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”
Fatty Liver is a very common diagnosis. Most individuals are detected to have fatty liver on an Ultrasound scan of the abdomen done for some other medical reason. Some people have mild abnormalities on their blood tests related to the liver. When patients seek opinion from a doctor, they are told that fatty liver is an extremely common problem and is usually related to excess alcohol use, excess intake of fatty foods, lack of exercise and being overweight.
Patients are generally reassured that the most important step towards managing and treating the condition is cutting down on fats and exercising to lose weight. The concern here is that, fatty liver is often disregarded since the condition does not cause any physical problems. However, an individual with fatty liver must be well informed about the condition, causes of developing the condition, its risks and health consequences, treatment and prevention options etc. Above all one questions that arises in the minds of those with the condition is ‘who is the right Doctor to meet in this regard?’ Continue reading “Fatty Liver – Who should worry?”
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”
Viral hepatitis is one of the most important causes of liver disease throughout the world. The World Health Organization (WHO) estimates that about 320 million people worldwide have chronic hepatitis B or C infection.
Hepatitis B and C are the most important cause of liver cancer in the world. They can cause acute (short-term) and chronic (long-term) infection. Middle East, central Asia, Egypt, Pakistan, Certain area of Africa and South East Asia are areas with high prevalence of the condition. It is estimated that more than 90% of infected individuals do not have any symptoms of the disease and hence appear absolutely healthy. Continue reading “Eliminate Hepatitis”