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8 results on '"Sethna KS"'

1. Mixed Neuroendocrine and Non-Neuroendocrine Neoplasm of Pancreas: What Do We Know, What Have We Learnt?

Author

Dhakre VW, Galande ST, Patil VG, Shah NC, Rathod C, Sethna KS, and Amrapurkar AD

Abstract

Pancreatic adeno-mixed neuroendocrine non-endocrine (pMINEN) tumors are extremely rare [Pancreatology. 2021;21(1):224-235]. They are known to have distal metastasis at presentation and have a comparatively lower survival rate than similar staged neuroendocrine (NEN) carcinoma, adenocarcinoma, and small-cell lung tumor from which its treatment patterns are extrapolated. Also, very less is known about its molecular structure and natural courses. There is a dearth of data about pMINEN in the literature, and also there is a lack of large multicentral trials due to which the MINEN tumors do not have a standard universal management protocol. We discuss here the clinical dilemmas that arise during diagnosis and reporting and urge to form a multicentric trial to formulate a focused protocolized approach. We describe here our encounter with a pancreatic head lesion which on immunohistochemical analysis turned out to be a pMINEN with moderately differentiating ductal adenocarcinoma and low-grade NEN tumor. Radical R0 surgery with multimodal treatment (chemotherapy + radiotherapy) gains improved survival in long term., Competing Interests: The authors have no conflicts of interest to declare., (© 2023 The Author(s). Published by S. Karger AG, Basel.)

Published
2023
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2. Rare case of post mastectomy surgical site haematoma due to axillary artery branch pseudoaneurysm.

Author

Galande S, Mishra G, Sethna KS, and Popat BA

Subjects
Axillary Artery surgery, Female, Hematoma diagnostic imaging, Hematoma etiology, Hematoma surgery, Humans, Mastectomy adverse effects, Mastectomy methods, Aneurysm, False diagnostic imaging, Aneurysm, False etiology, Aneurysm, False surgery, Breast Neoplasms complications, Breast Neoplasms surgery
Abstract

We present a case of surgical site haematoma developed in a female patient with breast cancer who had undergone modified radical mastectomy. On investigation, the underlying aetiology was detected to be axillary artery branch pseudoaneurysm. The patient was managed with the minimally invasive technique of angioembolisation with coils. A multidisciplinary approach resulted in an excellent outcome. The patient made good recovery without any residual impairment., Competing Interests: Competing interests: None declared., (© BMJ Publishing Group Limited 2022. No commercial re-use. See rights and permissions. Published by BMJ.)

Published
2022
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3. Successful Use of Direct Splenic Vein Anastomosis to the Interposition Internal Jugular Vein Graft after Extended Pancreatoduodenectomy to Avoid Sinistral Portal Hypertension.

Author

Dhakre VW, Suryawanshi SS, Shewale VP, Rathod C, Galande ST, and Sethna KS

Abstract

Splenic vein (SV) ligation may be needed during portomesenteric junction resection, in pancreatoduodenectomy. Sinistral portal hypertension is a concern if the SV is not drained. Various techniques are described to reconstruct SV to avoid the variceal formation and sinistral portal hypertension which may lead to GI bleed. We describe a case of a 19-year-old female who underwent pancreatoduodenectomy for solid pseudopapillary neoplasm with portal-superior mesenteric vein junction resection and splenic venous was anastomosed into the interposition graft. We here share our unique experience of using an interposition internal jugular vein graft for a long venous defect and diverging morbidity of sinistral portal hypertension., Competing Interests: The authors have no conflicts of interest to declare., (Copyright © 2022 by The Author(s). Published by S. Karger AG, Basel.)

Published
2022
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4. A Case of Chronic Back Pain.

Author

Trivedi TH, Gokhale YA, Patil SB, Sethna KS, Patil NJ, and Ghagare SP

Subjects
Adenoma complications, Adenoma surgery, Adult, Bone Diseases, Metabolic complications, Diagnosis, Differential, Female, Humans, Hypercalcemia complications, Hypercalcemia diagnosis, Hyperparathyroidism etiology, Parathyroid Neoplasms complications, Parathyroid Neoplasms surgery, Adenoma diagnosis, Bone Diseases, Metabolic diagnosis, Hyperparathyroidism diagnosis, Low Back Pain etiology, Parathyroid Neoplasms diagnosis
Published
2014

5. Duodenal leiomyoma--a rare cause of haematemesis.

Author

Shetty SM, Kalokhe S, Rathi P, Desai N, Sethna KS, Rajyadhyaksha G, and Sawant P

Subjects
Adult, Biopsy, Needle, Duodenal Neoplasms complications, Endosonography, Follow-Up Studies, Hematemesis etiology, Humans, Laparotomy, Leiomyoma complications, Male, Duodenal Neoplasms diagnosis, Duodenal Neoplasms surgery, Leiomyoma diagnosis, Leiomyoma surgery
Abstract

Leiomyoma of the duodenum is a rare tumour. Small intestinal tumours contributing to upper gastrointestinal bleed is still rare. They usually present with malena and anaemia, rarely hematemesis. We report a case of leiomyoma of duodenum diagnosed on endoscopic ultrasound that presented with massive haematemesis.

Published
2001

6. Spontaneous rupture of the stomach.

Author

Arora PK and Sethna KS

Subjects
Adult, Humans, Male, Prognosis, Rupture, Spontaneous, Stomach Rupture mortality, Subcutaneous Emphysema diagnosis, Stomach Rupture diagnosis
Abstract

Spontaneous rupture of the stomach is a rare but rapidly fatal accident. In the reported case, the galloping pace of deterioration claimed the life of the patient in spite of timely institution of resuscitative measures. However, in less catastrophic forms, provided the condition is recognised by its characteristic features, it is possible to improve the prognosis by expeditious surgical correction. It behoves us to briefly review the clinical features of this condition while presenting the case report.

Published
1990

7. Spontaneous rupture of the rectum and colon.

Author

Arora PK, Relan M, and Sethna KS

Subjects
Humans, Pressure adverse effects, Rupture, Spontaneous, Colonic Diseases etiology, Constipation complications, Rectal Diseases etiology
Published
1989

8. Peritoneal encapsulation of small bowel--(a case report).

Author

Arora PK, Narang R, Sethna KS, and Gupta D

Subjects
Female, Humans, Ileum abnormalities, Intestinal Obstruction etiology, Middle Aged, Intestine, Small abnormalities, Peritoneum abnormalities
Abstract

Peritoneal encapsulation is a rare congenital anomaly. Its occurrence in a female and association with intestinal obstruction are even rarer features which were present in the reported case.

Published
1989

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