Publications by authors named "Anil Khetarpal"

3 Publications

  • Page 1 of 1

Case report--mechanical bowel obstruction with appendicitis without strangulation and leukocytosis.

Ann Med Surg (Lond) 2021 Mar 4;63:102152. Epub 2021 Feb 4.

Department- General Surgery, Institution Khetarpal Hospital, India.

Intestinal obstruction is a common surgical emergency caused by varied conditions. Acute appendicitis is considered as one of the unusual cause of intestinal obstruction especially functional and very few cases of mechanical obstruction. Here we report a Case of 62-years-old male who presented here with a clinical picture of small bowel obstruction. On laparotomy, there was a dilated gut with long appendix having inflamed tip buried into adjoining mesentery and then appendectomy was done and obstruction was relieved. Also, bowel was found to be viable hence simple appendectomy was found to be sufficient treatment. Histopathological findings was suggestive of chronic fibrosing appendicitis. Hence, in cases of bowel obstruction in an elderly patients with clinical examination which was not typical for appendicitis can be managed with laparotomy and simple appendectomy when early intervention is made to avoid the risk of ischemia and gangrenous changes in intestinal mesentery which may require resection in later stages.
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http://dx.doi.org/10.1016/j.amsu.2021.01.100DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7895704PMC
March 2021

Bowel ischemia and gangrene-primary true enterolith.

Int J Surg Case Rep 2021 Mar 26;80:105562. Epub 2021 Jan 26.

General Surgery, Khetarpal Hospital, India.

Enterolithiasis, or presence of stone concretions in the gastrointestinal tract, is an important but relatively uncommon clinical condition that has recently gained significant attention with advances in the gastrointestinal field. Here, we present a case of an old male having features of bowel Ischemia and gangrene formation. Patient underwent exploratory laparotomy and there was a presence of inflamed Gut with a perforation just one and half feet away from IC junction and an obstruction was also identified by following the dilated bowel loops distally, palpation revealed a hard stone and enterotomy incision at the site delivered a stone. Following it, resection of thickened mesentery was done and loop ileostomy was made. The most important prognostic factor in such cases relies on time interval between onset of symptoms and definitive treatment. By improving the awareness and early recognition of mesenteric ischemia will lead to improved survival in the condition.
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http://dx.doi.org/10.1016/j.ijscr.2021.01.056DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7893413PMC
March 2021

Role of Automated Therapeutic Red Cell Exchange in the Setting of Acute Methemoglobinemia: Our Experience.

Indian J Hematol Blood Transfus 2018 Jan 22;34(1):143-145. Epub 2017 May 22.

Department of Transfusion Medicine, Artemis Hospitals, Sec-51, Gurgaon, Haryana 122001 India.

Methemoglobinemia, an altered state of hemoglobin resulting in impaired oxygen delivery to the tissues can be congenital or following exposure/ingestion of various oxidant drugs or toxins. One of the earliest signs of methemoglobinemia is generalized cyanosis not improved on oxygen supplementation and presence of normal PO on acid blood-gas analysis. Here, we report two cases of acquired methemoglobinemia following poisoning and our experience of managing them with automated therapeutic red cell exchange.
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http://dx.doi.org/10.1007/s12288-017-0832-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5786626PMC
January 2018