Hemantkumar Borse ¹

Affiliations
1 Department of General Surgery, Dr. Vasantrao Pawar Medical College Hospital & RC, Nashik - 422003, IN

Abstract

Bull horn injuries are common injuries in the rural population 1. These types are injuries are seen in farmers who take care of the cattles. Generally the injuries are seen in the perineal area and lower abdomen 2. I am reporting a rare case where there was penetrating injury in the right thigh extending into the peritoneal cavity with evisceration of small intestine though the thigh.

Keywords

Bull Gore Injury, Evisceration of Small Intestine through the Thigh.

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Hemantkumar Borse ¹, Yamini Sorate ¹, Sushama Chandak ¹

Affiliations
1 Department of General Surgery, Dr. Vasantrao Pawar Medical College Hospital & RC, Nashik - 422003, IN

Abstract

Pilomatrixoma is a benign skin tumor derived from hair follicle matrix cells. They typically present as a superficial, firm, solitary, slow-growing, painless mass in the dermis. Pilomatricomas are frequently misdiagnosed and are not usually considered in differential diagnoses, either in clinical set-up or during cytological reporting. These lesions are typically found in the head and neck region. Involvement of the lower extremities is relatively uncommon and can be mistaken for malignancy. We present the case of a 55-year-old male with a pilomatrixoma of thigh which is a rare site of occurrence of the lesion and we review the literature regarding pilomatrixomas.

Keywords

Hemorrhagic Stroke, Ischemic Stroke, Risk Factors, Socioeconomic Status.

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Hemantkumar Borse ¹, Aakash Bhamre ¹

Affiliations
1 Department of Surgery, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Adgaon - 422003, Nashik, Maharashtra, IN

Abstract

Introduction: Cervical lymphadenopathy is common in India and may present as diagnostic problem to the clinician. Diseases affecting cervical lymph nodes are of varying severity starting from simple curable infection to difficult incurable malignant disease. Objective: The purpose of this study was to observe the various clinical presentations of cervical lymphadenopathy and correlate histopathological findings with the clinical diagnosis. Methods: A cross sectional study was conducted during the period from August 2015 to December 2017 at a tertiary care centre on 50 patients presenting with cervical lymphadenopathy. Results: In this series, tissue diagnosis by biopsy found Tuberculosis (TB) 74% cases, metastatic carcinoma in 12%, and non-specific reactive hyperplasia in 10% and lymphoma in 4% cases. Seventy six percent cases were below 40 years of age. Conclusion: Thirty-Seven (74%) cases were diagnosed clinically as tubercular lymphadenitis, 05(10%) as metastatic carcinoma, 06(12%) non-specific reactive hyperplasia and 02(4%) cases were of lymphoma which was nearly similar to histopathological diagnosis.

Keywords

Biopsy, Cervical Lymphadenopathy, Fine Needle Aspiration Cytology (FNAC), Non-Specific Reactive Hyperplasia, Tubercular Lymphadenitis.

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Hemantkumar Borse ¹, Gauravsing Pardeshi ²

Affiliations
1 1Professor, Department of Surgery, Dr. Vasantrao Pawar Medical College Hospital and Research Centre, Nashik – 422003, IN
2 Former PG Resident, Department of Surgery, Dr. Vasantrao Pawar Medical College Hospital and Research Centre, Nashik – 422003,, IN

Abstract

Introduction: Acute pancreatitis includes wide spectrum of disease, from one with mild self-limiting symptoms, to fulminant processes with multiorgan failure and high mortality. Most experience relatively minor episodes of disease characterized by mild parenchymal edema without distant organ dysfunction and uneventful recovery. Severe episodes, however, may involve a progression to extensive pancreatic necrosis, development of the systemic inflammatory response syndrome (SIRS), multiorgan failure, rapid clinical deterioration, and even death. Although the overall mortality rate for acute pancreatitis is 2–10%, this is related primarily to 10–30% of patients with severe disease characterized by pancreatic and peripancreatic necrosis. Aims and Objectives: To study the etiology and clinical profile of acute pancreatitis. Material and Methods: Data collection by meticulous history taking and clinical examination, appropriate laboratory and radiological investigations and follow-up of cases. Results: Study was conducted with 50 patients. The peak incidence of acute Pancreatitis was observed in 2^nd to 4^th decade. Mean age of the study subjects was 39.78 years with 55% of the cases between 21-40 years of age. The findings shows that pancreatitis occurs in relatively younger adults. Strong male predominance was seen among study subjects as there were 72% males and 28% females with male to female ratio as 2.57:1. Conclusion: Acute Pancreatitis is more common in 2^nd to 4^th decades. Acute Pancreatitis is more common in males. Pancreatitis was observed to be more common among young adults especially male with alcoholism induced pancreatitis being the commonest etiology followed by biliary etiology. Most of the patients were presented with pain in abdomen with ascites being the commonest complication. Majority of the cases can be managed successfully with conservative approach and the overall mortality is low, however cases with severe pancreatitis and associated organ failure tends to have higher mortality.

Keywords

Alcoholism, Acute Pancreatitis, Young Adults

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