rescue laparotomy for haemoperitonium, liver laceration, splenic hilar injury with pancreatic injury.

  young 19 yr old male under effect of acute alcohol ingestion. h/o road traffic accident leading to head injury with drowning due to fall in water canal. blunt abdominal trauma leading to shattered lt lobe of liver, splenic hilar trauma, avulsion of pancreatic body from neck( complete transection class 3 injury) with about 3.5 litre of haemoperitonium, splenic vein vas having multiple lacerations post.to pancreas, compelled us to perform distal pancreatectomy with splenectomy  pulseless bpless condition.patient was resusitated in form of blood transfusions ,  ventilator .after bp control ,pt was taken for ot with grave risk consent as a rescue laparotomy.3.5 lit haemoperitonium was drained , haemostasis achieved, lt lobe hepatorraphy,splenectomy with distal pancreatectomy was performed.

                    pt died on first p.o.d due to severe blood loss,lung injury due to drowning. operated by me and dr dhaval patel

blunt abdominal truma- heamoperitoneum with lt lobe liver injury, pancreatic transection, splenic hilar injury with head injury with drawning in a road traffic accident

anterior lower abdominal mass-

about 36 yr old female having c/o lower ant. abdominal mass, pain, and dysmenorrhea
since 1 year. ct scan abdomen s/o lower anterior abdominal mass s/o desmoid tumer.
trucut biopsy were attempted by other doctors, inconclusive.clinically as it was over the lower abdominal scar of LSCS, diag. of scar endometrioma was on priority. EXCISION BIOPSY confirmed diag. of scar endometrioma and pt was treated sucessfully, pt is fine and symptomfree since last 3 months , on gnrh analogue inj.( decapeptyl 3.75 im monthly for 6 months.

lower abdo.wall tumer,endometrioma

a 38 yr old female,having lump in midlower a,,bdominal w all since6 months.pain increasing while mences