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Adhikari D.R.,Topiwala National Medical College and Bai Yamunabai Laxman Charitable Nair Hospital | Tiwari A.R.,Topiwala National Medical College and Bai Yamunabai Laxman Charitable Nair Hospital | Vankipuram S.,Topiwala National Medical College and Bai Yamunabai Laxman Charitable Nair Hospital | Chaphekar A.P.,Topiwala National Medical College and Bai Yamunabai Laxman Charitable Nair Hospital | Satardey R.,Topiwala National Medical College and Bai Yamunabai Laxman Charitable Nair Hospital
Journal of Clinical and Diagnostic Research | Year: 2015

Boerhaave’s syndrome is a rare life threatening condition that is often misdiagnosed and fatal if not treated promptly. While the gold standard is early surgical intervention, recent studies have showed success with conservative management. We report a case of Boerhaave’s syndrome that was managed conservatively by decompressive gastrostomy, feeding jejunostomy, bilateral intercostal drainage tubes with added proximal diverting cervical esophagostomy. The patient recovered completely and stoma closure was done two months later. © 2015, Journal of Clinical and Diagnostic Research. All rights reserved.


PubMed | Topiwala National Medical College and Bai Yamunabai Laxman Charitable Nair Hospital
Type: Journal Article | Journal: Journal of pediatric neurosciences | Year: 2015

Decompressive craniotomy (DC) is used to treat intracranial hypertension associated with traumatic brain injury. Early DC is associated with better outcomes. We present a neonate with a history of fall with computed tomography scan showing a large frontoparietal contusion and associated parietal and temporal bone fracture. This acted as a spontaneous DC causing bony segment to separate due to which the edematous brain could be accommodated. Despite the presence of a large contusion, the child was neurologically intact and medically managed. The neonate presented with a posttraumatic leptomeningeal cyst 2 months later, which had to be repaired surgically. We discuss how a linear undisplaced fracture acts as spontaneous DC and the role of early DC in improving outcomes.


PubMed | Topiwala National Medical College and Bai Yamunabai Laxman Charitable Nair Hospital
Type: Journal Article | Journal: Journal of clinical and diagnostic research : JCDR | Year: 2015

Boerhaaves syndrome is a rare life threatening condition that is often misdiagnosed and fatal if not treated promptly. While the gold standard is early surgical intervention, recent studies have showed success with conservative management. We report a case of Boerhaaves syndrome that was managed conservatively by decompressive gastrostomy, feeding jejunostomy, bilateral intercostal drainage tubes with added proximal diverting cervical esophagostomy. The patient recovered completely and stoma closure was done two months later.

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Loading Topiwala National Medical College and Bai Yamunabai Laxman Charitable Nair Hospital collaborators