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Biomedical subjects

Utpal De

Publications and source records attributed to Utpal De.

10 recordsLinked to original sources
PubMed2006

Seventy cases of non-tubercular psoas abscess at a rural referral centre in South Bengal.

About 70 patients admitted with psoas abscess are reviewed. The ratio of non-tubercular to tubercular psoas abscess was 6:1 and left-to-right psoas involvement was 1.6:1. Iliac fossa mass and neutrophilic leucocytosis were found in all the patients without any underlying bony involvement. Ultrasonography and needle aspiration of pus were followed by surgical drainage. Staphylococcus aureus was the most common organism cultured.

Academic Medical Centers↗
PubMed2005

Sigmoid volvulus complicating pregnancy.

Sigmoid volvulus complicating pregnancy is an extremely rare complication with fewer than 76 cases reported in literature. We report a case of sigmoid volvulus complicating pregnancy. The sigmoid colon was resected and Hartman's colostomy was performed. The patient had a successful recovery. Aggressive resuscitation followed by early surgical intervention should be undertaken to reduce maternal and fetal morbidity and mortality.

Adult↗
PubMed2005

Pathogenesis and management of diabetic foot--a review.

In the present article, the pathophysiology, evaluation and management guidelines of diabetic foot infections are reviewed with a view to reducing the medical morbidity, psychological distress and financial costs.

Anti-Bacterial Agents↗
PubMed2004

Stump appendicitis.

A case having right lower quadrant abdominal pain in a 26-year-old female who underwent appendicectomy one year back is presented. Recurrent appendicitis was noted in appendiceal stump. Although rare, stump appendicitis should be considered in the differential diagnosis of right lower quadrant abdominal pain.

Adult↗
PubMed2003

Single stage primary anastomosis without colonic lavage for left-sided colonic obstruction due to acute sigmoid volvulus: a prospective study of one hundred and ninety-seven cases.

BACKGROUND: The purpose of this study was to examine the feasibility of single-stage resection and anastomosis for acute left-sided colonic obstruction due to acute sigmoid volvulus without intraoperative lavage. Mechanical bowel preparation has been shown to be unnecessary for elective colorectal surgery. Colonic decompression without intraoperative lavage may simplify operations in acute left-sided colorectal obstruction. METHODS: Emergency resection of acute sigmoid volvulus was performed. This was followed by primary anastomosis without on-table lavage after closed bowel decompression. RESULTS: A total of 197 patients underwent bowel decompression, resection and primary colonic anastomosis. Two patients developed anastomosis leak, requiring re-laparotomy, Hartmann's procedure and delayed closure. Two deaths occurred postoperatively; these were unrelated to the nature of the surgery. The mean hospital stay was 9.8 days. CONCLUSION: Primary colonic anastomosis can be safely done for obstructed left colon due to acute sigmoid volvulus without intraoperative colonic lavage.

Acute Disease↗
PubMed2003

Primary liposarcoma of the omentum: a case report and review of the literature.

A case of round cell liposarcoma of omentum in a 45-year-old man is reported. The patient presented with abdominal pain, swelling and fever of 4-month duration. Abdominal ultrasonography and computed tomogram confirmed the presence of an abdominal mass, but the omental origin of the tumour was revealed only on laparotomy. In addition to the main tumour mass, multiple nodules were present in the omentum. The tumour was excised with omentum. Histopathology of the tumour revealed a round cell liposarcoma. The patient expired 9 months after operation. Eight other cases of liposarcoma of omentum reported in English literature are reviewed.

Humans↗
PubMed2002

Sigmoid volvulus in rural Bengal.

Between January 1995 and December 2000, 197 patients (44.97%) were treated for sigmoid volvulus at Bankura Medical College and Hospital, Bankura, West Bengal, India. The mean age was 45.06 years and the male to female ratio was 2.07:1. The various aetiological factors, clinical features and management have been reviewed. Abdominal distension with obstipation was the common clinical presentation. Straight X-ray of the abdomen suggested the diagnosis. Management included celiotomy and primary resection and anastomosis without intra-operative lavage in 196 patients and sigmoidopexy in one patient. The overall mortality rate was 1.01%. There was only one recurrence in the patients who had undergone sigmoidopexy. Primary resection and anastomosis at initial presentation proved a safe operative treatment and avoided unnecessary repeated hospitalization.

Diet↗
PubMed2002

Acute appendicectomy for appendicular mass: a study of 87 patients.

OBJECTIVE: To study the feasibility of acute appendicectomy in patients with an appendicular mass. SETTING: Department of Surgery, Bankura Sammalani Medical College (BSMCH), Bankura, West Bengal, India. PATIENTS: From January 1998 to May 2001. 87 patients were diagnosed and operated for appendix mass within 24 h of admission. None of the patients had any associated complications. INTERVENTION: A McBurney's incision with Rutherford-Morrison extension was made in most patients. RESULTS: 48 patients presented with a classical appendix mass. 25 patients (28.7%) had classical features of appendix abscess, and in 14 (16.1%) a loculated collection of pus (10 to 50 ml) was found. Operative time ranged from 45 to 90 min (mean 65). Pathologic evidence of appendicitis was present in all patients. 71 patients were discharged on the seventh postoperative day. 15 patients developed minor wound infection. One patient developed band obstruction, which subsided spontaneously on conservative treatment. Rest of the patients are doing well. CONCLUSION: Low morbidity, reduced hospital stay, low cost and patient compliance favour operative management of appendicular mass by experienced surgeons thus obviating the old practice of conservative treatment followed by interval appendicectomy.

Acute Disease↗
PubMed2002

Persistent mullerian duct syndrome--a case report.

Persistent mullerian duct syndrome presents in phenotypically male subjects with unilateral cryptorchidism, inguinal herniation, and persistent mullerian remnants. Pre-operative diagnosis of this condition is difficult. Orchidopexy with excision of the persistent mullerian duct structures is usually not possible without making damage to the vas. The alternative of leaving the persistent mullerian duct structures alone and performing a staged or primary orchidopexy has been suggested. A similar case, encountered in the department of surgery, Bankura Sammilani Medical College and Hospital is being reported.

Adult↗