Browsing by Author "Kulkarni, B."

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    Anal mucosal melanoma presenting as per rectal bleed: a case report
    (Medip Academy, 2024-05) Bhosale, A. M.; Shrotriya, S.; Naik, S.; Kulkarni, B.
    Anorectal mucosal melanoma is a rare, malignant and aggressive tumor that usually presents late. It primarily arises from the melanocytes but can also arise from the mucosal surface. It also carries poor survival rates. Early diagnosis of the disease and prompt treatment is necessary. Overall 5-year survival rate for anal melanoma is below 10%. We present a case of a 77 years old male patient who presented with chief complaints of per rectal bleeding and decreased appetite. Patient’s symptoms were initially confused for benign conditions like hemorrhoids. He was diagnosed with anal mucosal melanoma on per rectal biopsy. Patient’s radiological investigations including PET scan and MRCP were suggestive of liver and lung metastasis. In view of the advanced stage of the disease, the decision was taken to treat the patient conservatively. He was started on imatinib therapy and a regular follow up was kept and palliative care was provided.
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    A case of abdominal tuberculosis presenting as obstructive jaundice
    (Medip Academy, 2024-04) Naik, S.; Kulkarni, B.; Shrotriya, S.; Ghade, K. B.
    Extrapulmonary tuberculosis is notorious for its many manifestations, which can lead to delayed diagnosis and treatment. In particular, abdominal tuberculosis is easily overlooked because the incidence is low and because it can mimic common non-infectious abdominal syndromes. We describe here a 45-year-old female presenting with obstructive jaundice. In this patient, a pancreatic mass was found and tuberculosis was first diagnosed after a diagnostic laparoscopic. Tuberculosis should be included in the differential diagnosis of intra-abdominal mass lesions, especially in persons originating from regions where tuberculosis is endemic. Invasive procedures are often required to obtain adequate diagnostic samples.
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    A case of recurrent achalasia cardia with sigmoid esophagus managed laparoscopically
    (Medip Academy, 2024-03) Panalal, K. H.; Shrotriya, S.; Naik, S.; Kulkarni, B.
    Recurrences of symptoms after the surgery for achalasia cardia are not uncommon. There are several causes of recurrences but the early recurrences are thought to be secondary either to incomplete myotomy or late recurrences due to fibrosis after the myotomy or megaesophagus. A laparoscopic approach is a standard method because of the obvious benefits for the patients. The extent of the myotomy and addition of fundoplication are debatable issue in the management of achalasia cardia but evidence suggests that some kind of fundoplication would be necessary after the complete division of lower esophageal sphincter. We present our experience in a case of recurrent achalasia, secondary to incomplete myotomy managed laparoscopically by extended myotomy and a Dors fundoplication.