Apoorv Pankaj - Academia.edu (original) (raw)

Papers by Apoorv Pankaj

Research paper thumbnail of Posterior reversible encephalopathy syndrome: a case report

International journal of reproduction, contraception, obstetrics and gynecology, Sep 27, 2022

Posterior reversible encephalopathy syndrome (PRES) is a neurotoxic syndrome that is characterise... more Posterior reversible encephalopathy syndrome (PRES) is a neurotoxic syndrome that is characterised by neurological symptoms and radiological features. The symptoms include vomiting, headache, seizures, variable loss of eyesight and loss of consciousness. Imaging studies show white mater abnormalities and edema. Management includes control of blood pressure and prevention of seizures along with timely delivery. Some patients might require ICU admission and a multidisciplinary team management. The condition has a good prognosis if timely management is instituted. Here we present a case report on PRES syndrome.

Research paper thumbnail of Interstitial pregnancy: a case report

International journal of reproduction, contraception, obstetrics and gynecology, May 26, 2022

Interstitial pregnancy is a life-threatening event. Strong clinical suspicion and prompt action c... more Interstitial pregnancy is a life-threatening event. Strong clinical suspicion and prompt action can reduce maternal morbidity and mortality. Specific ultrasound features point towards the diagnosis. Various treatment modalities are available as there is no consensus for a treatment of choice. The management option depends upon the general condition of the patient and also on fact whether the ectopic pregnancy has ruptured or not. Here we present a case of an unruptured interstitial pregnancy.

Research paper thumbnail of Placenta previa percreta: a case report on diagnosis and management

International Journal of Reproduction, Contraception, Obstetrics and Gynecology

A 37-year-old female patient, G2P1L1, previous caesarean section, presented at 27 weeks of gestat... more A 37-year-old female patient, G2P1L1, previous caesarean section, presented at 27 weeks of gestation, with the chief complaint of spotting per-vaginum, not associated with pain in the abdomen. The ultrasound performed was s/o placenta previa with placenta increta. She presented with similar complaints on and off during the second trimester and was treated conservatively. Follow up scans revealed placenta percreta and the pregnancy was electively terminated at 33 weeks. A multidisciplinary team, consisting of a urosurgeon, a gynaecologist and an interventional radiologist were present during the procedure. The patient recovered fully.

Research paper thumbnail of A Study to Evaluate Risk of Ovarian Malignancy Algorithm (ROMA) in Patients with Ovarian Masses

Asian Journal of Oncology

Objective The aim of this study was to evaluate risk of ovarian malignancy algorithm (ROMA) in pr... more Objective The aim of this study was to evaluate risk of ovarian malignancy algorithm (ROMA) in premenopausal patients with ovarian masses. Materials and Methods A mixed observational study was conducted in the Department of Obstetrics and Gynecology at Lilavati Hospital and Research Centre, Mumbai, from the month of June 2017 to March 2018. In this study, premenopausal females with ovarian masses, satisfying the inclusion criteria, were evaluated for the purpose of preoperative analysis. Results In premenopausal females, ROMA less than 11.4% is normal and more than or equal to 1.4% is increased. Considering histopathology reports as the gold standard, significant association was present between ROMA score and premenopausal status. Conclusion ROMA includes two recognized markers that are being used in the current scenario for the purpose of preoperative risk assessment of ovarian cancer, cancer antigen 125 (CA125), and human epididymis protein 4 (HE4). CA125 has been shown to be elev...

Research paper thumbnail of Posterior reversible encephalopathy syndrome: a case report

International journal of reproduction, contraception, obstetrics and gynecology, Sep 27, 2022

Posterior reversible encephalopathy syndrome (PRES) is a neurotoxic syndrome that is characterise... more Posterior reversible encephalopathy syndrome (PRES) is a neurotoxic syndrome that is characterised by neurological symptoms and radiological features. The symptoms include vomiting, headache, seizures, variable loss of eyesight and loss of consciousness. Imaging studies show white mater abnormalities and edema. Management includes control of blood pressure and prevention of seizures along with timely delivery. Some patients might require ICU admission and a multidisciplinary team management. The condition has a good prognosis if timely management is instituted. Here we present a case report on PRES syndrome.

Research paper thumbnail of Interstitial pregnancy: a case report

International journal of reproduction, contraception, obstetrics and gynecology, May 26, 2022

Interstitial pregnancy is a life-threatening event. Strong clinical suspicion and prompt action c... more Interstitial pregnancy is a life-threatening event. Strong clinical suspicion and prompt action can reduce maternal morbidity and mortality. Specific ultrasound features point towards the diagnosis. Various treatment modalities are available as there is no consensus for a treatment of choice. The management option depends upon the general condition of the patient and also on fact whether the ectopic pregnancy has ruptured or not. Here we present a case of an unruptured interstitial pregnancy.

Research paper thumbnail of Placenta previa percreta: a case report on diagnosis and management

International Journal of Reproduction, Contraception, Obstetrics and Gynecology

A 37-year-old female patient, G2P1L1, previous caesarean section, presented at 27 weeks of gestat... more A 37-year-old female patient, G2P1L1, previous caesarean section, presented at 27 weeks of gestation, with the chief complaint of spotting per-vaginum, not associated with pain in the abdomen. The ultrasound performed was s/o placenta previa with placenta increta. She presented with similar complaints on and off during the second trimester and was treated conservatively. Follow up scans revealed placenta percreta and the pregnancy was electively terminated at 33 weeks. A multidisciplinary team, consisting of a urosurgeon, a gynaecologist and an interventional radiologist were present during the procedure. The patient recovered fully.

Research paper thumbnail of A Study to Evaluate Risk of Ovarian Malignancy Algorithm (ROMA) in Patients with Ovarian Masses

Asian Journal of Oncology

Objective The aim of this study was to evaluate risk of ovarian malignancy algorithm (ROMA) in pr... more Objective The aim of this study was to evaluate risk of ovarian malignancy algorithm (ROMA) in premenopausal patients with ovarian masses. Materials and Methods A mixed observational study was conducted in the Department of Obstetrics and Gynecology at Lilavati Hospital and Research Centre, Mumbai, from the month of June 2017 to March 2018. In this study, premenopausal females with ovarian masses, satisfying the inclusion criteria, were evaluated for the purpose of preoperative analysis. Results In premenopausal females, ROMA less than 11.4% is normal and more than or equal to 1.4% is increased. Considering histopathology reports as the gold standard, significant association was present between ROMA score and premenopausal status. Conclusion ROMA includes two recognized markers that are being used in the current scenario for the purpose of preoperative risk assessment of ovarian cancer, cancer antigen 125 (CA125), and human epididymis protein 4 (HE4). CA125 has been shown to be elev...