Tnmc And Byl Nair Hospital

Mumbai, India

Tnmc And Byl Nair Hospital

Mumbai, India
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Tiwari C.,TNMC and BYL Nair Hospital | Makhija O.P.,TNMC and BYL Nair Hospital | Makhija D.,TNMC and BYL Nair Hospital | Jayaswal S.,TNMC and BYL Nair Hospital | Shah H.,TNMC and BYL Nair Hospital
Pediatric Gastroenterology, Hepatology and Nutrition | Year: 2016

Laparoscopic cholecystectomy, though an uncommon surgical procedure in paediatric age group is still associated with a higher risk of post-operative bile duct injuries when compared with the open procedure. Small leaks from extra hepatic biliary apparatus usually lead to the formation of a localized sub-hepatic bile collection, also known as biloma. Such leaks are rare complication after laparoscopic cholecystectomy, especially in paediatric age group. Minor bile leaks can usually be managed non-surgically by percutaneous drainage combined with endoscopic retrograde cholangio- pancreatography (ERCP). However, surgical exploration is required in cases not responding to non-operative management. If not managed on time, such injuries can lead to severe hepatic damage. We describe a case of an eight-year-old girl who presented with biloma formation after laparoscopic cholecystectomy who was managed by ERCP. © 2016 by The Korean Society of Pediatric Gastroenterology, Hepatology and Nutrition.

Desai Praseeda S.,TNMC and BYL Nair Hospital | Anuradha D.,Jamia Millia Islamia University | Shastri Jayanthi S.,TNMC and BYL Nair Hospital
Journal of Clinical and Diagnostic Research | Year: 2013

Background: Sexually Transmitted Infections (STIs) have been shown to enhance the transmission of the Human Immunodeficiency Virus (HIV). The Hepatitis B and the Hepatitis C viral infections are highly prevalent among the HIV-infected persons as a result of shared transmission routes. Aim: To determine the seroprevalence of the HIV, Syphilis, HBV and HCV infections and their co-infection rates among Female Sex Workers (FSWs). Settings and Design: 250 blood samples were collected from FSWs from a red light area of Mumbai by using an outreach strategy. Materials and Methods: Their sera were tested for the HIV antibodies as per the strategy II of the NACO guidelines, for syphilis by RPR, for the HCV antibodies and for HBsAg by ELISA. Results: The study group showed (105/250) 42% HIV reactivity, (15/250) 6% RPR reactivity, (20/250) 8% HBsAg positivity, (7/250) 2. 8% HCV reactivity, (11/250) 4. 4% HIV-RPR reactivity, (7/250) 2. 8% HIV-HBV co-infection and (3/250)1. 2% HIV-HCV co-infection. Statistical test which was used: The Chi square test. Conclusion: A high HIV sero-prevalence was found among the FSWs. A high HIV prevalence was found among the RPR reactive FSWs. The relationship between the HIV reactivity and the RPR reactivity was statistically significant. Co-infections with HBV and HCV were detected among the HIV reactive FSWs, but they were not statistically significant.

Tiwari C.,Tnmc And Byl Nair Hospital | Shah H.,Tnmc And Byl Nair Hospital | Waghmare M.,Tnmc And Byl Nair Hospital | Makhija D.,Tnmc And Byl Nair Hospital | Khedkar K.,Tnmc And Byl Nair Hospital
Pediatric Gastroenterology, Hepatology and Nutrition | Year: 2017

Purpose: Abdominal cysts of gastrointestinal origin are rare. Their rarity and varied clinical presentations make their pre-operative diagnosis difficult. Methods: Fourteen patients with histological diagnosis of cysts of gastrointestinal origin admitted between 2009 and 2015 were retrospectively analyzed with respect to age, sex, clinical presentation, diagnostic modality, site and type of cyst, management, outcome and follow-up. Results: The mean age at presentation was 4 years and there were six males and eight females. Abdominal pain was the most common presenting symptom. Five patients had an acute presentation-three had distal ileal mesenteric cysts and two had ileal duplication cyst sharing a common wall with ileum. Six patients presented with chronic abdominal pain and lump-three patients had omental cysts and three had mesenteric cysts-two of these in distal ileum and one in sigmoid colon. Two patients presented with antenatally diagnosed palpable abdominal lump. One had a mesenteric cyst of the ileum and the other had a distal ileal duplication cyst which required excision with resection and anastomosis. One patient had an atypical presentation. He was a known case of sickle cell trait and had presented with vague abdominal pain, recurrent cough and multiple episodes of haemoptysis over a period of one year. At laparotomy, gastric duplication cyst was found which was excised completely. Histopathology confirmed the diagnosis. Conclusion: Cysts of gastrointestinal origin are rare and have varied presentation. Surgical excision is the mainstay of treatment. The results and prognosis are good. © 2017 by The Korean Society of Pediatric Gastroenterology, Hepatology and Nutrition.

Sharma A.,TNMC and BYL Nair Hospital | Andankar M.,TNMC and BYL Nair Hospital | Pathak H.,TNMC and BYL Nair Hospital
Korean Journal of Family Medicine | Year: 2017

Intrauterine contraceptive devices (IUCDs) are a common form of reversible contraception owing to fewer systemic side effects and low cost, especially in a developing country like India. However, IUCDs are not without complications. Migration of a device into adjacent organs is the most morbid of all the documented complications. A patient who presents with a history that suggests loss or disappearance of an IUCD thread associated with urinary symptoms should raise suspicions that a device may have migrated into the bladder. Physicians should also be aware of possible secondary vesical calculus formation. Further radiological investigations and appropriate management are warranted. We present a case report describing the migration of an IUCD into the bladder with secondary calculus formation. © 2017 The Korean Academy of Family Medicine.

Sandlas G.,Kokilaben Dhirubhai Ambani Hospital | Tiwari C.,TNMC and BYL Nair Hospital
Indian Journal of Medical and Paediatric Oncology | Year: 2017

Solid pseudopapillary neoplasm of the pancreas is one of the rarest forms of pancreatic neoplasm. It was also known as Franz's tumor or Hamoudi tumor until WHO labeled it as solid pseudopapillary tumor (SPT) in 1996. It typically affects young non-Caucasian females in their second or third decade of life. Treatment involves complete excision of the tumor which results in complete cure in majority of the cases. We present here a report of 11-year-old girl with SPT and also do a review of literature for this rare tumor. © 2017 Indian Journal of Medical and Paediatric Oncology | Published by Wolters Kluwer - Medknow.

Valame D.A.,TNMC and BYL Nair Hospital | Nandapurkar P.,Hedgewar Hospital
Otorhinolaryngology Clinics | Year: 2012

All audiological tests are site-of-lesion tests and are used as a part of a test battery. Pure tone audiometry gives estimate of peripheral hearing status. Speech audiometry, acoustic reflex testing and auditory brain stem response differentiate cochlear and retrocochlear sites of lesion. Addition of cervical vestibular evoked myogenic potentials (VEMP) and ocular VEMP to this battery can further differentiate between saccular vs utricular lesions and between lesions of inferior vs superior vestibular nerve. Overall, this battery of tests provides useful insights into the otoneurological diagnosis of vertigo. Few case examples are cited to elucidate the utility of audiovestibular test battery.

Ubale P.,TNMC and BYL Nair Hospital | Mali A.,TNMC and BYL Nair Hospital | Gujjar P.,TNMC and BYL Nair Hospital
Anaesthesia, Pain and Intensive Care | Year: 2014

We report a case of 54 year male, a case of dilated cardiomyopathy with low ejection fraction who underwent Functional Endoscopic Sinus Surgery (FESS) under general anesthesia. Anesthetic management of such patients is always requires the highest level of expertise as they are usually complicated by progressive congestive cardiac failure (CHF). The uneventful course of the anesthesia in the presented case was related to the thorough systemic evaluation and careful anesthetic strategy.

Deshpande S.D.,Tnmc And Byl Nair Hospital | Kulkarni K.S.,Tnmc And Byl Nair Hospital
Indian Journal of Experimental Biology | Year: 2010

Staphylococcus aureus is the most frequently isolated pathogen from wounds with multiple resistances to antibiotics. Honey has been demonstrated and reported to be effective antibacterial agent on Gram positive and Gram negative organisms. Hence, the present study was conducted to evaluate the in vitro antibacterial effect of Indian honeys on Staphylococcus aureus obtained from wounds. A total of 123 Staphylococcus aureus isolates along with ATCC 25923 were categorized as sensitive, multi drug resistant (MDR) and non-MDR strains. Out of total nine Indian honeys (three each of unifloral, multifloral and branded marketed honey) used, three unifloral and three multifloral honey samples showed antibacterial activity against all the organisms tested by Agar diffusion method but not the branded marketed honeys. The MIC values of all honey samples for all studied Staphylococcus aureus isolates ranged between 5-15% (v/v). Unifloral honey samples showed higher antibacterial activity than multifloral honey. The single sample of Jambhul honey showed the highest activity. Thus, Indian honeys were found to be effective for their antimicrobial activity on sensitive, non-MDR, MDR and ATCC strains of S. aureus.

Adwani S.,TNMC and BYL Nair Hospital | Desai U.D.,TNMC and BYL Nair Hospital | Joshi J.M.,TNMC and BYL Nair Hospital
Journal of Krishna Institute of Medical Sciences University | Year: 2016

Background: India is a high burden country for Tuberculosis (TB). As per the World Health Organization (WHO) statistics, 24000 cases of Multi Drug Resistant (MDR) TB were diagnosed in India in 2014. MDR-TB patients consist of a heterogeneous cohort and management has its challenges. Aims and objectives: We studied the prevalence of Pre-Extensively Drug Resistant TB (Pre XDR-TB) and Extensively Drug Resistant TB (XDR-TB) among patients of pulmonary MDR-TB not previously exposed to second-line anti-tuberculous drugs and having baseline second-line Drug Susceptibility Testing (DST) against Fluoroquinolones (FQ) and Aminoglycosides (AM). Results: We included 227 patients. On the basis of the DST, patients were grouped into- 1) MDR-TB, 2) MDR-TB with FQ resistance {Pre XDR-TB (FQ)}, 3) MDR-TB with AM resistance {Pre XDR-TB (AM)} 4) XDR-TB. Of the 227 patients, 89 (39.2%) had MDR-TB, 127 (55.94%) had Pre XDR-TB (FQ), none had Pre XDR-TB (AM) and 11 (4.86%) had XDR-TB. Nine (4%) patients were human immunodeficiency (HIV) infected and 25(11%) had Diabetes Mellitus (DM). Conclusion: This study highlights the importance of baseline DST to FQ and AM in patients of diagnosed or suspected MDR-TB. We encountered a higher prevalence of Pre XDR-TB (FQ) which of concern in management of MDR-TB. © Journal of Krishna Institute of Medical Sciences University.

PubMed | TNMC and BYL Nair Hospital
Type: Journal Article | Journal: The Indian journal of radiology & imaging | Year: 2017

The typical sonomorphology of homogeneously hypoechoic texture of an enlarged parathyroid gland (PG) is a reflection of uniform arrangement of the parathormone-producing chief cells. A variable cellular arrangement, hemorrhage, fibrosis, and adipocytes cause heterogeneous appearance. We describe a case of a 32-year-old male, a case of tertiary hyperparathyroidism, with increased serum parathormone levels, hypercalcemia, and enlargement of all four PGs, albeit with differing morphology. The left lower gland had two nodules, namely, superior and inferior. The inferior nodule of the left lower gland had an echogenic core surrounded by a sonolucent rim whereas the superior nodule was homogenously hyoechoic. The left upper gland had an echopattern exactly reverse of the inferior nodule of the left lower PG, i.e., hypoechoic gland surrounded by hyperechoic periphery. The appearance of the right-sided glands was that of the superior nodule of the left lower PG. On histopathology, the hypoechoic areas corresponded to numerous chief cells and congested vessels whereas edema gave rise to an increase in echogenicity. This report exemplifies atypical sonographic appearances of PG and their histopathologic correlation.

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