Pub Date : 2023-01-01DOI: 10.4103/ijamr.ijamr_54_23
Baneswar Baro, Ritu Saloi, B. Bora, G. Rabha
Background: Anatomical knowledge is an integral component of medical education. As there is little consensus over the best teaching methods, teachers may use a variety of teaching aids to help students understand a particular topic. Aims and Objectives: The aims and objectives of the study were to evaluate the impact of three-dimensional (3D) models as a teaching tool for the pelvis. Subjects and Methods: We conducted a study among 100 phase 1 MBBS students at a tertiary medical college to assess their level of understanding of pelvic anatomy from a teaching perspective. 3D models were constructed and used as teaching tools. Participants were evaluated using a Likert scale and knowledge-based tests, such as multiple-choice questions and identification questions. Results: The results showed that the teaching tool used significantly (P < 0.05) improved the understanding of the topic, and most of the students strongly agreed that the teaching was informative (71.4%) and interesting (73.7%). A total of 76.4% of students agreed that they could easily take notes. All students (100%) agreed that the teaching tool used was clear, audible, understandable, well organized, advancing their understanding of the subject, and helpful for revision and memory retention. Conclusions: The results suggest that using physical 3D models as a teaching tool improve the overall understanding of the pelvic region. However, further studies are required to assess the long-term impact of the 3D model as a teaching tool.
{"title":"Response of phase-I MBBS students to anatomy teaching with three-dimensional models of the pelvic girdle","authors":"Baneswar Baro, Ritu Saloi, B. Bora, G. Rabha","doi":"10.4103/ijamr.ijamr_54_23","DOIUrl":"https://doi.org/10.4103/ijamr.ijamr_54_23","url":null,"abstract":"Background: Anatomical knowledge is an integral component of medical education. As there is little consensus over the best teaching methods, teachers may use a variety of teaching aids to help students understand a particular topic. Aims and Objectives: The aims and objectives of the study were to evaluate the impact of three-dimensional (3D) models as a teaching tool for the pelvis. Subjects and Methods: We conducted a study among 100 phase 1 MBBS students at a tertiary medical college to assess their level of understanding of pelvic anatomy from a teaching perspective. 3D models were constructed and used as teaching tools. Participants were evaluated using a Likert scale and knowledge-based tests, such as multiple-choice questions and identification questions. Results: The results showed that the teaching tool used significantly (P < 0.05) improved the understanding of the topic, and most of the students strongly agreed that the teaching was informative (71.4%) and interesting (73.7%). A total of 76.4% of students agreed that they could easily take notes. All students (100%) agreed that the teaching tool used was clear, audible, understandable, well organized, advancing their understanding of the subject, and helpful for revision and memory retention. Conclusions: The results suggest that using physical 3D models as a teaching tool improve the overall understanding of the pelvic region. However, further studies are required to assess the long-term impact of the 3D model as a teaching tool.","PeriodicalId":32355,"journal":{"name":"International Journal of Advanced Medical and Health Research","volume":"10 1","pages":"37 - 41"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45033720","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.4103/ijamr.ijamr_208_22
R. Selvaraj, K. Yazhini
Introduction: COVID-19-infected people with preexisting comorbidities show high mortality. Vaccine hesitancy among this high-risk group was assessed through this study. We aimed to determine the proportion of patients with heart disease showing hesitancy to COVID-19 vaccination and to identify the factors contributing to hesitancy. Subjects and Methods: This was a cross-sectional study including patients older than 18 years with any form of heart disease. Patients who had severe disease while at rest were excluded from the study. Patients attending the cardiology outpatient department were recruited if they met the inclusion criteria. Consenting patients were interviewed with a standard questionnaire. The proportion of hesitant patients was calculated. The importance of each of the causes contributing to hesitancy and methods used to overcome hesitancy were expressed as percentages. Results: The proportion of patients who were hesitant to vaccination was 69.1%. The main reason for hesitancy was “fear of danger in patients with heart disease when vaccinated.” Conclusions: COVID vaccine hesitancy is high in patients with heart disease. Targeting vaccine-hesitant groups with measures that are considered effective by the concerned population can help overcome vaccine hesitancy.
{"title":"COVID-19 vaccine hesitancy in patients with heart disease","authors":"R. Selvaraj, K. Yazhini","doi":"10.4103/ijamr.ijamr_208_22","DOIUrl":"https://doi.org/10.4103/ijamr.ijamr_208_22","url":null,"abstract":"Introduction: COVID-19-infected people with preexisting comorbidities show high mortality. Vaccine hesitancy among this high-risk group was assessed through this study. We aimed to determine the proportion of patients with heart disease showing hesitancy to COVID-19 vaccination and to identify the factors contributing to hesitancy. Subjects and Methods: This was a cross-sectional study including patients older than 18 years with any form of heart disease. Patients who had severe disease while at rest were excluded from the study. Patients attending the cardiology outpatient department were recruited if they met the inclusion criteria. Consenting patients were interviewed with a standard questionnaire. The proportion of hesitant patients was calculated. The importance of each of the causes contributing to hesitancy and methods used to overcome hesitancy were expressed as percentages. Results: The proportion of patients who were hesitant to vaccination was 69.1%. The main reason for hesitancy was “fear of danger in patients with heart disease when vaccinated.” Conclusions: COVID vaccine hesitancy is high in patients with heart disease. Targeting vaccine-hesitant groups with measures that are considered effective by the concerned population can help overcome vaccine hesitancy.","PeriodicalId":32355,"journal":{"name":"International Journal of Advanced Medical and Health Research","volume":"10 1","pages":"32 - 36"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43655946","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.4103/ijamr.ijamr_21_23
P. Rajeswaran, P. Kumar, Karthikeyan Shanmugam
Background: Dengue fever is a common tropical illness caused by an arbovirus. A complete blood count is one of the standard investigations performed on a febrile patient. The automated hematology analyzer utilizes the principle of volume (V), conductivity (C), and scatter (S) to generate total and differential leukocyte counts. The present study analyzed the utility of volume, conductivity, and scatter (VCS) parameters in the early diagnosis of dengue. Subjects and Methods: In this study, 700 blood samples were analyzed in the Beckman Coulter LH 780 analyzer. Their total, differential leukocyte counts, lymphocyte, and monocyte VCS parameters were collected. Demographic and clinical details of the patients were retrieved, and statistical analysis was done using IBM SPSS statistics, version 23.0. Results: Among the 700 cases, 271 (38.7%) had viral illnesses and 429 (61.3%) were patients who had diagnoses of nonviral causes. Of 271 viral illnesses, 168 (62%) cases had dengue. There were statistically significant differences (P < 0.05) in total and differential leukocyte counts and VCS parameters of lymphocytes and monocytes in dengue and nondengue viral causes when compared with nonviral causes. For the diagnosis of dengue, mean lymphocyte volume at a cutoff value of above 77 achieved a sensitivity of 60% and specificity of 61% and mean monocyte volume above 145 had a sensitivity and specificity of 62% and 59%, respectively. Conclusion: This study showed changes in VCS parameters of lymphocytes and monocytes, which can be utilized for the early diagnosis of dengue. They can be used, without incurring additional costs, to generate flags to prompt specific testing independent of clinical suspicion.
背景:登革热是一种常见的由虫媒病毒引起的热带疾病。全血细胞计数是对发热病人进行的标准检查之一。自动血液学分析仪利用体积(V)，电导率(C)和散射(S)的原理来生成白细胞总数和差异计数。本研究分析了体积、电导率和散射(VCS)参数在登革热早期诊断中的应用。研究对象和方法:在本研究中，700份血液样本在Beckman Coulter LH 780分析仪中进行分析。收集他们的白细胞总数、差异计数、淋巴细胞和单核细胞VCS参数。检索患者的人口学和临床详细信息，并使用IBM SPSS statistics, version 23.0进行统计分析。结果:700例患者中，病毒性疾病271例(38.7%)，非病毒性疾病429例(61.3%)。271例病毒性疾病中，168例(62%)为登革热。登革和非登革病毒病因与非病毒病因的总白细胞计数、差异白细胞计数、淋巴细胞和单核细胞VCS参数比较，差异有统计学意义(P < 0.05)。对于登革热的诊断，平均淋巴细胞体积在临界值大于77时的敏感性为60%，特异性为61%，平均单核细胞体积大于145时的敏感性和特异性分别为62%和59%。结论:本研究显示淋巴细胞和单核细胞VCS参数的变化，可用于登革热的早期诊断。它们可以在不产生额外费用的情况下用于产生标志，以提示独立于临床怀疑的特定检测。
{"title":"The application of automated cell population data for early diagnosis of dengue fever","authors":"P. Rajeswaran, P. Kumar, Karthikeyan Shanmugam","doi":"10.4103/ijamr.ijamr_21_23","DOIUrl":"https://doi.org/10.4103/ijamr.ijamr_21_23","url":null,"abstract":"Background: Dengue fever is a common tropical illness caused by an arbovirus. A complete blood count is one of the standard investigations performed on a febrile patient. The automated hematology analyzer utilizes the principle of volume (V), conductivity (C), and scatter (S) to generate total and differential leukocyte counts. The present study analyzed the utility of volume, conductivity, and scatter (VCS) parameters in the early diagnosis of dengue. Subjects and Methods: In this study, 700 blood samples were analyzed in the Beckman Coulter LH 780 analyzer. Their total, differential leukocyte counts, lymphocyte, and monocyte VCS parameters were collected. Demographic and clinical details of the patients were retrieved, and statistical analysis was done using IBM SPSS statistics, version 23.0. Results: Among the 700 cases, 271 (38.7%) had viral illnesses and 429 (61.3%) were patients who had diagnoses of nonviral causes. Of 271 viral illnesses, 168 (62%) cases had dengue. There were statistically significant differences (P < 0.05) in total and differential leukocyte counts and VCS parameters of lymphocytes and monocytes in dengue and nondengue viral causes when compared with nonviral causes. For the diagnosis of dengue, mean lymphocyte volume at a cutoff value of above 77 achieved a sensitivity of 60% and specificity of 61% and mean monocyte volume above 145 had a sensitivity and specificity of 62% and 59%, respectively. Conclusion: This study showed changes in VCS parameters of lymphocytes and monocytes, which can be utilized for the early diagnosis of dengue. They can be used, without incurring additional costs, to generate flags to prompt specific testing independent of clinical suspicion.","PeriodicalId":32355,"journal":{"name":"International Journal of Advanced Medical and Health Research","volume":"10 1","pages":"27 - 31"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70739346","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.4103/2349-4220.370129
Nevil Varghese, Jyolsna Nelson, Andrews C Joseph, A. Menon, R. Antony
{"title":"A comparative study of conventional cold dissection and coblation method of tonsillectomy","authors":"Nevil Varghese, Jyolsna Nelson, Andrews C Joseph, A. Menon, R. Antony","doi":"10.4103/2349-4220.370129","DOIUrl":"https://doi.org/10.4103/2349-4220.370129","url":null,"abstract":"","PeriodicalId":32355,"journal":{"name":"International Journal of Advanced Medical and Health Research","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70577914","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.4103/ijamr.ijamr_113_23
S. Vinayagam, S. Dhanger
Perioperative blood management is a crucial aspect of the care of any surgical patient. A multidisciplinary approach involving anesthesiologists, surgeons, and transfusion specialists is needed for the safe transfusion practice. It should span the entire perioperative period from preoperative evaluation until discharge from the hospital. Even though the current practice of blood management is supported by scientific research and evidence-based knowledge, many challenges still need to be addressed. Planning about blood management should start from the patient's first visit to the hospital through careful assessment and optimal preparation, including preoperative anemia management, which is found to reduce the transfusion need in the intraoperative period. It is also possible to avoid allogeneic blood transfusions by taking stringent measures to minimize intraoperative blood loss and implementing blood conservation strategies. Every institution must have a protocol for initiating and managing massive transfusions in surgical patients. Implementing a patient blood management program in every hospital can significantly contribute to accomplishing this objective. The judicious use of blood products during the perioperative phase can be ensured by establishing a blood transfusion committee, developing institutional policies, conducting routine audits, and organizing frequent training sessions.
{"title":"Perioperative blood management: Current transfusion practices and challenges","authors":"S. Vinayagam, S. Dhanger","doi":"10.4103/ijamr.ijamr_113_23","DOIUrl":"https://doi.org/10.4103/ijamr.ijamr_113_23","url":null,"abstract":"Perioperative blood management is a crucial aspect of the care of any surgical patient. A multidisciplinary approach involving anesthesiologists, surgeons, and transfusion specialists is needed for the safe transfusion practice. It should span the entire perioperative period from preoperative evaluation until discharge from the hospital. Even though the current practice of blood management is supported by scientific research and evidence-based knowledge, many challenges still need to be addressed. Planning about blood management should start from the patient's first visit to the hospital through careful assessment and optimal preparation, including preoperative anemia management, which is found to reduce the transfusion need in the intraoperative period. It is also possible to avoid allogeneic blood transfusions by taking stringent measures to minimize intraoperative blood loss and implementing blood conservation strategies. Every institution must have a protocol for initiating and managing massive transfusions in surgical patients. Implementing a patient blood management program in every hospital can significantly contribute to accomplishing this objective. The judicious use of blood products during the perioperative phase can be ensured by establishing a blood transfusion committee, developing institutional policies, conducting routine audits, and organizing frequent training sessions.","PeriodicalId":32355,"journal":{"name":"International Journal of Advanced Medical and Health Research","volume":"10 1","pages":"4 - 11"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43677029","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.4103/ijamr.ijamr_159_23
V. Menon, V. Kate
{"title":"Balancing evidence-based medicine: Weighing the pros and cons of randomized controlled trials and big data science","authors":"V. Menon, V. Kate","doi":"10.4103/ijamr.ijamr_159_23","DOIUrl":"https://doi.org/10.4103/ijamr.ijamr_159_23","url":null,"abstract":"","PeriodicalId":32355,"journal":{"name":"International Journal of Advanced Medical and Health Research","volume":"10 1","pages":"1 - 3"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41380941","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.4103/ijamr.ijamr_257_22
S. Mohanan, D. Thappa
Monochromatic excimer light (MEL) is available in India, although there is not much data on Indian patients. MEL was offered to 10 Indian patients with palmoplantar psoriasis and a response was noted. The mean percentage fall in erythema, scaling, infiltration, and fissuring score among our patients was 62% (standard deviation [SD] 17.2%) in the mean of 10.4 sessions (SD: 4.1). Thus, MEL appears to be a promising treatment option for Indian patients.
{"title":"Monochromatic excimer light in south indian patients (Skin type IV, V, and VI) with palmoplantar psoriasis: A case series","authors":"S. Mohanan, D. Thappa","doi":"10.4103/ijamr.ijamr_257_22","DOIUrl":"https://doi.org/10.4103/ijamr.ijamr_257_22","url":null,"abstract":"Monochromatic excimer light (MEL) is available in India, although there is not much data on Indian patients. MEL was offered to 10 Indian patients with palmoplantar psoriasis and a response was noted. The mean percentage fall in erythema, scaling, infiltration, and fissuring score among our patients was 62% (standard deviation [SD] 17.2%) in the mean of 10.4 sessions (SD: 4.1). Thus, MEL appears to be a promising treatment option for Indian patients.","PeriodicalId":32355,"journal":{"name":"International Journal of Advanced Medical and Health Research","volume":"10 1","pages":"47 - 49"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43763927","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.4103/ijamr.ijamr_214_22
ZahidSayeed Iqbal, N. Parameswaran
{"title":"Prognostic utility of a modified pediatric index of mortality 3 score incorporating nutritional status: An observational study","authors":"ZahidSayeed Iqbal, N. Parameswaran","doi":"10.4103/ijamr.ijamr_214_22","DOIUrl":"https://doi.org/10.4103/ijamr.ijamr_214_22","url":null,"abstract":"","PeriodicalId":32355,"journal":{"name":"International Journal of Advanced Medical and Health Research","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70739428","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-07-01DOI: 10.4103/ijamr.ijamr_243_20
G. Nair, V. Nair, U. Abraham
Background: About 12%–15% of sporadic colorectal cancers (CRCs) display a defect in the DNA mismatch repair (MMR) system resulting in microsatellite instability (MSI). Many authors have described certain clinicopathological predictors of MSI and confirmed with ancillary studies. The purpose of this study was to determine the clinicopathological features and their association with MMR deficiency (dMMR) among CRC patients. Materials and Methods: A cross-sectional study was designed among patients presented with CRC. A predesigned proforma was used to document the particulars of the patient along with histological parameters to be assessed. Cases were analyzed for dMMR using MLH1 and MSH2 immunostains and categorized into dMMR and MMR-proficient. The association of clinicopathological features with MMR status was statistically analyzed. Results: Sixty-four CRC cases were analyzed in the study. Thirteen out of 64 cases showed dMMR. Most of the dMMR tumors were located in the right-sided colon (P < 0.001). Three patients with a family history of CRC exclusively had dMMR (P = 0.01). Mucinous (P = 0.04), signet ring cell differentiation (P = 0.04), and lack of dirty necrosis (P < 0.001) showed a significant difference between deficient and proficient MMR categories. Gender, mean tumor-infiltrating lymphocytes per hpf, Crohn's-like reaction, and tumor stage did not show any significant difference between the two categories. Conclusions: Clinicopathological features such as family history, tumor location, tumor size, histologic type, tumor differentiation, mucinous, signet ring cell component, and dirty necrosis are associated with MMR status in CRC.
{"title":"Association of clinicopathological features with DNA mismatch repair status among colorectal cancer patients presenting to a Tertiary Care Cancer Hospital","authors":"G. Nair, V. Nair, U. Abraham","doi":"10.4103/ijamr.ijamr_243_20","DOIUrl":"https://doi.org/10.4103/ijamr.ijamr_243_20","url":null,"abstract":"Background: About 12%–15% of sporadic colorectal cancers (CRCs) display a defect in the DNA mismatch repair (MMR) system resulting in microsatellite instability (MSI). Many authors have described certain clinicopathological predictors of MSI and confirmed with ancillary studies. The purpose of this study was to determine the clinicopathological features and their association with MMR deficiency (dMMR) among CRC patients. Materials and Methods: A cross-sectional study was designed among patients presented with CRC. A predesigned proforma was used to document the particulars of the patient along with histological parameters to be assessed. Cases were analyzed for dMMR using MLH1 and MSH2 immunostains and categorized into dMMR and MMR-proficient. The association of clinicopathological features with MMR status was statistically analyzed. Results: Sixty-four CRC cases were analyzed in the study. Thirteen out of 64 cases showed dMMR. Most of the dMMR tumors were located in the right-sided colon (P < 0.001). Three patients with a family history of CRC exclusively had dMMR (P = 0.01). Mucinous (P = 0.04), signet ring cell differentiation (P = 0.04), and lack of dirty necrosis (P < 0.001) showed a significant difference between deficient and proficient MMR categories. Gender, mean tumor-infiltrating lymphocytes per hpf, Crohn's-like reaction, and tumor stage did not show any significant difference between the two categories. Conclusions: Clinicopathological features such as family history, tumor location, tumor size, histologic type, tumor differentiation, mucinous, signet ring cell component, and dirty necrosis are associated with MMR status in CRC.","PeriodicalId":32355,"journal":{"name":"International Journal of Advanced Medical and Health Research","volume":"9 1","pages":"107 - 112"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41560008","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-07-01DOI: 10.4103/ijamr.ijamr_15_22
O. Shaikh, U. Kumbhar, C. Vijayakumar, S. Chakkalakkoombil, N. Gaur
Obstructive jaundice due to pancreatic stone is very rare. We report a case of obstructive jaundice in a patient with chronic pancreatitis, occurring due to the pancreatic stone getting impacted at the ampulla and subsequently, leading to gallbladder perforation, without any dilatation of the biliary tree. This could be explained due to the lower insertion of the cystic duct. Such instances can be managed with percutaneous tube cholecystostomy, endoscopic retrograde cholangiopancreatography, pancreatic stone extraction, and stenting of both the main pancreatic duct and the common bile duct.
{"title":"Chronic pancreatitis associated with pancreatic stone impaction at the ampulla and subsequent gallbladder perforation","authors":"O. Shaikh, U. Kumbhar, C. Vijayakumar, S. Chakkalakkoombil, N. Gaur","doi":"10.4103/ijamr.ijamr_15_22","DOIUrl":"https://doi.org/10.4103/ijamr.ijamr_15_22","url":null,"abstract":"Obstructive jaundice due to pancreatic stone is very rare. We report a case of obstructive jaundice in a patient with chronic pancreatitis, occurring due to the pancreatic stone getting impacted at the ampulla and subsequently, leading to gallbladder perforation, without any dilatation of the biliary tree. This could be explained due to the lower insertion of the cystic duct. Such instances can be managed with percutaneous tube cholecystostomy, endoscopic retrograde cholangiopancreatography, pancreatic stone extraction, and stenting of both the main pancreatic duct and the common bile duct.","PeriodicalId":32355,"journal":{"name":"International Journal of Advanced Medical and Health Research","volume":"9 1","pages":"113 - 116"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45225639","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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