surgical complications of ascariasis

Have a close look at this x-ray!you will be amazed at what you decipher.The first impression suggests intestinal obstruction.A detailed observation will show linear filling defects suggestive of the cause of intestinal obstruction-ascaris/roundworms!!!!!!!!!!

strangulated incisional hernia-the loss of the domain!!!!!!!!!

This photograph is of a 50 + woman with a huge incisional hernia obviously with loss of domain.to worsen things it was strangulated.emergency laparotomy revealed gangrene of small bowel.resection and anastamosis done.

sister mary joseph nodule!!!!!!

Sister mary joseph was a scrub nuurse in the well known mayo clinic for the mayo bros.It is to her tribute that the sister mary joseph nodule was named after.It refers to umbilical(cutaneous) secondary deposits of carcinoma stomach.It is a clinical sign of inoperability.

hydatid cysts come in thousands!!!!!!!!!!

A casual look at this picture might link your thoughts to a bowl of delicacies.but thats not the case.this bowl contains the whole lot of daughter cysts recovered on laprotomy done on a lady with liver hydatid!!!!!!!!!!!

gastric leiomyosarcoma

This per-operative picture belongs to a 50+ year old gentleman who presented with haemetemesis.on evaluation a huge exophytic mass of the stomach detected.with a provisional diagnosis of gist laparotomy was done.excision and primary closure of stomach done.however the post operative hpe proved it to be a leiomyosarcoma.

soft tissue sarcoma of the axilla!!!!!!!!!

heres the story of a young lad who presented with a small soft deceivingly benignlump in his axilla.the lump was excised in toto under LA.the hpe repot came as a big surprise - suggestive of intermediate grade malignanacy.and the lad presented for followup a few months later with a recurrent huge lump at the axilla.the moral of the story is even small lumps could be malignant.

midline dermoid cyst!!!!!!!!!!!

guess the diagnosis of the swelling in front of the neck!!!!!!!!!! its not a goitre.but a midline dermoid.

Follicular carcinoma thyroid with skull secondaries

Can u guess the diagnosis?an obvious spotter!!!!!!!!!yes!this lady had follicular carcinoma of the thyroid with secondaries in the skull.

abdomen -a pandora's box indeed!!!!!!!!!!

Have you ever imagined the havoc created by a worm .the picture is a peroperative photo of a 17 year old boy who presented with acute abdomen-perforative peritonitis & septic shock.laparotomy revealed the culprit to be the "innocent" round worm held by the artery forceps.worms wriggling out ofthe bowel.a horrid scenario!!!!!!!could have costed the life of the young boy!!!!!!!!!the solution-deworm youself with a tablet of albendazole every 6-12 months.

Drug extravasation could cost your limb!!!!!!!!

This picture is that of a lady suffering from breast cancer.she had underwent surgery followed by chemotherapy.the mutilation of her hand resulted due to extravasation of drugs.though the doctors tried hard and saved her hand,they could not do much to recover full function of the hand.