Archive for May 2022
Patent processus vaginalis (PPV) dissected out at herniotomy for congenital hydrocele, and two very contrasting lap choles
Posted on: May 29, 2022
25.5.22
The patent processus vaginalis causing hydrocele in a 5 years old child was neatly dissected, ligated at the internal ring and then excised after draining the hydrocele fluid. Photos taken by second year medical students.
19.5.22
A 62 years old male was admitted with history of severe pain and jaundice, caused by gall stones and CBD stones. At ERCP, a single stone was removed from the common bile duct after a sphincterotomy. Lap chole the next day turned out to be very difficult, bloody and prolonged. The small gall bladder was removed in pieces after ligating the wide cystic duct with vicryl.
21.5.22
A 35 years old female had the gallbladder reported as shrunken at US, and an MRCP showed a distinct but small gall bladder. The lap chole turned out be very easy.
16.5.22
A routine cholecystectomy was easily performed in a 55 years old lady. The ultrasound interestingly reported a ‘comet tail sign’ and cholelithiasis. After the operation the cut section of the gall bladder revealed a strawberry gall bladder.
Dr Mohinder Singh's blog 