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Papers by Dr. Rahulkumar Chavan

Indian Journal of Surgical Oncology

Indian Journal of Surgery, 2016

Case Reports in Surgery, 2016

Esophageal leiomyoma is a relatively rare tumor of esophagus but it is the most common benign neo... more Esophageal leiomyoma is a relatively rare tumor of esophagus but it is the most common benign neoplasm of the esophagus. Small esophageal leiomyoma can be observed but larger ones and those producing symptoms should be excised. As observed for other esophageal tumors, dysphagia is its main symptom. Traditionally, open thoracotomy and enucleation are its main treatment but in the last few years video assisted thoracoscopic surgical (VATS) enucleation is gaining recognition with proven advantages of minimally invasive surgery. Herein we present our experience with patient presenting with cough rather than dysphagia as a main symptom, who was diagnosed to be having giant esophageal leiomyoma. VATS guided enucleation was accomplished successfully. Size of lesion was16×4×3 cm. Postoperative recovery was uneventful and patient is not having any signs of recurrence, after three years during follow-up period.

Sudden intraoperative hypotension can prove to be a lethal emergency. Awareness of the possible c... more Sudden intraoperative hypotension can prove to be a lethal emergency. Awareness of the possible causes and risk factors is essential to prevent this complication. Close monitoring of the patient during the procedure followed by aggressive resuscitation by a team effort can only prevent an intraoperative mortality.

Development of a pseudocyst of the pancreas after an attack of acute pancreatitis is a known phen... more Development of a pseudocyst of the pancreas after an attack of acute pancreatitis is a known phenomenon. The natural history of the pseudocyst is extremely variable ranging from complete resolution to the development of chronicity. Understanding the natural history of pseudo cysts is therefore pivotal in determining the best therapeutic option at each stage of the disease along the natural course of the disease. The paper outlines the various options at each successive stage of the disease process.

Case Reports in Surgery, 2015

This is a case report of 22-year-old girl admitted with abdominal distension, vomiting, and chron... more This is a case report of 22-year-old girl admitted with abdominal distension, vomiting, and chronic constipation since birth. Abdomen was distended, and perineal examination revealed imperforate anus with vestibular fistula (ARM). So far worldwide very few cases have been reported about anorectal malformation presenting in adulthood, and thus extremely little data is available in the literature about an ideal management of anorectal malformation in adults. In our case in the treatment instead of conventional procedure of posterior sagittal anorectoplasty (PSARP) anal transposition was done and till two years after the definitive treatment during follow-up patient has been doing well with Kelly’s score of six. Our experience suggests that anal transposition provides satisfactory outcome in adults presenting late with anorectal malformation.

Case Reports in Surgery, 2015

Intussusception as a cause of intestinal obstruction in adults is rare. There is invariably an un... more Intussusception as a cause of intestinal obstruction in adults is rare. There is invariably an underlying pathology which leads to intussusception in adults. A case of intussusception in an adult due to a small intestinal lipoma is presented in view of this association. Ultrasound and CECT may help in a preoperative diagnosis. However early surgical intervention is the mainstay of treatment in order to confirm the diagnosis of the underlying pathology, thereby avoiding misdiagnosis of an underlying cancer.

Case Reports in Pathology, 2015

Primary squamous cell carcinoma (PSCC) of thyroid is an extremely rare malignancy of thyroid. Her... more Primary squamous cell carcinoma (PSCC) of thyroid is an extremely rare malignancy of thyroid. Herewith, we describe a case report of female patient who presented with neck swelling; FNAC misdiagnosed it as papillary carcinoma of thyroid but, after resection, biopsy revealed it to be a case of squamous cell carcinoma of thyroid. After extensive investigations no possible primary focus of squamous cell carcinoma was found elsewhere, so diagnosis of primary squamous cell carcinoma of thyroid was made. Patient underwent chemoradiation but still patient succumbed to death within a year.