Category: Case Representation

Vesicovaginal Fistula Repair

Vesicovaginal Fistula Repair - Dr. Mahavir Deshmane, Specialist Urologist

A 46 year old, mother of three children visited Aster Hospital’s Urology OPD in February 2017 with complaints of continuous leakage of urine since the last 6 months.

Her social life was devastated and she has very low self-esteem. She had previously undergone a hysterectomy elsewhere. She did not have any other medical illness or risk factors.  Continue reading “Vesicovaginal Fistula Repair”

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Non-Erosive Reflux Disease Treated with STRETTA Procedure

non reflux disease stretta procedure

A young male patient, Mr. FJ presented to Aster Hospital with typical as well as atypical symptoms of reflux disease in the form of abdominal burning sensation after consumption of food, non-cardiac chest pain, globus sensation and irritation in throat. His abdominal symptoms responded to PPI but throat symptoms were refractory to all forms of treatment. Continue reading “Non-Erosive Reflux Disease Treated with STRETTA Procedure”

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Surgical Extraction of Impacted Max Canine with Bone Grafting

A 19 year old girl, Ms. Nikita came to the Dental OPD at Aster Hospital, Mankhool complaining of tooth erupting from unusual position in between the maxillary central incisors.

On examination it looked like the tip of crown of max left canine trying to erupt from the base of buccal vestibule below the labial frenum.

Continue reading “Surgical Extraction of Impacted Max Canine with Bone Grafting”

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Successful Treatment of Cauda Equina Syndrome with Satisfactory Outcome

A 63 year old male was referred to Aster Hospital’s Neurology Department for evaluation of ‘Painless urinary retention’. The patient was seen by a Urologist in another clinic for urinary retention and was catheterized a week back. Two failed attempts at removing the urinary catheter, prompted the doctor to seek Neurology reference.

Continue reading “Successful Treatment of Cauda Equina Syndrome with Satisfactory Outcome”

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Auditory Neuropathy Spectrum Disorder

A 10 year old girl presented to Aster Hospital’s Audiology Department with her parents on 31st July 2017.  The family visited the hospital to get clearance from the Audiology Department for her to get admitted into School.

The child had Cerebral Palsy and had been undergoing treatment for the same. Upon thorough investigation of her case, correlative study and testing including BERA, DPOAE, TEOAE and TYMPANOMETRY, it was recognized that the child suffered from a rare disorder known as Auditory Dyssynchrony, which generally has an incidence of 3-4 in every 10,000 children. For the past 10 years the child was being treated for other abnormalities and no hearing test was ever conducted. The child had a speech delay which was considered as the result of Cerebral Palsy.

The primary symptoms/causes of Auditory Dyssynchrony the primary are; Continue reading “Auditory Neuropathy Spectrum Disorder”

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Spontaneous Hemoperitoneum in Pregnancy From a Ruptured Superficial Uterine Vessel

29yrs old Primi at 24 weeks of pregnancy was brought to the emergency by ambulance in shock with complaints of sudden onset of epigastric pain and dizziness. There was no complaint of bleeding per vaginum.

The patient was resuscitated and urgent ultrasound was done which revealed massive hemoperitoneum with intra uterine fetal death. Emergency laparotomy was done through midline vertical incision (with differential diagnosis of ruptured uterus, abruption, non-obstetric causes of bleeding) with arrangements being made for blood and blood products. Laparotomy findings were as follows;

1. Hemoperitoneum 4 litre with clots. Continue reading “Spontaneous Hemoperitoneum in Pregnancy From a Ruptured Superficial Uterine Vessel”

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Complex Intertrcohanteric Fracture Femur

Mr. Syed Faizal, a 44 year old man was brought to Aster Hospital’s Emergency on 17th July 2017, at midnight. He was brought in the Ambulance on a stretcher complaining of severe pain and deformity of his left hip.

The patient was unable to move his left leg because of severe pain which made it difficult to shift him to the bed from the stretcher. The patient had a history of a trivial fall at his residence where he slipped and fell on the floor while hitting the edge of a door. He was brought to the ER by his colleagues.

Continue reading “Complex Intertrcohanteric Fracture Femur”

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