poly trauma: distal pancreatectomy, splenectomy with lt renal vascular injury with transverse mesocolon tear with # lt humerus

alleged h/o road traffic accident with # lt humerus got severe hypotension and abdominal distension, referred to institute. ct scan suggestive of  class 3 pancreatic injury distal pancreas with transverse mesocolon tear with splenic vascular tear and 2.5 lit heamoperitoneum,non filling of left renal system on ct-uro. on exploration complete avulsion of pancreatic tail from body identified and removed with splenectomy. left kidney found viable and assessed by urologist,left as it was.trasverse mesocolon tear repaired. post operatively pt went into acute pulmonary edema and malignant hypertension due to renal injury and activation of renin-angiotensin system.pt had anuria and septicemia.so he was on daily dialysis for about 25 days,with about 25-50 cc pancreatic fistula.pt was on ventilator for about 1.5 month .now he is absolutely fine fully orally and discharged from hospital.doctor"s team including me, dr dhaval pate, dr kaushik shah, dr mitul chavda and dr ronak vyas , dr harshad joshi  were happy to see the result.

grade 3 pancreatic injury with splenic hilar tear with renal injury

20 yr old male with h/o road traffic accident, with fracture humerus. ctscan abdo s/o grade 3pancreatic 

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

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