Symptomatic Carotid Near Total Occlusion Treated by Carotid Stenting
Background A 74 year old male presented with sudden onset slurring of speech and right sided weakness for 12 hrs. Diagnosis And Treatment MRI brain revealed acute infarct in left insula. MR angiography revealed non visualization of left ICA. DSA was done...
Symptomatic Carotid Near Total Occlusion Treated by Carotid Stenting
Background A 69 year old male presented with right upper and lower limb weakness for 10 days. He had a history of recurrent Transient Ischemic Attacks (TIA) for 3 years. Diagnosis And Treatment Doppler study revealed bilateral carotid artery stenosis (left...
Traumatic Abdominal Hernia – Laparoscopic Reduction and Repair by IPOM-Plus
Background A 60 year old male, alcoholic patient with hypertension sustained an injury to the right upper abdomen when he tripped and fell laterally on a parapet wall. He was presented to the ER with a tender boggy swelling in the right hypochondrium with...
Retained Fetal Bones (An Unusual Outcome of Abortion) – A Rare Cause of Secondary Infertility
Background A 35 year old P1L1A1 presented with menorrhagia, dysmenorrhoa, intermenstrual spotting and secondary fertility since three years. The symptoms aggravated since six months. There is a history of termination of pregnancy at 16 weeks for fetal...
Endoscopic Ultrasound Guided Hepatico – Gastrostomy
Background A 50 year old man presented with jaundice a year after undergoing Whipple’s surgery for pancreatic head malignancy. There was a recurrent lesion causing Hepatico-jejunostomy site narrowing. Diagnosis And Treatment EUS guided puncture of IHBRD in...
Endoscopic Ultrasound Guided Choledocho -Duodenostomy
Background A 55 year old lady presented with metastatic pancreatic head malignancy and obstructive jaundice. Duodenal infiltration was noted causing luminal narrowing (duodenoscope could not be negotiated). Diagnosis And Treatment EUS guided puncture of...
Rigid Bronchoscopy – Cryobiopsy of Protruding Mass – Endobronchial Blocker(Fogarty Balloon)
Background 60 year old alcoholic and diabetic patient presented with complaints of fever, cough, loss of appetite and loss of weight. Diagnosis And Treatment CT chest was suggestive of cavity in left upper lobe. FOB was suggestive of pus oozing from left...
Bronchial Artery Embolisation and Sphigot Insertion of Bronchus
Background 50 year old alcoholic patient presented with massive hemoptysis. Patient was intubated in emergency for need of airway protection. Diagnosis And Treatment CT chest with thoracic angiogram revealed bilateral cavitary lesion with hypertrophied...
Balloon Bronchoplasty of Tubercular Stenosis
Background A 30 year old male with a history of Pulmonary Tuberculosis in 2010 & recurrence in 2018 came with a complaint of gradually progressive dyspnea over 2 years. He was presented with dyspnea even at rest and symptoms and signs of pleurisy....