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Biomedical subjects

P L Rao

Publications and source records attributed to P L Rao.

At least 19 recordsLinked to original sources

Intraperitoneal abscess in a new born secondary to Klebsiella septicaemia--a case report.

A five day old female baby was admitted with distension of abdomen since birth and nonbilious vomiting, fever of one day duration. Blood culture grew Klebsiella pneumoniae. Abdominal exploration revealed thick walled cavity containing purulent fluid grew klebsiella pneumoniae which was sensitive to various antibiotics including gentamycin. The child was treated with injection gentamycin and ceftazidime. The child had uneventful recovery and is doing well 3 years post operatively.

Abdominal Abscess↗

Rectal stricture: a complication of tuberculosis.

Tuberculosis of the rectum is rarely reported, even from areas where tuberculosis, and gastrointestinal tuberculosis in particular, is prevalent. The authors report a case of long tubercular stricture of the rectum and distal part of the sigmoid colon in a 12-year-old girl. Because of nonspecific symptoms and noncharacteristic radiological and endoscopic features, the diagnosis of this rare entity rests mainly on histological evidence of the classical tubercle in a surgical biopsy specimen.

Antitubercular Agents↗

Retrograde intussusception: a lead-point for prograde intussusception.

Retrograde intussusception is an extremely rare entity. The authors report a case of retrograde jejuno-jejunal intussusception in a 12 year old. The features of interest are (1) the retrograde intussusception mass acting as a lead-point for a second prograde jejuno-jejunal intussusception, (2) the anastomotic suture line of a previous resection-anastomosis acting as the lead-point for the retrograde intussusception, and (3) the presence of a "reverse claw sign" (on a barium meal study) caused by the intussusceptum of the retrograde intussusception.

Child↗

Bacteriology of peritoneal fluid in paediatric surgical emergencies.

This study deals with the incidence of aerobic and anaerobic organisms of the peritoneal fluid of 60 consecutive children subjected to emergency celiotomy. Two-thirds of the cases were below the age of year. Peritoneal fluid was collected immediately after entering the peritoneal cavity and inoculated both for aerobic an anaerobic cultures. Bacterial growth occurred in 34 (57%) of the specimens. Anaerobic bacteria alone grew in 3 (5%) of the specimens, aerobes alone in 22 (37%) of specimens. A mixed aerobic and anaerobic bacteria grew in 9 (15%) of the specimens. There were 44 aerobic and 19 anaerobic isolates. All anaerobes were sensitive to metronidazole while most of the aerobes were sensitive to gentamycin. Culture was positive in 20 out of 42 (47.6%) specimens, where the peritoneal fluid was clear and there was no evidence of peritoneal contamination at the time of surgery.

Abdomen↗

Spigelian hernia.

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Child, Preschool↗

Lingual dermoid.

Dermoid cysts are congenital lesions derived from ectodermal differentiation of multipotential cells. Only 7% of all dermoid cysts occur in the head and neck region and about a quarter of them are seen in the floor of mouth. Dermoids confined to the tongue are rare entities. Only 13 such cases, mostly in infants, have been reported in literature. One such case of an infant with intralingual dermoid and feeding difficulty, relieved following cyst excision, is reported.

Dermoid Cyst↗

Ovarian tumors in the second decade of life.

A study of 28 adolescents aged 10-20 years admitted with ovarian tumors during a 5-year period revealed that 75% had malignant ovarian tumors, with germ cell tumors being most frequent. The high incidence of malignancy was due to our hospital being a referral centre. One case of mixed germ cell tumor (mainly choriocarcinoma) presented with precocious puberty, and one case of arrhenoblastoma showed signs of virilization. Tumor markers were found useful in diagnosing choriocarcinoma and endodermal sinus tumor. Amongst the malignant ovarian tumors, the best prognosis was noted with dysgerminomas. Tumors were found more frequently on the right side. Optimal surgery at initial laparotomy, followed by adjuvant chemotherapy or radiotherapy were found to offer the best change of cure.

Adolescent↗