JMFS ACPM Medical College

Dhule, India

JMFS ACPM Medical College

Dhule, India
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Suryawanshi K.H.,JMFs ACPM Medical College | Nikumbh D.B.,JMFs ACPM Medical College | Mujawar P.,Medical College | Pagare P.,JMFs ACPM Medical College | Kanthikar S.N.,JMFs ACPM Medical College
Online Journal of Health and Allied Sciences | Year: 2014

Intratesticular epidermoid cysts of the testis are rare benign lesions, comprising about 1-2% of all the testicular neoplasms. Clinically it may not be differentiated reliably from the most common malignant testicular tumours and poses a diagnostic dilemma. Majority of the testicular tumours are malignant one, hence accurate diagnosis in benign lesions such as epidermoid cyst is always warranted to avoid unnecessary invasive procedures like orchidectomy. Herein, we present a case of benign, intratesticular epidermoid cyst of the testis in a 30 years old male treated by conservative approach with testicular preservation, avoiding unnecessary orchidectomy.


Kanthikar S.N.,JMFs ACPM Medical College | Nikumbh D.B.,JMFs ACPM Medical College | Desale S.S.,JMFs ACPM Medical College
Online Journal of Health and Allied Sciences | Year: 2014

Primary eosinophilic appendicitis is a rare condition of unknown etiology having vague and unexplained symptoms. Histopathological hallmark of this entity is eosinophilic infiltration of the muscularis propria with accompanying edema separating the muscle fibers, and absence of neutrophilic infiltration. Preoperative correct diagnosis of this entity is not possible in view of lack of specific imaging technology. Histopathological examination is the gold standard for the diagnosis. Here, we present an unusual case of Eosinophilic Obliterative appendicitis in a 25 years old male patient.


Nikumbh R.D.,JMFS ACPM Medical College | Kazi S.,JMFS ACPM Medical College | Ughade M.N.,JMFS ACPM Medical College
European Journal of Anatomy | Year: 2014

The various congenital malformations of the kidney are important as they may cause renal failure in middle-age groups. The horseshoe kidney (HSK) was originally regarded as a rare anatomical curiosity which was seen only on post-mortem. Horseshoe kidneys are congenital fusion anomalies with a prevalence of 1/400 to 1/800 and incidence of 0.25% in general population. HSK is more prevalent in men than women in a 2:1 relation. During routine anatomical dissection in the formal course for undergraduate students of our college, the gross anomaly of a horseshoe kidney was found. The horseshoe kidney was arrested inferior to the inferior mesenteric artery in a middleaged male cadaver. The kidneys were fused inferiorly by an isthmus of parenchymatous tissue, both the hila were wide and the right kidney was supplied by two and the left by three arteries. A review of the embryology and clinical importance of this rare anomaly are also discussed.


Wadile R.,JMFS ACPM Medical College | Bhate V.,JMFS ACPM Medical College
Indian Journal of Pathology and Microbiology | Year: 2015

Context: Candida colonization in neonates results in significant morbidity and mortality. The prevalence and clinical significance of neonatal candidemia are poorly understood. Aims: This study aimed to study clinical spectrum and risk factors of neonatal candidemia. Settings and Methods: 108 cases of septicemia were studied. Blood samples were collected into Glucose broth and Bile broth, which are inoculated on Blood agar and MacConkey's agar and incubated at 37° C for 7 days. Candida species were isolated were confirmed by standard techniques. Statistical Analysis Used: The data was collected and analyzed using by using SPSS IBM Company, Chicago, Version 16.0. Results: 62 newborn patients who had a positive Candida blood culture. 47 (79.03%) were low birth weight and 37 (59.67%) were male. 19 (30.65%) were died. Candida species was a contributory factor to mortality in 14 (73.68%) patients. Among Candida isolates, Candida albicans was the commonest (65%) followed by Candida parapsilosis (15%) and Candida glabrata (10%). The risk factors like intrapartum use of antibiotics, vaginal delivery, low birth weight are identified in culture positive neonates. Conclusions: Candida species are assuming an increasing role in nosocomial infections in neonates and is associated with an increased risk of mortality. © 2015 Indian Journal of Pathology and Microbiology | Published by Wolters Kluwer - Medknow.


Mahale Y.J.,JMFs ACPM Medical College | Aga N.,JMFs ACPM Medical College
Bone and Joint Journal | Year: 2015

In this retrospective observational cohort study, we describe 17 patients out of 1775 treated for various fractures who developed mycobacterium tuberculosis (MTB) infection after surgery. The cohort comprised 15 men and two women with a mean age of 40 years (24 to 70). A total of ten fractures were open and seven were closed. Of these, seven patients underwent intramedullary nailing of a fracture of the long bone, seven had fractures fixed with plates, two with Kirschner-wires and screws, and one had a hemiarthroplasty of the hip with an Austin Moore prosthesis. All patients were followed-up for two years. In all patients, the infection resolved, and in 14 the fractures united. Nonunion was seen in two patients one of whom underwent two-stage total hip arthroplasty (THA) and the other patient was treated using excision arthoplasty. Another patient was treated using twostage THA. With only sporadic case reports in the literature, MTB infection is rarely clinically suspected, even in underdeveloped and developing countries, where pulmonary and other forms of TB are endemic. In developed countries there is also an increased incidence among immunocompromised patients. In this paper we discuss the pathogenesis and incidence of MTB infection after surgical management of fractures and suggest protocols for early diagnosis and management. © 2015 The British Editorial Society of Bone & Joint Surgery.


Damle R.P.,JMFs ACPM Medical College | Suryawanshi K.H.,JMFs ACPM Medical College | Dravid N.V.,JMFs ACPM Medical College | Newadkar D.V.,JMFs ACPM Medical College
Indian Journal of Pathology and Microbiology | Year: 2013

Intratesticular leiomyosarcoma is an extremely rare tumor of the genitourinary system. We report a case of intratesticular pleomorphic leiomyosarcoma in a 68-year-old male who presented with gradual painless enlargement of the right scrotal mass over a period of 1-2 years. Radiological examination revealed a right testicular tumor.Right radical orchiectomy was performed with high ligation of the spermatic cord. Histopathological examination along with immunohistochemistry confirmed the diagnosis of a pleomorphic leiomyosarcoma of the testis. This is, to the best of our knowledge, the 13th case of primary intratesticular leiomyosarcoma and the third case of high-grade (pleomorphic) intratesticular leiomyosarcoma in an elderly male reported in the literature.


Jagtap S.V.,KIMS University | Nikumbh D.B.,JMFs ACPM Medical College | Kshirsagar A.Y.,KIMS University and KHMRC
Online Journal of Health and Allied Sciences | Year: 2012

Adult pure yolk sac tumor (YST) is extremely rare. In childhood pure yolk sac tumors are most frequently seen, whereas component of mixed germ cell testicular tumors observed in adults. They have different biological behavior than the childhood tumors. We herein report a case of adult pure yolk sac tumor of left testis in 40 years old man. Until now limited number of the cases has been reported in the literature.


Kazi S.,JMFs ACPM Medical College | Vidhale S.,MGM Medical College | Kotwaliwale S.V.,Genetic Diagnostic Center
International Journal of Pharma and Bio Sciences | Year: 2013

Pregnancy loss is a very common entity observed in obstetric practice. Most commonly it occurs in first trimester abortions. In this study we are doing histological and cytogenetic analysis of chorion villus tissue in first trimester abortion. This will help us to know whether the pregnancy loss was due to chromosomal abnormality. All the selected cases were in the age group 19-40 years. Abnormal karyotype was found in 38% of the cases. Trisomy was predominated followed by polyploidy, monosomyX, structural anomalies and other abnormality. Regarding histology, the highest precision in categorizing abnormal abortion reached with trisomy and triploidy. It was seen that placental microscopic study alone was not enough to give a proper aeitological diagnosis in case of spontaneous abortion. In conclusion cytogenetic analysis is necessary for differentiating between choromosomally normal and abnormal abortion for further management of the patient.


PubMed | JMFS ACPM Medical College
Type: Journal Article | Journal: Indian journal of pathology & microbiology | Year: 2015

Candida colonization in neonates results in significant morbidity and mortality. The prevalence and clinical significance of neonatal candidemia are poorly understood.This study aimed to study clinical spectrum and risk factors of neonatal candidemia.108 cases of septicemia were studied. Blood samples were collected into Glucose broth and Bile broth, which are inoculated on Blood agar and MacConkeys agar and incubated at 37 C for 7 days. Candida species were isolated were confirmed by standard techniques.The data was collected and analyzed using by using SPSS IBM Company, Chicago, Version 16.0.62 newborn patients who had a positive Candida blood culture. 47 (79.03%) were low birth weight and 37 (59.67%) were male. 19 (30.65%) were died. Candida species was a contributory factor to mortality in 14 (73.68%) patients. Among Candida isolates, Candida albicans was the commonest (65%) followed by Candida parapsilosis (15%) and Candida glabrata (10%). The risk factors like intrapartum use of antibiotics, vaginal delivery, low birth weight are identified in culture positive neonates.Candida species are assuming an increasing role in nosocomial infections in neonates and is associated with an increased risk of mortality.


PubMed | JMFs ACPM Medical College
Type: Journal Article | Journal: The bone & joint journal | Year: 2015

In this retrospective observational cohort study, we describe 17 patients out of 1775 treated for various fractures who developed mycobacterium tuberculosis (MTB) infection after surgery. The cohort comprised 15 men and two women with a mean age of 40 years (24 to 70). A total of ten fractures were open and seven were closed. Of these, seven patients underwent intramedullary nailing of a fracture of the long bone, seven had fractures fixed with plates, two with Kirschner-wires and screws, and one had a hemiarthroplasty of the hip with an Austin Moore prosthesis. All patients were followed-up for two years. In all patients, the infection resolved, and in 14 the fractures united. Nonunion was seen in two patients one of whom underwent two-stage total hip arthroplasty (THA) and the other patient was treated using excision arthoplasty. Another patient was treated using two-stage THA. With only sporadic case reports in the literature, MTB infection is rarely clinically suspected, even in underdeveloped and developing countries, where pulmonary and other forms of TB are endemic. In developed countries there is also an increased incidence among immunocompromised patients. In this paper we discuss the pathogenesis and incidence of MTB infection after surgical management of fractures and suggest protocols for early diagnosis and management.

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