A 36-year-old male patient was admitted to Aster Hospital, Mankhool 2 months ago with severe pancreatitis. His clinical course was further complicated by development of pancreatic necrosis within the first 2 weeks of hospitalization. He developed severe sepsis leading to renal dysfunction and acute lung injury secondary to MRSA bacteremia. The source of MRSA was localized to the necrotic areas of the pancreas and peri-pancreatic tissues as detected on a positive culture on an aspirate from the necrotic areas. The patient was managed using a multi-disciplinary approach under the specialties of Gastroenterology, Intensive Care, Hepatology and Surgery. Continue reading “Minimally Invasive Single port Pancreatic Necrosectomy”
On 2nd December 2017, Aster Hospital’s Critical Care Department encountered a 30 year old male patient who experienced vomiting multiple times, had profuse sweating and general uneasiness with myalgia. The patient was brought to the ER, and was found to have tachycardia and hypotension. He was diagnosed with;
The first major liver resection (right hepatectomy) was performed by the ILC Team at Aster Hospital, Mankhool on a 28-year-old female who was incidentally detected to have an 11 cm hepatocellular carcinoma (HCC) in the right lobe of the liver. A solid lesion in a cirrhotic liver is generally an HCC. In non-cirrhotic livers, solid lesions may be due to hemangioma, hepatic adenomas, focal nodular hyperplasia, cholangiocarcinoma, HCC, metastases and rarely tuberculoma or lymphoma. The diagnosis is essentially based on cross-sectional imaging with CT and MRI. The index patient had a contrast enhancement pattern characteristic of HCC on a dynamic triple phase CT scan. While HCC usually develops in a background of liver cirrhosis, about one-third cases occur in a non-cirrhotic liver. The patient’s alpha-fetoprotein (AFP) levels were normal. AFP levels are elevated in only two-thirds of HCC and AFP is not mandatory for a diagnosis of HCC. Biopsy is usually not required for diagnosis if the radiological findings are characteristic. Continue reading “Right Hepatectomy for Non-Cirrhotic Hepatocellular Carcinoma”
This is the case of a 27 year male with non-traumatic, unilateral anterior temporomandibular joint dislocation of the left side.
A well-built Indian male visited Aster Hospital’s Dental OPD in a very anxious and nervous state complaining of inability to close his mouth just after yawning. He said that the issue occurred at around 7 AM, immediately after which he rushed to Aster Hospital, Mankhool (Dubai) from Sharjah. Continue reading “Dislocation of TMJ Managed by Closed Reduction”
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”
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”
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.
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.
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”
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”