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IP Journal of Diagnostic Pathology and Oncology
Gall bladder carcinoma is one of the common cancer of biliary tree which have rapid progression a... more Gall bladder carcinoma is one of the common cancer of biliary tree which have rapid progression and high mortality rate. It is difficult to differentiate early stage of gall bladder carcinoma from chronic cholecystitis as it is mostly asymptomatic. It is well accepted that good prognosis and prolonged survival can be achieved only with detection at an early stage. Gall bladder specimens removed for clinically benign conditions for histopathological examination has been topic of debate. The reference retrospective study was carried out at tertiary care hospital for period of 6 years with objective to identify the incidence of unsuspected gallbladder carcinoma. These cholecystectomy specimens received by our histopathology laboratory to analyze their clinico-pathological features. Incidentally detected gallbladder malignancy cases comprised 0.87% from a total of 803 case records. Most patients were found to be in early, surgically resectable stage of their disease. We recommend that in India and other countries with relatively high incidences of gall bladder carcinoma, all cholecystectomy specimens should be submitted to histopathology laboratory, which is in support with current literature. It could help us to treat cases at potentially curable stage if detected early.
Journal of Case Reports, 2015
Gallstone ileus (GI) is characterized by occlusion of the intestinal lumen as a result of one or ... more Gallstone ileus (GI) is characterized by occlusion of the intestinal lumen as a result of one or more gallstones. GI is a rare complication of gallstones seen in 1%-4% of all cases of bowel obstruction [1]. Here we present two cases of gallstone ileus which came to us over period of four years. Management of GI is controversial and includes: (i) Enterotomy with stone extraction alone; (ii) Enterotomy, stone extraction, cholecystectomy and fistula closure; (iii) Bowel resection alone; and (iv) Bowel resection with fistula closure. In our case, we did enterotomy & stone extraction alone. Till now patients have remained symptom free. Enterotomy with stone extraction alone remains the most common surgical method because of its low incidence of complications.
This is a video submission for an interesting case A 66 year-old lady was previously repeated adm... more This is a video submission for an interesting case A 66 year-old lady was previously repeated admitted for vomiting and aspiration pneumonia. EGD showed a suspected hiatal hernia with gastric volvus. Endoscopic reduction was performed and the patient was scheduled for operation. Intra-operatively, it was noted that there were no hiatal hernia but a left diaphragmatic hernia was present. The hernial contents were reduced and the sac excised. The diaphragmatic defect was then closed primarily and reinforced with a 10 x 10cm biological mesh. An anterior partial fundoplication was also performed and the hiatus was closed.
IP Journal of Diagnostic Pathology and Oncology
Gall bladder carcinoma is one of the common cancer of biliary tree which have rapid progression a... more Gall bladder carcinoma is one of the common cancer of biliary tree which have rapid progression and high mortality rate. It is difficult to differentiate early stage of gall bladder carcinoma from chronic cholecystitis as it is mostly asymptomatic. It is well accepted that good prognosis and prolonged survival can be achieved only with detection at an early stage. Gall bladder specimens removed for clinically benign conditions for histopathological examination has been topic of debate. The reference retrospective study was carried out at tertiary care hospital for period of 6 years with objective to identify the incidence of unsuspected gallbladder carcinoma. These cholecystectomy specimens received by our histopathology laboratory to analyze their clinico-pathological features. Incidentally detected gallbladder malignancy cases comprised 0.87% from a total of 803 case records. Most patients were found to be in early, surgically resectable stage of their disease. We recommend that in India and other countries with relatively high incidences of gall bladder carcinoma, all cholecystectomy specimens should be submitted to histopathology laboratory, which is in support with current literature. It could help us to treat cases at potentially curable stage if detected early.
Journal of Case Reports, 2015
Gallstone ileus (GI) is characterized by occlusion of the intestinal lumen as a result of one or ... more Gallstone ileus (GI) is characterized by occlusion of the intestinal lumen as a result of one or more gallstones. GI is a rare complication of gallstones seen in 1%-4% of all cases of bowel obstruction [1]. Here we present two cases of gallstone ileus which came to us over period of four years. Management of GI is controversial and includes: (i) Enterotomy with stone extraction alone; (ii) Enterotomy, stone extraction, cholecystectomy and fistula closure; (iii) Bowel resection alone; and (iv) Bowel resection with fistula closure. In our case, we did enterotomy & stone extraction alone. Till now patients have remained symptom free. Enterotomy with stone extraction alone remains the most common surgical method because of its low incidence of complications.
This is a video submission for an interesting case A 66 year-old lady was previously repeated adm... more This is a video submission for an interesting case A 66 year-old lady was previously repeated admitted for vomiting and aspiration pneumonia. EGD showed a suspected hiatal hernia with gastric volvus. Endoscopic reduction was performed and the patient was scheduled for operation. Intra-operatively, it was noted that there were no hiatal hernia but a left diaphragmatic hernia was present. The hernial contents were reduced and the sac excised. The diaphragmatic defect was then closed primarily and reinforced with a 10 x 10cm biological mesh. An anterior partial fundoplication was also performed and the hiatus was closed.