Paras HMRI Hospital

Patna, India

Paras HMRI Hospital

Patna, India

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Mukhopadhaya J.,Paras HMRI Hospital | Raj M.,UPRIMS and R
Indian Journal of Orthopaedics | Year: 2017

Distraction osteogenesis and bone transport has been used to reconstruct bone loss defect by allowing new bone to form in the gap. Plate-guided bone transport has been successfully described in literature to treat bone loss defect in the femur, tibia, and mandible. This study reports two cases of fracture of femur with segmental bone loss treated with locking plate fixation and bone transport with Ilizarov ring fixator. At the time of docking, when the transport segment is compressed with bone fragment, the bone fragment is fixed with additional locking or nonlocking screws through the plate. The bone defect size was 7 cm in case 1 and 8 cm in case 2 and the external fixation indexes were 12.7 days/cm and 14 days/cm. No shortening was present in either of our cases. The average radiographic consolidation index was 37 days/cm. Both cases achieved infection-free bone segment regeneration and satisfactorily functional outcome. This technique reduces the duration of external fixation during the consolidation phase, allows correction of length and alignment and provides earlier rehabilitation. © 2017 Indian Journal of Orthopaedics Published by Wolters Kluwer - Medknow.


Priyadarshi R.N.,IGIMS | Anand U.,Paras HMRI Hospital | Pandey M.K.,Paras HMRI Hospital | Chaudhary B.,AIIMS | Kumar R.,Paras HMRI Hospital
Journal of Clinical and Diagnostic Research | Year: 2015

Gartric lipomas are rare. They are mostly small in size, and usually remain asymptomatic. We report a case of giant (14×11cm) gastric lipoma in a 46-year-old male who presented with features of gastric outlet obstruction clinically mimicking gastric malignancy. Upper endoscopy showed a large smooth polypoid mass with broad base arising from posterior wall of gastric antrum with areas of superficial ulcerations. Multiple endoscopic biopsy specimens were nondiagnostic. A computed tomography (CT) scan of the abdomen revealed a huge cauliflower- like intraluminal mass with lobulated surface projecting into gastric lumen and pyloric canal. The mass demonstrated uniform fat density consistent with lipoma. The case is presented to stress the diagnostic problems related to this condition, and emphasize the role of CT in arriving at a correct diagnosis of lipomatous gastrointestinal tract tumours. © 2015, Journal of Clinical and Diagnostic Research. All rights reserved.


Anand U.,Paras HMRI Hospital | Pandey M.K.,Paras HMRI Hospital | Priyadarshi R.N.,IGIMS | Kumar R.,Paras HMRI Hospital | Chaudhary B.,AIIMS
Journal of Clinical and Diagnostic Research | Year: 2015

Tubullo-villous adenoma of duodenum is a rare entity. These are potentially malignant tumours and therefore, complete excision is the treatment of choice. However, at times preoperative diagnosis could not be always achieved posing difficulty in choosing the optimal surgical method of excision. We report a 40-year-old male patient presented with vague upper abdominal pain and vomiting for last 6 months. His computed tomography and endoscopy demonstrated intraluminal polypoidal mass. Endoscopic biopsies were negative for malignancy. Local surgical excision with tumour free margin was performed and histology revealed tubullo-villous adenoma. © 2015, Journal of Clinical and Diagnostic Research. All rights reserved.


PubMed | Paras HMRI Hospital and Senoir Resident
Type: Journal Article | Journal: Journal of clinical and diagnostic research : JCDR | Year: 2015

Gartric lipomas are rare. They are mostly small in size, and usually remain asymptomatic. We report a case of giant (1411cm) gastric lipoma in a 46-year-old male who presented with features of gastric outlet obstruction clinically mimicking gastric malignancy. Upper endoscopy showed a large smooth polypoid mass with broad base arising from posterior wall of gastric antrum with areas of superficial ulcerations. Multiple endoscopic biopsy specimens were nondiagnostic. A computed tomography (CT) scan of the abdomen revealed a huge cauliflower- like intraluminal mass with lobulated surface projecting into gastric lumen and pyloric canal. The mass demonstrated uniform fat density consistent with lipoma. The case is presented to stress the diagnostic problems related to this condition, and emphasize the role of CT in arriving at a correct diagnosis of lipomatous gastrointestinal tract tumours.


Singh V.,Paras HMRI Hospital | Kumar P.,LPS Institute of Cardiology
Journal of the Hong Kong College of Cardiology | Year: 2014

Accurate diagnosis and anatomical delineation as well as extent of pseudoaneurysm is important for the precise management of the patient. A number of techniques like ultrasonography, doppler imaging, computed tomography angiography, magnetic resonance angiography as well as conventional angiography are currently available. The image submitted shows the delineation of a subclavian artery pseudoaneurysm by different imaging modalities.


Singh V.,Paras HMRI Hospital | Kumar P.,LPS Institute of Cardiology
Journal of the Hong Kong College of Cardiology | Year: 2014

Accurate diagnosis and anatomical delineation of pseudoaneurysm is important for the precise management of the patient. A number of techniques like ultrasonography, Doppler imaging, computed tomography angiography, magnetic resonance angiography as well as conventional angiography are currently available. The image submitted shows the sequential steps in the endovascular management of one such pseudoaneurysm.


PubMed | Paras HMRI Hospital and Senior Resident
Type: Journal Article | Journal: Journal of clinical and diagnostic research : JCDR | Year: 2016

Tubullo-villous adenoma of duodenum is a rare entity. These are potentially malignant tumours and therefore, complete excision is the treatment of choice. However, at times preoperative diagnosis could not be always achieved posing difficulty in choosing the optimal surgical method of excision. We report a 40-year-old male patient presented with vague upper abdominal pain and vomiting for last 6 months. His computed tomography and endoscopy demonstrated intraluminal polypoidal mass. Endoscopic biopsies were negative for malignancy. Local surgical excision with tumour free margin was performed and histology revealed tubullo-villous adenoma.

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