sils appendix

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ACTINOMYCOSIS OF THIGH ,HIP AND LUMBER REGION

LT thigh exploration

A 55 yr old male,fisherman by profession ,having recurrent pus and multiple sinuses in lt thigh since last 1 year treated by somebody for debridement 1 yr back.TC 99 scan suggestive of active infection in lt thigh ,hip and  lumber region.debridement and biopsy was done ,s/o actinomycosis .treated with inj. penicillin for 3 months and then tab augmentin duo 1000 bd for 1year .has complete recovery now.its now about 2.5 years of his surgery and he is fine at present. thanks to dr ashish joshi(MD) dr kiran shah(MD) for guiding medical management of that patient.dr anirudha solanki for ortho. assistence

pus with serosanguinous diacharge

biopsy taken for h.p.e

drain kept and closure done

medial side of thigh debried

complete healing after 10 months

left twisted gangrenous hydrolapinx

rt hemicolectomy with ileotransverse anastomosis for ischemic distal ileal stricture

25 yr old male having h/o bowel ischemia and thrombosis about 6 months back,treated conservativelywith antiplatles and warferin,developed ischemic stricture in distal ileum with acute intestinal obstruction ,operated for rt hemicolectomy with ileotransverse anastomosis, dischareged 6 th pod .