Publications by authors named "Manisekar Subramaniam"

5 Publications

  • Page 1 of 1

Liver Transplantation in Malaysia: Needs, Obstacles, and Opportunities.

Transplantation 2021 Dec;105(12):2507-2512

National Transplant Resource Centre, Ministry of Health, Kuala Lumpur, Malaysia.

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http://dx.doi.org/10.1097/TP.0000000000003591DOI Listing
December 2021

Use of aerosol protective barrier in a patient with impending cholangitis and unknown COVID-19 status undergoing emergency ERCP during COVID-19 pandemic.

BMJ Case Rep 2020 Jul 16;13(7). Epub 2020 Jul 16.

Hepato-Pancreato-Biliary Unit, Department of Surgery, Hospital Sultanah Bahiyah, Alor Setar, Kedah, Malaysia.

WHO declared worldwide outbreak of COVID-19 a pandemic on 11 March 2020. Healthcare authorities have temporarily stopped all elective surgical and endoscopy procedures. Nevertheless, there is a subset of patients who require emergency treatment such as aerosol-generating procedures. Herein, we would like to discuss the management of a patient diagnosed with impending biliary sepsis during COVID-19 outbreak. The highlight of the discussion is mainly concerning the advantages of concurrent use of aerosol protective barrier in addition to personal protective equipment practice, necessary precautions to be taken during endoscopy retrograde cholangiopancreatography and handling of the patient preprocedure and postprocedure.
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http://dx.doi.org/10.1136/bcr-2020-236918DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7372172PMC
July 2020

Massive upper gastrointestinal bleeding: a rare complication of cholecystoduodenal fistula.

BMJ Case Rep 2019 May 10;12(5). Epub 2019 May 10.

Hepatobiliary Surgery, Hospital Sultanah Bahiyah, Alor Setar, Malaysia.

A biliary fistula which may occur spontaneously or after surgery, is an abnormal communication from the biliary system to an organ, cavity or free surface. Spontaneous biliary-enteric fistula is a rare complication of gallbladder pathology, with over 90% of them secondary to cholelithiasis. Approximately 6% are due to perforating peptic ulcers. Symptoms of biliary-enteric fistula varies widely and usually non-specific, mimicking any chronic biliary disease. Cholecystoduodenal fistula causing severe upper gastrointestinal (UGI) bleed is very rare. Bleeding cholecystoduodenal fistula commonly requires surgical resection of the fistula and repair of the duodenal perforation. We describe the case of a previously healthy older patient who initially presented with symptoms suggestive of UGI bleeding. Bleeding could not be controlled endoscopically. When a laparotomy was performed, a cholecystoduodenal fistula was discovered and bleeding was noted to originate from the superficial branch of cystic artery.
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http://dx.doi.org/10.1136/bcr-2018-228654DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6536199PMC
May 2019

Primary hepatic angiosarcoma: difficulty in clinical, radiological, and pathological diagnosis.

Med J Malaysia 2012 Feb;67(1):127-8

Hospital Sultanah Bahiyah, Surgery, KM6, Jalan Langgar, Alor Star, Kedah 05460, Malaysia.

Hepatic angiosarcoma is a rare primary mesenchymal malignancy. Prognosis is poor and mortality occurs early. The diagnosis is challenging. Our case was an asymptomatic 70 year-old man referred, with incidental ultrasonography finding of multiple liver nodules. Diagnostic laparoscopic liver biopsy and the histopathological examination reported a haemangioma. Six months later, he became symptomatic and his health condition deteriorated rapidly.
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February 2012

Large lipoma of the spermatic cord presenting as post-operative recurrent hernia in a middle aged gentleman: a case report.

Cases J 2009 Aug 25;2:8500. Epub 2009 Aug 25.

Hospital Alor Star, Jalan Langgar, Alor Star Kedah 05250 Malaysia.

A gentleman who presented with a left inguinal hernia was operated and treated by hernioplasty. After a few years he presented with a clinical scenario of recurrent hernia. During surgery the lump was found to be a large lipoma that was not documented and found during the first operation.
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http://dx.doi.org/10.4076/1757-1626-2-8500DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2769447PMC
August 2009
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