An 82 years old lady (mother of Raj Dhanetha)  with GOO, visible peristalsis and palpable mobile lump in the distal stomach. UGIE (Dr Parmod Mittal) reported a malignant looking ulcer and complete obstruction; but biopsies came out to be negative.

CT suggested a 3.5 cm tumor distal stomach; no mets.

An easy and quick resection of distal stomach, duodenal stump closed and GJ done.

4th POD – had dehiscence of the abdominal wound which was resutured.

5 lap choles one after the other

Assisted a pyelolithotomy for multiple kidney stones and 26% function on DTPA scan ( NFK on IVU); one stone in upper calyx could not be taken out by the senior resident. Being easily palpable through the thinned out cortex of the kidney, it was taken out through nephrolithotomy route