Browsing by Author "Pratik K. Jha"

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A massive air-fluid level on abdominal skiagram: an indicator of hollow viscous perforation inside an abdominal cocoon
(Springer, 2022) Vivek Srivastava; Pratik K. Jha; Mohit Mangla; Mumtaz Ahmad Ansari
Abdominal cocoon syndrome or sclerosing encapsulating peritonitis is a rare cause of intestinal obstruction due to tuberculosis. It may be complicated further with bowel obstruction and perforation. Perforation of hollow viscera inside a cocoon may present with features of peritonitis. Treatment is by excision of the dense sclerosing membrane over the bowel loops addressing the complications if present and specific medical therapy as indicated. However, there is a high risk of recurrence. We hereby describe a case of a 28 years gentleman who presented in emergency department with acute abdomen along with the clinical features of peritonitis and a single large air-fluid level on erect abdominal skiagram. © 2021, Association of Surgeons of India.
Triple inguinal hernia: Rare clinical presentation
(BMJ Publishing Group, 2020) Vivek Srivastava; Pratik K. Jha; Awgesh Kumar Verma; Mumtaz Ahmad Ansari
[No abstract available]
Unusual Presentation of Benign Breast Disease in an Adolescent Girl
(Springer, 2022) Vivek Srivastava; Pratik K. Jha; Chigurupati Veda Samhitha; Seema Khanna
Fibroadenomas are the most common benign breast lesions in adolescents. Fibroadenomas larger than 5 cm, weighing more than 500 g, or replacing at least 80% of the breast are termed giant fibroadenomas. Giant fibroadenomas usually warrant surgical excision as they alter the normal breast architecture. We report a case of probably the largest described bilateral juvenile giant fibroadenomas in a young 12-year-old girl managed with subcutaneous mastectomy and free nipple areola complex full thickness graft. The case highlights the rarity of disease presentation and difficulty in decision-making in selecting the best surgical option for such patients. © 2020, Association of Surgeons of India.
Vulvar aggressive angiomyxoma: a surgical challenge
(BMJ Publishing Group, 2021) Vivek Srivastava; Pratik K. Jha; Awgesh Kumar Verma; Mumtaz Ahmad Ansari
Aggressive angiomyxoma is a rare and locally aggressive mesenchymal tumour, predominantly occurring in women of reproductive age group. The term aggressive is attributed to the infiltrative nature and frequent local recurrences. They arise commonly from the vulvovaginal region, perineum or pelvis and are usually misdiagnosed as other common entities in these regions. Radiological investigations aid in the diagnosis and planning of surgery. However, the final diagnosis in most of the cases is established by histopathological examination. We herein report a case of a middle-aged woman presenting with recurrent large right vulvar mass highlighting the surgical challenges posed by its intrapelvic extension. © BMJ Publishing Group Limited 2021. No commercial re-use. See rights and permissions. Published by BMJ.