Browsing by Author "Sahni, Harmeet"
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Item Comparison between rapid urease test and carbon 14 urea breath test in the diagnosis of Helicobacter pylori infection.(2015-09) Sahni, Harmeet; Palshetkar, Karishma; Shaikh, Tanveer Parvez; Ansari, Sharique; Ghosalkar, Mithilesh; Oak, Aditya; Khan, NaseemBackground: The most common human infection of upper gastrointestinal region is Helicobacter pylori. Most individuals remain asymptomatic due to misuse of antibiotic and proton pump inhibitors. Methods: 50 patients admitted or on outpatient department basis were selected based on the upper gastrointestinal symptoms and whether they were 18 years and above. Results: The Rapid Urease Test (RUT) had 84% sensitivity and 91% specificity, with an overall accuracy of 88%. The results of the Urea breath Test (UBT) showed 88% sensitivity and 83% specificity, and an overall accuracy of 85%. Conclusions: The invasive procedure OGD scopy need not be done in patients for the sole purpose of diagnosing HP infection as the diagnostic efficacies of RUT & UBT tests are similar.Item Myxoid liposarcoma presenting like a cystic neck swelling.(2015-05) Sahni, Harmeet; Gautam, Raj; Lal, Vikash; Shaikh, Tanveer Parvez; Palshetkar, Karishma; Oak, AdityaSoft tissue sarcomas are rare and unusual neoplasm’s, accounting for approximately 1% of adult human cancers and 15% of pediatric malignancies. Most liposarcomas occur in deep soft tissues of the extremities and retroperitoneum; only a very small percentage (as low as 2%) occurs in the head and neck. Here we present a case of a 48yr old male with a painless mass in the neck clinically presenting as a cystic swelling. The CT neck was suggestive of cystic lesion in the neck representing benign cystic lesion. The swelling was excised and sent for histopathology which was suggestive of myxoid liposarcoma. The patient was planned for wide excision of the edges and scar and adjuvant chemo and radio therapy.Item Sigmoid perforation post laser ablation of fistula in ano.(2015-06) Gautam, Raj; Sahni, Harmeet; Lal, Vikash; Ghosalkar, Mithilesh; Shaikh, Tanveer Parvez; Deolekar, Sandesh; Oak, Aditya; Mahadik, AbhishekLaser ablation of fistula tract is a safe, effective, sphincter-preserving therapy that can be successfully performed by surgeons. Various studies and papers have been published advocating the use of lasers. However clinical experience and technical expertise is necessary for the use of lasers. Here we present a case of a 45 year old male presenting with acute abdomen following laser ablation of fistula in ano. The patients X-Ray abdomen showed free gas under the diaphragm and was explored. The exploration revealed a pyoperitoneum and a sigmoid perforation for which closure of perforation and a diverting colostomy was done. The patient was further operated for fistula excision and Seton suturing and is planned for colostomy closure.