manish swarnkar - Academia.edu (original) (raw)
Papers by manish swarnkar
Actas Urológicas Españolas, 2008
HISTIOCITOMA FIBROSO MALIGNO DE CORDON ESPERMÁTICO. PRESENTACIÓN DE UN CASO Y REVISIÓN DE LA LITE... more HISTIOCITOMA FIBROSO MALIGNO DE CORDON ESPERMÁTICO. PRESENTACIÓN DE UN CASO Y REVISIÓN DE LA LITERATURA Presentamos un caso de un histiocitoma fibroso maligno (HFM) de cordón espermático. Un varón de 80 años fue admitido en nuestro hospital con una masa escrotal izquierda, relacionada con un traumatismo genital hacia varios meses. Ante la sospecha de un tumor testicular, se practicó una orquiectomia radical izquierda. El examen histológico de la masa tumoral, reveló un Histiocitoma fibroso maligno. El tumor estaba firmemente adherido al cordón espermático. El HFM es un tumor de alta malignidad derivado del tejido conectivo, el cual puede ocasionalmente, afectar al tracto genital masculino. No hay acuerdo respecto a un tratamiento principal y el pronóstico en general, es pobre. Palabras clave: Histiocitoma fibroso maligno. Cordón espermático. Tumor paratesticular.
DOAJ (DOAJ: Directory of Open Access Journals), 2016
Background: Kangaroo Mother Care (KMC) is dened as skin-to-skin contact between a mother and her... more Background: Kangaroo Mother Care (KMC) is dened as skin-to-skin contact between a mother and her newborn baby derived from practical similarities to marsupial care giving, proximately exclusive breastfeeding and early discharge from hospital. This concept was proposed as an alternative to conventional methods of care for low birth weight (LBW) infants, and in replication to quandaries of earnest overcrowding in Neonatal Intensive Care Units (NICUs). KMC essentially utilizes the mother as a natural incubator Aim and Objectives: The aim was to assess the feasibility, acceptability and the effectiveness of KMC in LBW infants. It avoids agitation routinely experienced in busy ward. Material and Methods: A pilot open-labeled quasi-randomised clinical trial was conducted in Level III NICU of a teaching institution. 60 newborn infants <2500 g, meeting inclusion criteria were alternatively randomised into two groups: Kangaroo Mother Care (KMC) and Conventional Methods of Care (CMC). Kangaroo mother care was practiced with minimum total period of eight hours a day intermittently for the intervention group while the controls remained in incubators or cots. Weight, head circumference, length, morbidity episodes, hospital stay, feeding patterns were monitored for all infants till postmenstrual age of 42 weeks in preterm babies or till a weight of 2500 g is achieved in term SGA babies. Results: The pilot study conrmed that trial processes were efcient, the intervention was acceptable (to mothers and nurses) and that the outcome measures were appropriate; KMC babies achieved signicantly better growth at the end of the study (For preterm babies, weight, length and head circumference gain were signicantly higher in the KMC group (weight 19.28±2.9g/day, length 0.99±0.56cm/week and head circumference 0.72±0.07 cm/week) than in the CMC group (P <0.001). A signicantly higher number of babies in the CMC group suffered from hypothermia, hypoglycemia, and sepsis. Conclusion: Kangaroo mother care improves growth and reduces morbidities in low birth weight infants. It is simple, acceptable to mothers and can be continued at home.
Journal of Datta Meghe Institute of Medical Sciences University
Journal of Datta Meghe Institute of Medical Sciences University
Systemic lupus erythematosus (SLE) is a chronic autoimmune disease characterized by involvement o... more Systemic lupus erythematosus (SLE) is a chronic autoimmune disease characterized by involvement of different organ systems with varied manifestations, and the presence of circulating autoantibodies directed against self-antigens occurs in both children and adults, commonly affecting females of reproductive age. Childhood-onset SLE (cSLE) has more severe disease and more widespread organ involvement as compared to adults. There are two opinions regarding age to define pediatric-onset lupus, which is either before age 16 or onset before age 18. Here, we report a case of SLE in a 14-year-old male child due to its rare occurrence in the pediatric age group, especially in males presenting as tuberculosis mimic with complaints of not gaining weight and fever.
Sri Lanka Journal of Child Health, 2021
Journal of Krishna Institute of Medical Sciences University, 2019
Apert syndrome is a congenital acrocephalosyndactyly syndrome. It is mainly presented by craniosy... more Apert syndrome is a congenital acrocephalosyndactyly syndrome. It is mainly presented by craniosynostosis, syndactyly of the hands and feet and dysmorphic facial features. The condition has an autosomal dominant inheritance assigned to mutations in the Fibroblast Growth Factor Receptors (FGFR-2) gene. The reported case is a 9 months old boy with clinical suspicion of Apert syndrome as he had turricephaly, stubby hands with short fingers, omphalocele measuring 10 × 10 cm, bilateral undescended testes, Congenital Talipes Equinovarus (CTEV) and polydactyl and syndactyl of great and second toes. He was developmentally normal. The omphalocele was surgically repaired. Early diagnosis and intervention helps rehabilitation of patients with Apert syndrome and help them to lead a better life.
Pediatric Education and Research, 2019
International Journal of Contemporary Pediatrics, 2016
Background: Neonatal thrombocytopenia (platelet count < 1.5 lac/µl) is the commonest haematolo... more Background: Neonatal thrombocytopenia (platelet count < 1.5 lac/µl) is the commonest haematological abnormality encountered in neonatal intensive care unit (NICU). Thrombocytopenia if not detected can result in devastating complications. Determining the risk factors of thrombocytopenia enables us to prevent the inevitable and irreversible complications. The present study highlights the pattern, severity and risk factors of neonatal thrombocytopenia in our hospital.Methods: Prospective observational study was conducted on 200 neonates with thrombocytopenia admitted in NICU of our hospital. Maternal and neonatal risk factors were recorded. Neonates were grouped based on the severity of thrombocytopenia. The risk factors were compared with severity of thrombocytopenia.Results: 200 neonates with thrombocytopenia were divided into three groups based on severity of thrombocytopenia. 81% of babies had moderate to severe thrombocytopenia. The most common maternal predisposing factors wer...
International Journal of Contemporary Pediatrics, Dec 21, 2017
Nearly 50% of all infant deaths occur in neonatal period and the common cause is LBW. 2 LBW neona... more Nearly 50% of all infant deaths occur in neonatal period and the common cause is LBW. 2 LBW neonates are of Paediatric priority because they have low chances of survival than babies weighing with birth weight more than 2500 grams. India being the most populous country in South East Asia, shares the major burden of LBW ABSTRACT Background: The low birth weight (LBW) infant remains at much higher risk of mortality than the infant at normal weight at birth. In the neonatal period when most infant deaths occur, the proportion of low birth weight infants is the major determinant of the magnitude of mortality rates. Mortality and morbidity among low birth weight babies are a major public health problem in our country. It is important to identify risk factors associated with LBW babies. Methods: Prospective observational study was conducted on 222 neonates with low birth weight admitted in Neonatal intensive care unit (NICU) of Acharya Vinoba Bhave Rural Hospital, Jawaharlal Nehru Medical College, Sawangi Meghe, Wardha from September 2015 to August 2017. Maternal risk factors and neonatal morbidities were recorded. The study was designed to assess the risk factors of LBW babies and their short-term outcome. Results: 222 low birth weight babies were studied, among which 36(16.22%) were weighed less than 1500 grams and 186 (83.78%) were 1500-2500 grams. The most common maternal risk factors which were associated with very low birth weight were low socioeconomic status, occupations with more strenuous activity, low maternal educational status, poor antenatal care, poor pregnancy weight gain and chronic illnesses. Anemia was present in 99 (44.595%) mothers. Among other risk factors during pregnancy oligohydramnios was present in 43 (19.369%) mothers, followed by preeclampsia in 42 (18.918%) mothers and pyrexia in 31 (13.963%) mothers. 166 (74.76%) babies are small for gestational age (SGA) babies. Overall mortality rate was 40.54%. Conclusions: Most of LBW babies are SGA babies. Low socioeconomic status, low maternal educational status and poor antenatal care were the important risk factors. Morbidity and mortality of low birth weight babies could be reduced considerably by proper health education, improved antenatal care, prompt identification of high risk pregnancies, proper referral, better nursing care and management.
International Journal of Biomedical and Advance Research, 2015
Respiratory distress is one of the most common causes of admission in NICU. The aim of this work ... more Respiratory distress is one of the most common causes of admission in NICU. The aim of this work was to study the commonest causes of respiratory distress in NICU, analysis of each cause, and to deter-mine the strategic plan needed to improve the outcome of these cases.Patients and Methods: A prospective study was conducted through the period from January 2003 to October 2004. Data were collected from all patients admitted in the unit during this period.Results: Total number of, 855(17.27%) newborn were admitted to NICU, 140 of them developed respiratory distress comprising 16.37% of all NICU admissions and with an incidence of 2.83%. The commonest causes of respiratory distress in our study were transient tachypnea of newborn (TTN) 57 (40.7%) respiratory distress syndrome (RDS) 24 cases (17.2%), birth asphyxia 16 cases (11.4%) and Meconium aspiration syndrome (MAS) 13 cases (9.3%). Cesarean section was the most common predisposing factor associated with the development of TTN and R...
Journal of Krishna Institute of Medical Sciences University, 2017
Lipomas are common and benign soft tissue neoplasms which are composed of fat cells. These tumour... more Lipomas are common and benign soft tissue neoplasms which are composed of fat cells. These tumours often develop where adipose tissue is present. Some lipomas are believed to develop after blunt trauma. Reports of a lipoma in the foot exist, but the occurrence of the tumour in web space is rare. Here we present case of a 65 year old female with lipoma at the third web space causing separation of toes.
Journal of Krishna Institute of Medical Sciences University, 2017
Heterotopic pancreas is typically an asymptomatic malformation that can present anywhere along th... more Heterotopic pancreas is typically an asymptomatic malformation that can present anywhere along the gastrointestinal tract. It is frequently detected incidentally on surgery for other diseases or autopsy. We encountered incidentally detected subserosal nodule in proximal jejunum during exploratory laparotomy for other cause which was resected and on histopathology confirmed to be HP. Histologically, most of the tumours are located in the submucosa, rarely in the muscularis propria, and only seldom in the subserosal. This case is of great interest because of the subserosal location of the tumour.
Journal of Krishna Institute of Medical Sciences University, 2019
Obturator hernia is a rare type of pelvic hernia which accounts for less than 1% of all abdominal... more Obturator hernia is a rare type of pelvic hernia which accounts for less than 1% of all abdominal hernias. It generally occurs in elderly emaciated patients with accompanying diseases. Because it is difficult to diagnose before surgery, the morbidity and mortality rates for obturator hernia are high. The most common clinical symptom is strangulation combined with mechanical intestinal obstruction. Abdominal CT scan can precisely confirm the diagnosis and early surgical intervention is essential for better outcome.
Journal of Krishna Institute of Medical Sciences University, 2017
Kimura's Disease (KD) is a benign chronic inflammatory disorder attributed to an immune media... more Kimura's Disease (KD) is a benign chronic inflammatory disorder attributed to an immune mediated hypersensitivity. It typically manifests by painless subcutaneous nodules in head or neck region and often accompanied by regional lymphadenopathy, salivary gland involvement along with hyper eosinophilia and elevated serum IgE. Most cases have been described predominantly in Chinese and Japanese people. Kimura's disease has been confused with Angiolymphoid Hyperplasia with Eosinophilia (ALHE), from which it probably should be distinguished as a separate entity. The course is usually benign except for the potential cosmetic disfigurement. The diagnosis may be suggested by a fine needle aspirate, but is established by a biopsy. A case of Kimura's disease in a 42 year male with recurrent left submandibular swelling is presented together with a brief review of the literature.
Inguinal hernia repair is commonplace in general surgery practice. Amyand's hernia is an extr... more Inguinal hernia repair is commonplace in general surgery practice. Amyand's hernia is an extremely rare condition in which the appendix is positioned in the inguinal hernia sac. We report the intra-operative findings of a standard inguinal hernia repair and discuss the management of the Amyand's hernia.
Background: Idiopathic Hydrocele is the most prevalent cause of benign painless scrotal swelling ... more Background: Idiopathic Hydrocele is the most prevalent cause of benign painless scrotal swelling in adult male, associated discomfort; cosmetic appearance and patients wish are the only designation for surgery. But little is kenned about its effect on testis, intratesticular blood ow and spermatogenesis. Aim and Objectives: The purpose of this study was to determine whether hydrocele has any effect on the testicular volume and vascular resistance. Material and Methods: In this prospective observational study Twenty-four patient with a mean age of 39.4 years who had a unilateral idiopathic hydrocele and underwent unilateral hydrocelectomy were included. Scrotal gray-scale sonography and colour Doppler scan were done in all patients to determine Testicular size, Resistive (RI) and Pulsatility Indexes (PI) of the intratesticular arteries on the involved and uninvolved sides before and after hydrocelectomy. Results: As compared to the normal side (p = 0.777), the difference in the Test...
The Southeast Asian Journal of Case Report and Review, 2016
Kimura's Disease (KD) is a benign chronic inflammatory disorder attributed to an immune media... more Kimura's Disease (KD) is a benign chronic inflammatory disorder attributed to an immune mediated hypersensitivity. It typically manifests by painless subcutaneous nodules in head or neck region and often accompanied by regional lymphadenopathy, salivary gland involvement along with hyper eosinophilia and elevated serum IgE. Most cases have been described predominantly in Chinese and Japanese people. Kimura's disease has been confused with Angiolymphoid Hyperplasia with Eosinophilia (ALHE), from which it probably should be distinguished as a separate entity. The course is usually benign except for the potential cosmetic disfigurement. The diagnosis may be suggested by a fine needle aspirate, but is established by a biopsy. A case of Kimura's disease in a 42 year male with recurrent left submandibular swelling is presented together with a brief review of the literature.
Actas Urológicas Españolas, 2008
HISTIOCITOMA FIBROSO MALIGNO DE CORDON ESPERMÁTICO. PRESENTACIÓN DE UN CASO Y REVISIÓN DE LA LITE... more HISTIOCITOMA FIBROSO MALIGNO DE CORDON ESPERMÁTICO. PRESENTACIÓN DE UN CASO Y REVISIÓN DE LA LITERATURA Presentamos un caso de un histiocitoma fibroso maligno (HFM) de cordón espermático. Un varón de 80 años fue admitido en nuestro hospital con una masa escrotal izquierda, relacionada con un traumatismo genital hacia varios meses. Ante la sospecha de un tumor testicular, se practicó una orquiectomia radical izquierda. El examen histológico de la masa tumoral, reveló un Histiocitoma fibroso maligno. El tumor estaba firmemente adherido al cordón espermático. El HFM es un tumor de alta malignidad derivado del tejido conectivo, el cual puede ocasionalmente, afectar al tracto genital masculino. No hay acuerdo respecto a un tratamiento principal y el pronóstico en general, es pobre. Palabras clave: Histiocitoma fibroso maligno. Cordón espermático. Tumor paratesticular.
DOAJ (DOAJ: Directory of Open Access Journals), 2016
Background: Kangaroo Mother Care (KMC) is dened as skin-to-skin contact between a mother and her... more Background: Kangaroo Mother Care (KMC) is dened as skin-to-skin contact between a mother and her newborn baby derived from practical similarities to marsupial care giving, proximately exclusive breastfeeding and early discharge from hospital. This concept was proposed as an alternative to conventional methods of care for low birth weight (LBW) infants, and in replication to quandaries of earnest overcrowding in Neonatal Intensive Care Units (NICUs). KMC essentially utilizes the mother as a natural incubator Aim and Objectives: The aim was to assess the feasibility, acceptability and the effectiveness of KMC in LBW infants. It avoids agitation routinely experienced in busy ward. Material and Methods: A pilot open-labeled quasi-randomised clinical trial was conducted in Level III NICU of a teaching institution. 60 newborn infants <2500 g, meeting inclusion criteria were alternatively randomised into two groups: Kangaroo Mother Care (KMC) and Conventional Methods of Care (CMC). Kangaroo mother care was practiced with minimum total period of eight hours a day intermittently for the intervention group while the controls remained in incubators or cots. Weight, head circumference, length, morbidity episodes, hospital stay, feeding patterns were monitored for all infants till postmenstrual age of 42 weeks in preterm babies or till a weight of 2500 g is achieved in term SGA babies. Results: The pilot study conrmed that trial processes were efcient, the intervention was acceptable (to mothers and nurses) and that the outcome measures were appropriate; KMC babies achieved signicantly better growth at the end of the study (For preterm babies, weight, length and head circumference gain were signicantly higher in the KMC group (weight 19.28±2.9g/day, length 0.99±0.56cm/week and head circumference 0.72±0.07 cm/week) than in the CMC group (P <0.001). A signicantly higher number of babies in the CMC group suffered from hypothermia, hypoglycemia, and sepsis. Conclusion: Kangaroo mother care improves growth and reduces morbidities in low birth weight infants. It is simple, acceptable to mothers and can be continued at home.
Journal of Datta Meghe Institute of Medical Sciences University
Journal of Datta Meghe Institute of Medical Sciences University
Systemic lupus erythematosus (SLE) is a chronic autoimmune disease characterized by involvement o... more Systemic lupus erythematosus (SLE) is a chronic autoimmune disease characterized by involvement of different organ systems with varied manifestations, and the presence of circulating autoantibodies directed against self-antigens occurs in both children and adults, commonly affecting females of reproductive age. Childhood-onset SLE (cSLE) has more severe disease and more widespread organ involvement as compared to adults. There are two opinions regarding age to define pediatric-onset lupus, which is either before age 16 or onset before age 18. Here, we report a case of SLE in a 14-year-old male child due to its rare occurrence in the pediatric age group, especially in males presenting as tuberculosis mimic with complaints of not gaining weight and fever.
Sri Lanka Journal of Child Health, 2021
Journal of Krishna Institute of Medical Sciences University, 2019
Apert syndrome is a congenital acrocephalosyndactyly syndrome. It is mainly presented by craniosy... more Apert syndrome is a congenital acrocephalosyndactyly syndrome. It is mainly presented by craniosynostosis, syndactyly of the hands and feet and dysmorphic facial features. The condition has an autosomal dominant inheritance assigned to mutations in the Fibroblast Growth Factor Receptors (FGFR-2) gene. The reported case is a 9 months old boy with clinical suspicion of Apert syndrome as he had turricephaly, stubby hands with short fingers, omphalocele measuring 10 × 10 cm, bilateral undescended testes, Congenital Talipes Equinovarus (CTEV) and polydactyl and syndactyl of great and second toes. He was developmentally normal. The omphalocele was surgically repaired. Early diagnosis and intervention helps rehabilitation of patients with Apert syndrome and help them to lead a better life.
Pediatric Education and Research, 2019
International Journal of Contemporary Pediatrics, 2016
Background: Neonatal thrombocytopenia (platelet count < 1.5 lac/µl) is the commonest haematolo... more Background: Neonatal thrombocytopenia (platelet count < 1.5 lac/µl) is the commonest haematological abnormality encountered in neonatal intensive care unit (NICU). Thrombocytopenia if not detected can result in devastating complications. Determining the risk factors of thrombocytopenia enables us to prevent the inevitable and irreversible complications. The present study highlights the pattern, severity and risk factors of neonatal thrombocytopenia in our hospital.Methods: Prospective observational study was conducted on 200 neonates with thrombocytopenia admitted in NICU of our hospital. Maternal and neonatal risk factors were recorded. Neonates were grouped based on the severity of thrombocytopenia. The risk factors were compared with severity of thrombocytopenia.Results: 200 neonates with thrombocytopenia were divided into three groups based on severity of thrombocytopenia. 81% of babies had moderate to severe thrombocytopenia. The most common maternal predisposing factors wer...
International Journal of Contemporary Pediatrics, Dec 21, 2017
Nearly 50% of all infant deaths occur in neonatal period and the common cause is LBW. 2 LBW neona... more Nearly 50% of all infant deaths occur in neonatal period and the common cause is LBW. 2 LBW neonates are of Paediatric priority because they have low chances of survival than babies weighing with birth weight more than 2500 grams. India being the most populous country in South East Asia, shares the major burden of LBW ABSTRACT Background: The low birth weight (LBW) infant remains at much higher risk of mortality than the infant at normal weight at birth. In the neonatal period when most infant deaths occur, the proportion of low birth weight infants is the major determinant of the magnitude of mortality rates. Mortality and morbidity among low birth weight babies are a major public health problem in our country. It is important to identify risk factors associated with LBW babies. Methods: Prospective observational study was conducted on 222 neonates with low birth weight admitted in Neonatal intensive care unit (NICU) of Acharya Vinoba Bhave Rural Hospital, Jawaharlal Nehru Medical College, Sawangi Meghe, Wardha from September 2015 to August 2017. Maternal risk factors and neonatal morbidities were recorded. The study was designed to assess the risk factors of LBW babies and their short-term outcome. Results: 222 low birth weight babies were studied, among which 36(16.22%) were weighed less than 1500 grams and 186 (83.78%) were 1500-2500 grams. The most common maternal risk factors which were associated with very low birth weight were low socioeconomic status, occupations with more strenuous activity, low maternal educational status, poor antenatal care, poor pregnancy weight gain and chronic illnesses. Anemia was present in 99 (44.595%) mothers. Among other risk factors during pregnancy oligohydramnios was present in 43 (19.369%) mothers, followed by preeclampsia in 42 (18.918%) mothers and pyrexia in 31 (13.963%) mothers. 166 (74.76%) babies are small for gestational age (SGA) babies. Overall mortality rate was 40.54%. Conclusions: Most of LBW babies are SGA babies. Low socioeconomic status, low maternal educational status and poor antenatal care were the important risk factors. Morbidity and mortality of low birth weight babies could be reduced considerably by proper health education, improved antenatal care, prompt identification of high risk pregnancies, proper referral, better nursing care and management.
International Journal of Biomedical and Advance Research, 2015
Respiratory distress is one of the most common causes of admission in NICU. The aim of this work ... more Respiratory distress is one of the most common causes of admission in NICU. The aim of this work was to study the commonest causes of respiratory distress in NICU, analysis of each cause, and to deter-mine the strategic plan needed to improve the outcome of these cases.Patients and Methods: A prospective study was conducted through the period from January 2003 to October 2004. Data were collected from all patients admitted in the unit during this period.Results: Total number of, 855(17.27%) newborn were admitted to NICU, 140 of them developed respiratory distress comprising 16.37% of all NICU admissions and with an incidence of 2.83%. The commonest causes of respiratory distress in our study were transient tachypnea of newborn (TTN) 57 (40.7%) respiratory distress syndrome (RDS) 24 cases (17.2%), birth asphyxia 16 cases (11.4%) and Meconium aspiration syndrome (MAS) 13 cases (9.3%). Cesarean section was the most common predisposing factor associated with the development of TTN and R...
Journal of Krishna Institute of Medical Sciences University, 2017
Lipomas are common and benign soft tissue neoplasms which are composed of fat cells. These tumour... more Lipomas are common and benign soft tissue neoplasms which are composed of fat cells. These tumours often develop where adipose tissue is present. Some lipomas are believed to develop after blunt trauma. Reports of a lipoma in the foot exist, but the occurrence of the tumour in web space is rare. Here we present case of a 65 year old female with lipoma at the third web space causing separation of toes.
Journal of Krishna Institute of Medical Sciences University, 2017
Heterotopic pancreas is typically an asymptomatic malformation that can present anywhere along th... more Heterotopic pancreas is typically an asymptomatic malformation that can present anywhere along the gastrointestinal tract. It is frequently detected incidentally on surgery for other diseases or autopsy. We encountered incidentally detected subserosal nodule in proximal jejunum during exploratory laparotomy for other cause which was resected and on histopathology confirmed to be HP. Histologically, most of the tumours are located in the submucosa, rarely in the muscularis propria, and only seldom in the subserosal. This case is of great interest because of the subserosal location of the tumour.
Journal of Krishna Institute of Medical Sciences University, 2019
Obturator hernia is a rare type of pelvic hernia which accounts for less than 1% of all abdominal... more Obturator hernia is a rare type of pelvic hernia which accounts for less than 1% of all abdominal hernias. It generally occurs in elderly emaciated patients with accompanying diseases. Because it is difficult to diagnose before surgery, the morbidity and mortality rates for obturator hernia are high. The most common clinical symptom is strangulation combined with mechanical intestinal obstruction. Abdominal CT scan can precisely confirm the diagnosis and early surgical intervention is essential for better outcome.
Journal of Krishna Institute of Medical Sciences University, 2017
Kimura's Disease (KD) is a benign chronic inflammatory disorder attributed to an immune media... more Kimura's Disease (KD) is a benign chronic inflammatory disorder attributed to an immune mediated hypersensitivity. It typically manifests by painless subcutaneous nodules in head or neck region and often accompanied by regional lymphadenopathy, salivary gland involvement along with hyper eosinophilia and elevated serum IgE. Most cases have been described predominantly in Chinese and Japanese people. Kimura's disease has been confused with Angiolymphoid Hyperplasia with Eosinophilia (ALHE), from which it probably should be distinguished as a separate entity. The course is usually benign except for the potential cosmetic disfigurement. The diagnosis may be suggested by a fine needle aspirate, but is established by a biopsy. A case of Kimura's disease in a 42 year male with recurrent left submandibular swelling is presented together with a brief review of the literature.
Inguinal hernia repair is commonplace in general surgery practice. Amyand's hernia is an extr... more Inguinal hernia repair is commonplace in general surgery practice. Amyand's hernia is an extremely rare condition in which the appendix is positioned in the inguinal hernia sac. We report the intra-operative findings of a standard inguinal hernia repair and discuss the management of the Amyand's hernia.
Background: Idiopathic Hydrocele is the most prevalent cause of benign painless scrotal swelling ... more Background: Idiopathic Hydrocele is the most prevalent cause of benign painless scrotal swelling in adult male, associated discomfort; cosmetic appearance and patients wish are the only designation for surgery. But little is kenned about its effect on testis, intratesticular blood ow and spermatogenesis. Aim and Objectives: The purpose of this study was to determine whether hydrocele has any effect on the testicular volume and vascular resistance. Material and Methods: In this prospective observational study Twenty-four patient with a mean age of 39.4 years who had a unilateral idiopathic hydrocele and underwent unilateral hydrocelectomy were included. Scrotal gray-scale sonography and colour Doppler scan were done in all patients to determine Testicular size, Resistive (RI) and Pulsatility Indexes (PI) of the intratesticular arteries on the involved and uninvolved sides before and after hydrocelectomy. Results: As compared to the normal side (p = 0.777), the difference in the Test...
The Southeast Asian Journal of Case Report and Review, 2016
Kimura's Disease (KD) is a benign chronic inflammatory disorder attributed to an immune media... more Kimura's Disease (KD) is a benign chronic inflammatory disorder attributed to an immune mediated hypersensitivity. It typically manifests by painless subcutaneous nodules in head or neck region and often accompanied by regional lymphadenopathy, salivary gland involvement along with hyper eosinophilia and elevated serum IgE. Most cases have been described predominantly in Chinese and Japanese people. Kimura's disease has been confused with Angiolymphoid Hyperplasia with Eosinophilia (ALHE), from which it probably should be distinguished as a separate entity. The course is usually benign except for the potential cosmetic disfigurement. The diagnosis may be suggested by a fine needle aspirate, but is established by a biopsy. A case of Kimura's disease in a 42 year male with recurrent left submandibular swelling is presented together with a brief review of the literature.