vidyadhar kinhal - Academia.edu (original) (raw)
Papers by vidyadhar kinhal
International Journal of Health Sciences and Research, 2015
Journal of Evolution of Medical and Dental Sciences, 2017
Journal of Clinical and Diagnostic Research, 2015
Three children aged 5, 6 and 8 years presented to emergency department with a history of colicky ... more Three children aged 5, 6 and 8 years presented to emergency department with a history of colicky abdominal pain and bilious vomiting. The 5-year-old child was a boy and the other two were girls. In two children bleeding per-rectum (PR) was also a presenting symptom. Per abdominal examination revealed moderate abdominal distension in one child and palpable mass in two children in subhepatic region. All three children underwent ultrasound scan of abdomen which showed the Target sign. No lead point could be identified on ultrasound scan. All three children initially underwent pneumatic reduction of intussusception under ultrasound guidance. Intussusception got reduced partially. Hence all three children underwent laparotomy under standard general anaesthesia. At laparotomy, by right supraumbilical transverse incision, the intussusception was appendico-caeco-colic type [Table/Fig-1] and was located in ascending colon. Manual reduction by milking reduced intussusception along with thickened inverted appendix which acted as lead point and appendicectomy was done. Postoperative period was uneventful and children were discharged on 6 th postoperative day. Histopathological examination (HPE) revealed many unusual findings. In 5-year-old boy HPE showed typical granulomas of tuberculosis [Table/Fig-2]. This child subsequently underwent a chest x-ray which was normal and this child was put on standard anti-tubercular regime. In 6-year-old girl the HPE was reported as follicular hyperplasia [Table/Fig-3]. In 8-year-old girl HPE was reported as mucosa-associated lymphoid tissue lymphoma (small lymphoid cells with a narrow rim of clear cytoplasm forming lympho-epithelial lesions) [Table/Fig-4] and was referred to oncological centre for chemotherapy.
Journal of Clinical and Diagnostic Research, 2015
A 2600 gm full term female neonate was born at VIMS Medical College Hospital Bellary, in the year... more A 2600 gm full term female neonate was born at VIMS Medical College Hospital Bellary, in the year 2015 by emergency lower segment caesarean section (indication was foetal distress) to a 16-year-old primigravida, out of non consanguinous marriage. The neonate presented to the paediatric emergency with respiratory distress and not passing meconium even after 24 hours of birth, except mucous per-rectally. Anus was normal, permeable without meconium stain on introduction of rectal tube. On admission the baby was hypothermic, pale, with intercostal and subcostal retractions, S3 Gallop, without any abdominal distension. Birth asphyxia with respiratory distress was suspected.
Journal of Evidence Based Medicine and Healthcare, Feb 14, 2015
Journal of Evidence Based Medicine and Healthcare, Jan 17, 2015
Pyoderma gangrenosum is a rare, non-infectious and destructive skin disease. Its exact etiopathog... more Pyoderma gangrenosum is a rare, non-infectious and destructive skin disease. Its exact etiopathogenesis is not clearly understood and is believed to be due to immune dysfunction. Several theories have been postulated; however none are consistent in all patients. Pyoderma gangrenosum mostly affects adults and rarely in children. An underlying systemic disease is often seen in most of the cases. A three-year-old male child presented with a nonhealing ulcer over left thigh. Clinical features, histopathology, other investigations and dramatic response to corticosteroids suggested a diagnosis of idiopathic pyoderma gangrenosum. Associated idiopathic thrombocytosis was also seen. Idiopathic pyoderma gangrenosum is very rare in children. Idiopathic pyoderma gangrenosum associated with idiopathic thrombocytosis and keloidal scarring has not been reported earlier.
Journal of Evidence Based Medicine and Healthcare, Feb 14, 2015
Diaphragmatic injury (DI) is a rare clinical entity. It can be obvious on Chest X-ray or have an ... more Diaphragmatic injury (DI) is a rare clinical entity. It can be obvious on Chest X-ray or have an occult and delayed presentation with non-diagnostic imaging studies, thus being easily missed. A high index of suspicion should be maintained in such cases because delayed diagnosis is associated with an increased risk for herniation and strangulation of abdominal organs, leading to life threatening consequences. For patients with uncertain diagnosis-diagnostic laparoscopy, thoracoscopy or open surgical exploration may be needed. In established cases DI is repaired with open surgical or minimally invasive techniques. Neglected DI is associated with high mortality. Its diagnosis becomes difficult especially in poly trauma patients and occult cases. Therefore, the detection, an accurate diagnosis and prompt management is a real challenge. We report a case of DI due to blunt thoraco abdominal trauma in a 28-year-old gentleman managed successfully at our hospital.
Journal of the Scientific Society, 2015
Meckel′s diverticulum is the most common congenital anomaly of the gastrointestinal tract, occurr... more Meckel′s diverticulum is the most common congenital anomaly of the gastrointestinal tract, occurring in about 2% of the population and, in most cases, incidentally being discovered during autopsy, laparotomy, or barium studies. Hemorrhage, obstruction, and inflammation are the complications that can occur in a Meckel′s diverticulum. Perforation in a Meckel′s diverticulum can occur in the presence of ectopic mucosa which is rare, but perforation following blunt abdominal injury is very rare and only few cases have been reported so far. We report a case of perforation of Meckel′s diverticulum in an 8-year-old boy following a blunt abdominal trauma due to fall from a bicycle.
Aim: To evaluate abdominal wall scar endometriosis post caesarean section. Methods: Medical data ... more Aim: To evaluate abdominal wall scar endometriosis post caesarean section. Methods: Medical data of 10 patients who presented to our institution with abdominal wall endometrioma were evaluated retrospectively and reviewed literature in this case series. The diagnostic approaches and treatment is discussed. Results: All patients had a painful mass located at abdominal scars with history of caesarean section. The ages ranged from 30 to 35 and Doppler ultrasonography (US) detected hypoechoic mass with a mean diameter of 40 mm. Treatment was achieved with surgical excision in all patients followed by mesh repair in 6 patients and anatomical repair in 4 cases. Conclusion: Abdominal scar endometriosis is a rare entity and one should have high index of suspicion when a woman presents with a painful lump in the surgical scar with significant previous gynaecological procedural history. Pre-operative diagnosis can be made with FNAC and imaging studies with proper clinical history. Surgical tr...
Aim: To study the results of open longitudinal pancreaticojejunostomy at our institute. Material ... more Aim: To study the results of open longitudinal pancreaticojejunostomy at our institute. Material Method: 20 patients with chroniccalcific pancreatitis (CCP) underwent open longitudinal pancreaticojejunostomy (LPJ) in our institute. Mean age of presentation was 34.55yrs. The most common presenting symptoms were abdominal pain and weight loss. In all patients, diagnosis was confirmed by contrast enhanced computed tomography. Mean pancreatic duct diameter was 10 mm. Results: Mean operating time was 165min, mean blood loss was 100 ml and mean postoperative stay was 8 days. There were no intraoperative and major postoperative complications. On 1 year follow-up out of 20 patients 16 had complete pain relief and 4 patients had partial pain relief and all patients had significant weight gain. Conclusion: Open LPJ is a safe, effective, and feasible technique for CP in chronic calcific pancreatitis patients in the presence of adequately dilated pancreatic duct containing stones, and has favou...
Journal of Evidence Based Medicine and Healthcare, Feb 14, 2015
Journal of Evidence Based Medicine and Healthcare, 2015
Diaphragmatic injury (DI) is a rare clinical entity. It can be obvious on Chest X-ray or have an ... more Diaphragmatic injury (DI) is a rare clinical entity. It can be obvious on Chest X-ray or have an occult and delayed presentation with non-diagnostic imaging studies, thus being easily missed. A high index of suspicion should be maintained in such cases because delayed diagnosis is associated with an increased risk for herniation and strangulation of abdominal organs, leading to life threatening consequences. For patients with uncertain diagnosis-diagnostic laparoscopy, thoracoscopy or open surgical exploration may be needed. In established cases DI is repaired with open surgical or minimally invasive techniques. Neglected DI is associated with high mortality. Its diagnosis becomes difficult especially in poly trauma patients and occult cases. Therefore, the detection, an accurate diagnosis and prompt management is a real challenge. We report a case of DI due to blunt thoraco abdominal trauma in a 28-year-old gentleman managed successfully at our hospital.
Journal of clinical and diagnostic research : JCDR, 2015
Meckel's diverticulum is commonest lead point for intussusception in children. Appendix is pa... more Meckel's diverticulum is commonest lead point for intussusception in children. Appendix is part of the intusssusception of the commonest ileocolic type but appendix as lead point for intussusception is rare. We report a series of 3 cases of intussusception in children, wherein a pathological appendix was the lead point. We would like to propose that more likely a pathological appendix, acts as a lead point leading to an appendico-caeco-colic intussusception rather than a normal appendix.
Journal of the Scientific Society, 2015
Meckel′s diverticulum is the most common congenital anomaly of the gastrointestinal tract, occurr... more Meckel′s diverticulum is the most common congenital anomaly of the gastrointestinal tract, occurring in about 2% of the population and, in most cases, incidentally being discovered during autopsy, laparotomy, or barium studies. Hemorrhage, obstruction, and inflammation are the complications that can occur in a Meckel′s diverticulum. Perforation in a Meckel′s diverticulum can occur in the presence of ectopic mucosa which is rare, but perforation following blunt abdominal injury is very rare and only few cases have been reported so far. We report a case of perforation of Meckel′s diverticulum in an 8-year-old boy following a blunt abdominal trauma due to fall from a bicycle.
The Indian journal of surgery, 2013
Gastric teratoma is a rare tumor, accounting for less than 1 % of all teratomas in infants & chil... more Gastric teratoma is a rare tumor, accounting for less than 1 % of all teratomas in infants & children. To date, only about 102 cases have been reported in the literature. A 10 month old infant was brought with a history of upper abdominal mass which was otherwise asymptomatic. On evaluation it was diagnosed as gastric teratoma. On laparotomy the mass was found to be originating from lesser curvature of stomach. Mass was excised and histopathologically it was a mature cystic teratoma. No recurrence after 18 months of follow-up.
International Journal of Health Sciences and Research, 2015
Journal of Evolution of Medical and Dental Sciences, 2017
Journal of Clinical and Diagnostic Research, 2015
Three children aged 5, 6 and 8 years presented to emergency department with a history of colicky ... more Three children aged 5, 6 and 8 years presented to emergency department with a history of colicky abdominal pain and bilious vomiting. The 5-year-old child was a boy and the other two were girls. In two children bleeding per-rectum (PR) was also a presenting symptom. Per abdominal examination revealed moderate abdominal distension in one child and palpable mass in two children in subhepatic region. All three children underwent ultrasound scan of abdomen which showed the Target sign. No lead point could be identified on ultrasound scan. All three children initially underwent pneumatic reduction of intussusception under ultrasound guidance. Intussusception got reduced partially. Hence all three children underwent laparotomy under standard general anaesthesia. At laparotomy, by right supraumbilical transverse incision, the intussusception was appendico-caeco-colic type [Table/Fig-1] and was located in ascending colon. Manual reduction by milking reduced intussusception along with thickened inverted appendix which acted as lead point and appendicectomy was done. Postoperative period was uneventful and children were discharged on 6 th postoperative day. Histopathological examination (HPE) revealed many unusual findings. In 5-year-old boy HPE showed typical granulomas of tuberculosis [Table/Fig-2]. This child subsequently underwent a chest x-ray which was normal and this child was put on standard anti-tubercular regime. In 6-year-old girl the HPE was reported as follicular hyperplasia [Table/Fig-3]. In 8-year-old girl HPE was reported as mucosa-associated lymphoid tissue lymphoma (small lymphoid cells with a narrow rim of clear cytoplasm forming lympho-epithelial lesions) [Table/Fig-4] and was referred to oncological centre for chemotherapy.
Journal of Clinical and Diagnostic Research, 2015
A 2600 gm full term female neonate was born at VIMS Medical College Hospital Bellary, in the year... more A 2600 gm full term female neonate was born at VIMS Medical College Hospital Bellary, in the year 2015 by emergency lower segment caesarean section (indication was foetal distress) to a 16-year-old primigravida, out of non consanguinous marriage. The neonate presented to the paediatric emergency with respiratory distress and not passing meconium even after 24 hours of birth, except mucous per-rectally. Anus was normal, permeable without meconium stain on introduction of rectal tube. On admission the baby was hypothermic, pale, with intercostal and subcostal retractions, S3 Gallop, without any abdominal distension. Birth asphyxia with respiratory distress was suspected.
Journal of Evidence Based Medicine and Healthcare, Feb 14, 2015
Journal of Evidence Based Medicine and Healthcare, Jan 17, 2015
Pyoderma gangrenosum is a rare, non-infectious and destructive skin disease. Its exact etiopathog... more Pyoderma gangrenosum is a rare, non-infectious and destructive skin disease. Its exact etiopathogenesis is not clearly understood and is believed to be due to immune dysfunction. Several theories have been postulated; however none are consistent in all patients. Pyoderma gangrenosum mostly affects adults and rarely in children. An underlying systemic disease is often seen in most of the cases. A three-year-old male child presented with a nonhealing ulcer over left thigh. Clinical features, histopathology, other investigations and dramatic response to corticosteroids suggested a diagnosis of idiopathic pyoderma gangrenosum. Associated idiopathic thrombocytosis was also seen. Idiopathic pyoderma gangrenosum is very rare in children. Idiopathic pyoderma gangrenosum associated with idiopathic thrombocytosis and keloidal scarring has not been reported earlier.
Journal of Evidence Based Medicine and Healthcare, Feb 14, 2015
Diaphragmatic injury (DI) is a rare clinical entity. It can be obvious on Chest X-ray or have an ... more Diaphragmatic injury (DI) is a rare clinical entity. It can be obvious on Chest X-ray or have an occult and delayed presentation with non-diagnostic imaging studies, thus being easily missed. A high index of suspicion should be maintained in such cases because delayed diagnosis is associated with an increased risk for herniation and strangulation of abdominal organs, leading to life threatening consequences. For patients with uncertain diagnosis-diagnostic laparoscopy, thoracoscopy or open surgical exploration may be needed. In established cases DI is repaired with open surgical or minimally invasive techniques. Neglected DI is associated with high mortality. Its diagnosis becomes difficult especially in poly trauma patients and occult cases. Therefore, the detection, an accurate diagnosis and prompt management is a real challenge. We report a case of DI due to blunt thoraco abdominal trauma in a 28-year-old gentleman managed successfully at our hospital.
Journal of the Scientific Society, 2015
Meckel′s diverticulum is the most common congenital anomaly of the gastrointestinal tract, occurr... more Meckel′s diverticulum is the most common congenital anomaly of the gastrointestinal tract, occurring in about 2% of the population and, in most cases, incidentally being discovered during autopsy, laparotomy, or barium studies. Hemorrhage, obstruction, and inflammation are the complications that can occur in a Meckel′s diverticulum. Perforation in a Meckel′s diverticulum can occur in the presence of ectopic mucosa which is rare, but perforation following blunt abdominal injury is very rare and only few cases have been reported so far. We report a case of perforation of Meckel′s diverticulum in an 8-year-old boy following a blunt abdominal trauma due to fall from a bicycle.
Aim: To evaluate abdominal wall scar endometriosis post caesarean section. Methods: Medical data ... more Aim: To evaluate abdominal wall scar endometriosis post caesarean section. Methods: Medical data of 10 patients who presented to our institution with abdominal wall endometrioma were evaluated retrospectively and reviewed literature in this case series. The diagnostic approaches and treatment is discussed. Results: All patients had a painful mass located at abdominal scars with history of caesarean section. The ages ranged from 30 to 35 and Doppler ultrasonography (US) detected hypoechoic mass with a mean diameter of 40 mm. Treatment was achieved with surgical excision in all patients followed by mesh repair in 6 patients and anatomical repair in 4 cases. Conclusion: Abdominal scar endometriosis is a rare entity and one should have high index of suspicion when a woman presents with a painful lump in the surgical scar with significant previous gynaecological procedural history. Pre-operative diagnosis can be made with FNAC and imaging studies with proper clinical history. Surgical tr...
Aim: To study the results of open longitudinal pancreaticojejunostomy at our institute. Material ... more Aim: To study the results of open longitudinal pancreaticojejunostomy at our institute. Material Method: 20 patients with chroniccalcific pancreatitis (CCP) underwent open longitudinal pancreaticojejunostomy (LPJ) in our institute. Mean age of presentation was 34.55yrs. The most common presenting symptoms were abdominal pain and weight loss. In all patients, diagnosis was confirmed by contrast enhanced computed tomography. Mean pancreatic duct diameter was 10 mm. Results: Mean operating time was 165min, mean blood loss was 100 ml and mean postoperative stay was 8 days. There were no intraoperative and major postoperative complications. On 1 year follow-up out of 20 patients 16 had complete pain relief and 4 patients had partial pain relief and all patients had significant weight gain. Conclusion: Open LPJ is a safe, effective, and feasible technique for CP in chronic calcific pancreatitis patients in the presence of adequately dilated pancreatic duct containing stones, and has favou...
Journal of Evidence Based Medicine and Healthcare, Feb 14, 2015
Journal of Evidence Based Medicine and Healthcare, 2015
Diaphragmatic injury (DI) is a rare clinical entity. It can be obvious on Chest X-ray or have an ... more Diaphragmatic injury (DI) is a rare clinical entity. It can be obvious on Chest X-ray or have an occult and delayed presentation with non-diagnostic imaging studies, thus being easily missed. A high index of suspicion should be maintained in such cases because delayed diagnosis is associated with an increased risk for herniation and strangulation of abdominal organs, leading to life threatening consequences. For patients with uncertain diagnosis-diagnostic laparoscopy, thoracoscopy or open surgical exploration may be needed. In established cases DI is repaired with open surgical or minimally invasive techniques. Neglected DI is associated with high mortality. Its diagnosis becomes difficult especially in poly trauma patients and occult cases. Therefore, the detection, an accurate diagnosis and prompt management is a real challenge. We report a case of DI due to blunt thoraco abdominal trauma in a 28-year-old gentleman managed successfully at our hospital.
Journal of clinical and diagnostic research : JCDR, 2015
Meckel's diverticulum is commonest lead point for intussusception in children. Appendix is pa... more Meckel's diverticulum is commonest lead point for intussusception in children. Appendix is part of the intusssusception of the commonest ileocolic type but appendix as lead point for intussusception is rare. We report a series of 3 cases of intussusception in children, wherein a pathological appendix was the lead point. We would like to propose that more likely a pathological appendix, acts as a lead point leading to an appendico-caeco-colic intussusception rather than a normal appendix.
Journal of the Scientific Society, 2015
Meckel′s diverticulum is the most common congenital anomaly of the gastrointestinal tract, occurr... more Meckel′s diverticulum is the most common congenital anomaly of the gastrointestinal tract, occurring in about 2% of the population and, in most cases, incidentally being discovered during autopsy, laparotomy, or barium studies. Hemorrhage, obstruction, and inflammation are the complications that can occur in a Meckel′s diverticulum. Perforation in a Meckel′s diverticulum can occur in the presence of ectopic mucosa which is rare, but perforation following blunt abdominal injury is very rare and only few cases have been reported so far. We report a case of perforation of Meckel′s diverticulum in an 8-year-old boy following a blunt abdominal trauma due to fall from a bicycle.
The Indian journal of surgery, 2013
Gastric teratoma is a rare tumor, accounting for less than 1 % of all teratomas in infants & chil... more Gastric teratoma is a rare tumor, accounting for less than 1 % of all teratomas in infants & children. To date, only about 102 cases have been reported in the literature. A 10 month old infant was brought with a history of upper abdominal mass which was otherwise asymptomatic. On evaluation it was diagnosed as gastric teratoma. On laparotomy the mass was found to be originating from lesser curvature of stomach. Mass was excised and histopathologically it was a mature cystic teratoma. No recurrence after 18 months of follow-up.