Dr Mohinder Singh's blog

A 50-year-old lady posted for surgery for a TO mass diagnosed clinically and on ultrasonography. At operation the right sided big solid and cystic mass just presented out of the surgical incision – attached to the mesentery of terminal ileum close the gut. It was excised with a small segment of ileum. Histopathology reported it to be a spindle cell gastrointestinal stromal tumor (GIST) of mesenchymal origin.

15.4.25

A 50 years old man presented with a slowly growing mass in the right side of upper chest and towards the axilla for the last 5 months. On examination it was irregular and hard to palpation; USG showed it to be 118x57x19 mm in dimensions along with a few lymph nodes in axilla, largest being 42×18 mm. FNAC showed cutaneous lymphoid hyperplasia with axillary lymph nodes being reactive. The whole mass was excised along along with some enlarged lymph nodes. Biopsy revealed a rare type of diagnosis – follicular lymphoma which was found to be very rare to occur isolated in the chest wall.

6.2.25

A lap chole in a 62-year old female went very smooth in the Calot’s triangle and lower half of gall bladder but separation of the upper half of gallbladder from its liver bed led to a considerable ooze of bile. Converted to open to ligate and underrun the oozing RPS duct in the liver bed with 2-0 vicryl. Drain remained dry and was removed the next day.