inguinal hernia: case report

ISJ, 2023

Involvement of bladder in inguinal hernia is rare and occurs in less than 5% of the cases and str... more Involvement of bladder in inguinal hernia is rare and occurs in less than 5% of the cases and strangulated inguinal hernia has an overall prevalence of 1.3% affecting mainly senile patients. Bladder gangrene associated with strangulated inguinal hernia is an extremely rare entity and only one case has been reported so far. We report a rare case of strangulated left inguinal hernia with bladder and bowel as content and with gangrene of both. A 42-year male presented with left inguinal irreducible swelling with features of obstruction for 2 days with no urological symptoms. Preoperative CT abdomen revealed obstructed left direct inguinal hernia with jejunum and omentum as content. Emergency laparotomy done and it revealed an indirect sac containing bladder with supratrigonal bladder gangrene and gangrenous ileum. Partial cystectomy and resection and anastomosis of ileum with herniorrhaphy was done.

Research paper thumbnail of An uncommon hernia with an uncommon presentation: a case report on obturator hernia with ileal transection

International Surgery Journal

Obturator hernia is a rare pelvic hernia with an incidence of 1%. It is the protrusion of abdomin... more Obturator hernia is a rare pelvic hernia with an incidence of 1%. It is the protrusion of abdominal content through the obturator foramen. Here we report a rare case of obturator hernia in thin, emaciated female patient of age 60 years with complication of ileal transection, hence emphasizing early presentation and diagnosis.

Research paper thumbnail of A rare case of schwannoma of the mandibular nerve extending to parapharyngeal space managed with a preauricular trans mandibular approach

International Surgery Journal

Schwannoma also referred to as neurilemmoma or neurinomas arise from the Schwann cells of the aut... more Schwannoma also referred to as neurilemmoma or neurinomas arise from the Schwann cells of the autonomic nerves, peripheral nerves and cranial nerves except optic and olfactory nerves. Head and neck schwannomas account for 25 to 45% of schwannomas and the most common being vagal schwannomas and cervical sympathetic chain schwannomas. Schwannomas arising from the trigeminal nerve are rare and this case report consists of a schwannoma presenting as a left preauricular swelling involving the region of parotid extending from foramen ovale through the infratemporal fossa up to the parapharyngeal space. A combined preauricular trans mandibular approach enabled a complete excision of the tumor. Histopathological confirmation of a benign schwannoma was obtained and the patient is feeling well with minimal postoperative facial palsy with no trismus, occlusion abnormalities and no signs of recurrence on follow up.

Research paper thumbnail of Current Trends of Antibiotic Resistance in Pseudomonas Aeruginosa Strains in Tertiary Care Center in South India

University Journal of Pre and Paraclinical Sciences, 2016

PURPOSE OF THE STUDY To study the Antibiotic susceptibility patterns of isolates of Pseudomonas a... more PURPOSE OF THE STUDY To study the Antibiotic susceptibility patterns of isolates of Pseudomonas aeruginosa from hospitalized patients. We also aim at finding out the Extended Spectrum Beta Lactamase (ESBL) and Metallo Beta Lactamase (MBL) production in the isolates. MATERIALS AND METHODS Out of 2552 bacterial culture positive isolates in a period of 4 months (September-December,2011), from various specimens of Inpatients ,197 (7.72 percent ) isolates of Pseudomonas aeruginosa were isolated. These 197 Pseudomonas aeruginosa strains taken up for the study. They were subjected to antibiotic susceptibility testing by disc diffusion test as per the Clinical and Laboratory Standards Institute (CLSI) guidelines. Ceftazidime resistant isolates were selected for the detection of ESBL and MBL production by phenotypic confirmatory test and Modified Hodge test respectively. Appropriate standard strains were used as controls for antibiotic susceptibility testing, ESBL and MBL detection. Statisti...

Research paper thumbnail of Psoas Abscess – the Changing Trends

International Journal of Medical Science And Diagnosis Research, 2021

Introduction: Psoas abscess (IPA) is an abscess collection in the retroperitoneal space tracking ... more Introduction: Psoas abscess (IPA) is an abscess collection in the retroperitoneal space tracking along the psoas major muscle. The microbial etiology of Psoas abscess is variable and depends on the geographical area. This study attempts to evaluate the microbial etiology, its implication in deciding the management modalities, and outcomes in patients with Psoas abscess from a tertiary care center in South India. Materials and Methods: This was a retrospective study done in a tertiary care center in Southern India. Results: A total of 47 patients were enrolled in the study, with causative organism identified in 40 (85.15%) patients. In 17 patients (36.17%), it was found to be tuberculous origin; and of nontuberculous origin in 23 patients (48.93%). No causative organism could not be isolated in 7 patients (14.89%). While 33 patients were treated with percutaneous drainage (70.12%), open drainage was done in 14 patients (29.78%) and 1 patient died (2.12%). Conclusion: The most common ...

Research paper thumbnail of A rare case of bladder gangrene associated with inguinal hernia: case report

International Surgery Journal

Involvement of bladder in inguinal hernia is rare and occurs in less than 5% of the cases and str... more Involvement of bladder in inguinal hernia is rare and occurs in less than 5% of the cases and strangulated inguinal hernia has an overall prevalence of 1.3% affecting mainly senile patients. Bladder gangrene associated with strangulated inguinal hernia is an extremely rare entity and only one case has been reported so far. We report a rare case of strangulated left inguinal hernia with bladder and bowel as content and with gangrene of both. A 42-year male presented with left inguinal irreducible swelling with features of obstruction for 2 days with no urological symptoms. Preoperative CT abdomen revealed obstructed left direct inguinal hernia with jejunum and omentum as content. Emergency laparotomy done and it revealed an indirect sac containing bladder with supratrigonal bladder gangrene and gangrenous ileum. Partial cystectomy and resection and anastomosis of ileum with herniorrhaphy was done.

Research paper thumbnail of A rare case of bladder gangrene associated with inguinal hernia: case report

ISJ, 2023

Involvement of bladder in inguinal hernia is rare and occurs in less than 5% of the cases and str... more Involvement of bladder in inguinal hernia is rare and occurs in less than 5% of the cases and strangulated inguinal hernia has an overall prevalence of 1.3% affecting mainly senile patients. Bladder gangrene associated with strangulated inguinal hernia is an extremely rare entity and only one case has been reported so far. We report a rare case of strangulated left inguinal hernia with bladder and bowel as content and with gangrene of both. A 42-year male presented with left inguinal irreducible swelling with features of obstruction for 2 days with no urological symptoms. Preoperative CT abdomen revealed obstructed left direct inguinal hernia with jejunum and omentum as content. Emergency laparotomy done and it revealed an indirect sac containing bladder with supratrigonal bladder gangrene and gangrenous ileum. Partial cystectomy and resection and anastomosis of ileum with herniorrhaphy was done.