Category: Case Representation

Hypertriglyceride Induced Pancreatitis (HTGP)

Plasmapheresis: an important treatment modality option in the practice of Critical Care Medicine

A 34 year old man was admitted to Aster Hospital, Mankhool with chief complaints of severe abdominal pain, vomiting multiple episodes and general weakness since 2 days. Patient did not have any known comorbids. No personal habits contributory. Continue reading “Hypertriglyceride Induced Pancreatitis (HTGP)”

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Bilateral Total Knee Replacement

A 72 year old man visited Aster Hospital, Mankhool in the month of November 2017 complaining of severe pain in both knee for the past 1 year. He was under treatment for chronic renal disease, DM, HTN, cardiac stent and was on medication for pain since the last 2 years. Continue reading “Bilateral Total Knee Replacement”

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Laparoscopic Anterior Resection for Colonic Cancer

Timely deployment of endoscopic colonic stent for relieving acute colonic obstruction.

A 54 year old male patient was diagnosed to have cancer of recto-sigmoid region in October 2017. He underwent investigation for staging of the disease and as planned, he was thought to be a good candidate for surgical management. Continue reading “Laparoscopic Anterior Resection for Colonic Cancer”

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Comminuted Segmental Fracture of Left Tibia Shaft and Fibula

Comminuted Segmental Fracture of Left Tibia Shaft and Fibula

A 48 year old female was brought to Aster Hospital’s Emergency on the evening of 20th October 2017. She was brought in the ambulance on a stretcher complaining of severe pain and deformity of her left leg with blood soaked POP slab. Continue reading “Comminuted Segmental Fracture of Left Tibia Shaft and Fibula”

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Pneumatic Dilation of Pylorus for Gastroparesis

Aster Hospital, Mankhool recently encountered the case of a young 25-year-old male patient, suffering from Achalasia Cardia. The patient had undergone laparoscopic Heller’s myotomy 3 years ago, which is a standard surgical procedure for this condition in which muscle fibers at the GE junction are divided. Continue reading “Pneumatic Dilation of Pylorus for Gastroparesis”

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Septic Shock Fluid Therapy – Bedside Metrics

A male patient in the hospital.

A 49 year old male patient was brought to Aster Hospital on 26th November 2017 upon feeling uneasy and passing loose stools.

Comorbids were – Hypertensive on Tab Bisoprolol 2.5 mg OD, Dyslipidemia on Tab Atorva 20 mg HS. Continue reading “Septic Shock Fluid Therapy – Bedside Metrics”

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Minimally Invasive Single port Pancreatic Necrosectomy

Pancreatic Necrosectomy

Minimally Invasive Single port Pancreatic Necrosectomy in a Patient with Severe Pancreatitis and Infected Pancreatic Necrosis.

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”

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Adrenal Crisis

Adrenal Crisis

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;

  • Adrenal insufficiency (shock)/Septic shock
  • Acute kidney injury – Ischemic Acute Tubular Necrosis.
  • Acromegaly with panhypopituitarism on replacement therapy

Continue reading “Adrenal Crisis”

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Right Hepatectomy for Non-Cirrhotic Hepatocellular Carcinoma

non reflux disease stretta procedure

Aster Integrated Liver Care

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”

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Dislocation of TMJ Managed by Closed Reduction

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”

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