Skip to main content

Crocodile strolls into Karnataka village

Crocodile strolls into Karnataka village Sumesh Rajan 4 July 2021 A huge crocodile made a surprise visit to Kogilban village near the resort town of Dandeli in Uttara Kannada district of Karnataka, on July 1, scaring the wits out of the villagers. The reptile had come out of the nearby Kali river, which meanders through the Kali Tiger Reserve (earlier known as Dandeli-Anshi Tiger Reserve), in the district. Fortunately, it did not attack anyone, nor the humans following it at a distance or those taking videos of it. The crocodile walked at a leisurely pace and did not even bother the stray dogs that came near it. The villagers contacted the forest department officials who rushed to the spot and captured it, before releasing it unharmed into the river. According to wildlife officials, Kali river has a sizable population of crocodiles. Keeping that in mind, a crocodile park has been set up in Dandeli.

In a challenging surgery, Indian doctors remove largest rectal tumour from Tanzanian man

 

Story by Sagaya Fernando
New Delhi: February 7, 2018




In right 32-year-old Omar Salim from Tanzania.
After a failed surgery in his home country, 32-year-old Omar Salim from Tanzania approached doctors at Sir Ganga Ram Hospital in New Delhi, India, to have two large tumours – one in the lever and another in the rectum – removed. After the challenging surgery, the doctors were surprised at the massiveness of the tumours. While the liver tumour was 15x14 centimetres in size and weighed 1.2 kilograms, the rectal tumour was 24 x 13 centimetres  in size and weighed 1.9 kilograms.

It has turned out to be the first reported synchronous resection for such a large rectal gastro-intestinal stromal tumor (GIST) with a solitary large liver lesion.

“The patient came to us in October 2017 with complaints of a large mass in the abdomen and abdominal pain since past one year. A previous attempt at surgery in his country had failed in view of the extent of the disease. He was initially evaluated with a CT scan of the abdomen which revealed that there was a large mass in relation to the rectum with compression of the urinary bladder and extending to the anterior abdominal wall upto the level of the umbilicus. There was another large mass in the left lobe of liver occupying nearly the whole of the left upper abdomen. Biopsy revealed a diagnosis of rectal GIST,” stated surgeon Dr Vivek Mangla – the Consultant Gastrointestinal and Hepatobiliary Surgeon at Sir Ganga Ram Hospital, who conducted the surgery.

Indian doctor removed two large tumours.
He said that there were many challenges in the case. “Firstly, this patient had two large tumours, one in the liver requiring a major liver resection, and the other in the rectum (distal most part of large intestine) and surgery for complete removal of both these tumours was deemed the best treatment option in the given situation. However, this entailed extensive surgery (removing a part of the liver bearing the tumour and removal of the large rectal tumour) and need for a surgical team with expertise in handling tumours and cancers of both the liver and large intestine.  It was decided to first remove the liver lesion to create some working space in the abdomen to facilitate the more complex part of removal of the rectal mass which was bigger and located in a more difficult to access location. Secondly, tumours in most of the cases of rectal GIST reported previously were smaller than 5 cm in size while the size of the tumour in this patient was nearly five times of that. The management of large tumours of the rectum is particularly challenging. These tumours tend to be very vascular and surgery for these entails the risk of major blood loss. There was very limited working space as most of the space was occupied by the tumour. Presence of vital structures in the area including the urinary bladder and ureters, and nerves supplying the muscles which work to ensure proper urinary function increases the complexity of the operation. Another challenge was that the tumour was quite close to the muscles which help in maintaining continence (ability to control the passage of stools) and it required very careful surgery to ensure that the tumour was removed completely but at the same time, the muscles required to maintain continence to stools could be preserved with a special technique more often used in treatment of distal rectal cancer (called intersphincteric resection),” stated Dr Mangla.

“To the best of our knowledge, this is the first report of a synchronous resection for such a large rectal GIST with a solitary large liver lesion,” he claims.
 
He added, “Though GISTs are seen fairly commonly in the intestinal tract but only about 5% of all cases of GIST occur in the rectum. The case was discussed in a multidisciplinary team and targeted therapy was given for three months. On re-evaluation after 3 months of therapy, it was found that there had been only a slight decrease in the size of the mass but the good thing was that there had been no progression of the disease. There was no evidence of disease spread elsewhere in the body. After detailed discussion with the patient’s family and multidisciplinary team, the patient was planned for surgery.”

The operating team led by Dr Vivek Mangla included of Urologist Dr Manu Gupta, Anesthetist Dr Akhil Kumar, three assistant surgeons and other supporting staff.

Patient underwent resection of both the lesions on January 31. The surgery lasted 7 hours and despite the extent of the tumour and surgery, and did not require any blood transfusion during the surgery. The liver tumour was 15x14 cm in size and weighed 1.2 kg. The rectal tumour was 24 x 13 cm in size and weighed 1.9 kg.

“The patient subsequently recovered uneventfully and has been discharged from the hospital,” said Dr Mangla. 

Comments

  1. I am curious to find out what blog system you are utilizing? I'm having some small security problems with my latest site and I'd like to find something more safeguarded. Do you have any suggestions?jogos friv gratis
    Jogos online
    jogos 4 school

    ReplyDelete
  2. The mountain is high but it's not too steep; the battle is rough, but I not too weak, and I won't turn back Oh No! I won't turn back. O the road is hard, but it's not too long, and the enemy is near, but he's not that strong, and I won't turn back; Oh No! I won't turn back.
    kizi free online Games
    free online games 2019
    friv school Games 2019

    ReplyDelete
  3. And they returned from searching of the land after forty days. And they went and came to Moses, and to Aaron, and to all the congregation of the children of Israel, unto the wilderness of Paran, to Kadesh; and brought back word unto them, and unto all the congregation, and shewed them the fruit of the land. And they told him, and said, We came unto the land whither thou sentest us, and surely it floweth with milk and honey; and this is the fruit of it.
    Jogos para crianças 2019
    jogo 360 online
    friv 4 school Games for kids 2019

    ReplyDelete
  4. Nice post, impressive. It’s quite different from other posts. as we provide Urologist Near Me at affordable prices. for more info visit our website.

    ReplyDelete
  5. I really enjoy simply reading all of your weblogs. as we provide addiction treatment at affordable prices. for more info visit our website.

    ReplyDelete

Post a Comment

Popular posts from this blog

Doctors remove 1 kg hairball from 6-year-old girl who weighed only 14 kgs

Video Link :-  https://www.youtube.com/watch?v=YXsGZpcpWDs Sagaya Fernando Mumbai: 18 September 2018 In a very rare medical case, doctors in India removed a lump of hairball weighing 1 kg and about a meter long from the stomach of a 6 year-old-girl who was suffering from trichophagia along with wheat allergy. The girl from Dad village on the outskirts of Ludhiana city in Punjab, India, was diagnosed with wheat allergy in April this year.  “Her parents brought her to me in the last week of August with severe abdominal pain and a lump in the stomach. They also informed that she has been eating her hair, which in medical terms is called trichophagia,” informed Dr Daljit Singh of Anmol Hospital, Ludhiana, who conducted the surgery. He further added, “She was very underweight and weak for her age. Though she was 6 years old, she weighed only 14 kilograms.” “We got an ultrasound test done which showed some mass in her stomach. Because of her history of e

In a rare surgery, underdeveloped fetus removed from a 20-days-old infant in India

In a rare surgery, underdeveloped fetus removed from a 20-days-old infant in India Story by Sagaya Fernando Mumbai:  March 14, 2018 In a rare case of foetus in foetu, a 20-days-old infant underwent surgery for removal of an underdeveloped foetus at Shalby Hospital in Ahmedabad – the capital of the state of Gujarat in India. The infant’s parents took him to the hospital on February 28 with an abnormal swelling in his abdominal area. Medical examinations revealed that the child had been suffering from the rare medical condition called retroperitoneal mature teratoma or foetus in foetu. The rare condition is defined as the presence of one of the twins in the body of the other. This condition occurs in one in five lakh cases and, only around 200 such cases have been recorded in medical history so far. Gastrointestinal Hepatobiliary Consultant and Liver Transplant Surgeon Dr. Bhavin Vasavada conducted the surgery. He said that the CT scan was showed the rare co

Snake rescuer bitten by venomous cobra lives to tell the tale

"Snake rescuer bitten by venomous cobra lives to tell the tale" For video click here:-  >  https://youtu.be/nOWbQMZCLWg Sumesh Rajan Mumbai: August 21, 2018 A snake rescuer in India almost paid with his life when a venomous cobra snake bit him while he was rescuing it. 35-years-old Tushar Patel of Dharampur town in Valsad district of Gujarat is lucky to be alive to tell his tale after being bitten by the venomous snake which he mishandled during the rescue. “For the past 14 years, I have been rescuing snakes in and around Dharampur. Till now I have rescued over 5000 snakes. Spectacled Cobra, Krait, Bamboo Pit Viper, Saw Scaled Viper and Russel’s Viper are some of the most poisonous snakes found in our area. On July 25, I got a call from workers in a scrap godown in Valod Faliya close to my house, about a Spectacled Cobra lurking there. I found the Cobra slithering near a parked car and was rescuing it when it suddenly bit me on my right ha