2.9.22

Sandeep singh, 40 years old male patient. Had ERCP, bile duct clearance of stones and stent placed in the bile duct by Dr Arya at Patiala about one and a half years back. Didn’t have cholecystectomy. Presented now with cholangitis. ERCP again, stone and sludge removal from the bile duct and placement of a new stent was done. Lap chole was easy. The ultrasound showed contracted gallbladder, while the MRCP showed a well distended gallbladder and a long cystic duct.

19.9.22

Amrik Singh 78 years old male (c/o dr Mohi). Big distended gall bladder, the fundus was palpable well below the costal margin (ram-horn gall bladder?). MRCP showed a long cystic duct, but at surgery, dense omental adhesions were found and removed with the help of harmonic scalpel, and the gallbladder was emptied first of its load of multiple big stones. The cystic duct could still not be clearly defined. Therefore, the gallbladder was ligated at its neck, and removed piecemeal.

20.9.22

Amandeep Kaur, 35 years old female. Had a previous history of left salpingectomy done for ectopic tubal pregnancy in the left tube. Ultrasound now showed a dermoid cyst in the right ovary. The cyst was removed laparoscopically while preserving the ovary. The cyst showed a tuft of hair, and the biopsy report showed some skin elements too (ectodermal element).

Big epididymal cyst/tumor. A hospital employee (in GSMCH), 35 years old, presented with a big scrotal swelling, diagnosed as hydrocele on ultrasound scan. At operation, there was scant amount of fluid around the testis, and instead, there was a big epididymal swelling, rather inseparable from the testis. Therefore, an epididymoorchidectomy was performed. Biopsy report later turned out to be an epididymal cyst, not hydrocele.