Publications by authors named "Souradeep Dutta"

16 Publications

  • Page 1 of 1

Perforated Blind Pouch: An Unusual Late Complication Following Lateral Anastomosis After a Right Hemicolectomy.

Cureus 2021 May 15;13(5):e15044. Epub 2021 May 15.

Surgery, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, IND.

Blind loop syndrome (BLS) is a well-recognized delayed complication in small bowel strictures, stenosis, fistulas, diverticula, or post-gastrectomy afferent loop syndrome. However, due to its delayed presentation, BLS after side-to-side bowel anastomosis is inadequately reported. The vicious cycle of the blind loop is due to bacterial overgrowth, resulting in diarrhea, weight loss, malnutrition, and rarely mucosal erosion, bleeding, and perforation peritonitis. Diagnosis of BLS requires knowledge of previous surgery performed, a high level of clinical suspicion, and experienced radiological abilities. In this case report, we present the clinico-radiological profile of a 54-year-old diabetic patient with a perforated blind ileal pouch occurring four years after a right hemicolectomy with side-to-side ileo-transverse anastomosis.
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http://dx.doi.org/10.7759/cureus.15044DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8202812PMC
May 2021

A Rare Case of Dorsal Agenesis of Pancreas, Choledochal Cyst, and Hirschsprung Disease in a Young Patient.

ACG Case Rep J 2021 Apr 26;8(4):e00561. Epub 2021 Apr 26.

Division of GI and HPB Surgery Department of Surgery, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India.

Dorsal pancreatic agenesis is a rare congenital pancreatic malformation. There is just 1 reported case associating it with choledochal cyst. However, no cases have reported yet with both coexisting with Hirschsprung disease. We report a case of a 23-year-old man, presenting with on and off epigastric pain, sometimes radiating to the back. His medical records showed he had Hirschsprung disease as a neonate, for which he underwent Duhamel procedure. Ultrasound imaging revealed a choledochal cyst and a nonvisualized distal portion of the pancreas. Further cross-sectional imaging confirmed the findings-a type 1 choledochal cyst and a dorsal agenesis of the pancreas in a patient with Hirschsprung disease.
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http://dx.doi.org/10.14309/crj.0000000000000561DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8078483PMC
April 2021

Strangulated Epigastric Hernia: A Rare Occurrence.

Cureus 2021 Mar 22;13(3):e14038. Epub 2021 Mar 22.

Surgery, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, IND.

An epigastric hernia is a rare type of abdominal hernia, described in the literature mostly as small, containing only preperitoneal fat. A large true epigastric hernia with herniation of the abdominal viscera is even rarer. Only a few case reports have given an account of strangulation in such an epigastric hernia. This case report describes a middle-aged, morbidly obese man with a big epigastric hernia presenting with incarceration and acute abdominal pain. Emergency surgical exploration revealed a 7 cm midline defect in the rectus sheath and a 30 cm segment of the jejunum and a 6 cm segment of the transverse colon were gangrenous. The gangrenous bowel segments were resected, and an end-to-end jejuno-jejunal and colo-colic anastomosis were done. The patient had an uneventful postoperative recovery.
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http://dx.doi.org/10.7759/cureus.14038DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8059479PMC
March 2021

Swiss Cheese Loin: A Rare Initial Presentation of Pott's Spine.

Cureus 2021 Mar 15;13(3):e13912. Epub 2021 Mar 15.

Surgery, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, IND.

Spinal tuberculosis (TB) is the most common form of skeletal TB with an exceedingly diverse set of clinical presentations. Most often, there is a slow onset of the disease with patients presenting only with back pain. Although some patients can present later with neurological deficits or with compressive symptoms of an accompanying cold abscess, an initial presentation of a spontaneous cutaneous fistulization of a paraspinal abscess is rare. We present the case of a young boy with such a primary presentation, with no other common symptoms of spinal TB. He was treated with ultrasound-guided percutaneous drainage of the paraspinal abscess and a multidrug anti-tubercular chemotherapy regimen.
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http://dx.doi.org/10.7759/cureus.13912DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8051421PMC
March 2021

Giant Celiac Artery Pseudoaneurysm in a Case of Chronic Pancreatitis: A Rare Case Report With Literature Review.

Vasc Endovascular Surg 2021 Aug 19;55(6):658-662. Epub 2021 Mar 19.

Division of GI & HPB Surgery, Department of Surgery, Jawaharlal Institute of Postgraduate Medical Education & Research, Puducherry, India.

Pancreatic pseudoaneurysms though uncommon can result in life-threatening spontaneous acute gastrointestinal or intraperitoneal hemorrhage. Celiac artery pseudoaneurysm in a background of chronic pancreatitis is a very rare event. Digital Subtraction Angiography is an important adjunct in the diagnosis and follow-up with the advantage of providing therapeutic options along with giving other details regarding the site, size, and flow characteristics. It has replaced emergency surgical procedures with the added advantage of fewer postoperative complications and lower morbidity and mortality. An urgent surgical intervention remains the only option when such endovascular management fails, not feasible, or is unavailable. Surgical options include proximal arterial ligation or a pancreatic resection, depending on the location of the pseudoaneurysm. We report a case of a 35-year-old gentleman, a known patient of chronic pancreatitis, who presented to our emergency with clinical features of hypovolemic shock and was diagnosed to have celiac artery pseudoaneurysm. Following a failed endovascular coiling, he was successfully managed with operative celiac artery ligation.
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http://dx.doi.org/10.1177/15385744211002497DOI Listing
August 2021

Anomalous Pancreaticobiliary Duct Junction in an Unusual Case of Synchronous Gallbladder and Bile Duct Malignancy.

Cureus 2021 Feb 13;13(2):e13331. Epub 2021 Feb 13.

Surgery, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, IND.

Synchronous malignancies involving the gallbladder and the bile duct are exceedingly rare. Moreover, their association with anomalous pancreaticobiliary duct junction (APBDJ) has been reported mostly from the Far Eastern countries. Over time, many studies have suggested the definite risk of malignancy attributable to the 'carcinogenic anatomical configuration' of the long common biliopancreatic channel, allowing reflux of pancreatic juices in the biliary tract. In this report, we present a case of an elderly man from South India who was initially diagnosed with synchronous gall bladder with bile duct malignancy; the patient turned out to have an APBDJ on further evaluation.
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http://dx.doi.org/10.7759/cureus.13331DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7959653PMC
February 2021

Antegrade Jejunojejunal Intussusception: An Unusual Complication Following Feeding Jejunostomy.

Cureus 2021 Feb 10;13(2):e13264. Epub 2021 Feb 10.

Surgery, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, IND.

Feeding jejunostomy (FJ) is a simple surgical procedure for enteral nutrition. But it can develop complications that may require re-exploration and can be life-threatening. Common complications include mechanical ones such as tube migration or dislocation, infection, gastrointestinal symptoms and fluid and electrolyte imbalances. However, intussusception is a rare complication of FJ. A 54-year-old gentleman underwent a D2 subtotal gastrectomy with Roux-en-Y gastrojejunostomy with FJ. On the sixth postoperative day, he developed severe colicky pain associated with abdominal distension and bilious vomiting. Ultrasonography and computed tomography revealed a 10-cm long jejunojejunal intussusception with the FJ tube at the center of the intussusception with proximal jejunal loops' distension. The patient was taken up for a re-exploratory laparotomy with manual reduction of the intussusception and a new FJ insertion distal to the previous enterotomy site. The patient had an uneventful postoperative recovery.
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http://dx.doi.org/10.7759/cureus.13264DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7948317PMC
February 2021

Intraductal Papillary Neoplasm of the Bile Duct: A Rare Case of Intrahepatic Space-Occupying Lesion.

Cureus 2021 Feb 1;13(2):e13063. Epub 2021 Feb 1.

Surgery, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, IND.

Intraductal papillary neoplasm of the bile duct (IPNB) is a rare tumor and is considered one of the precursor lesions for cholangiocarcinoma. Though relatively common in the far east countries, it is uncommon in the Indian population. A 67-year-old gentleman presented with vague upper abdominal pain with no history of fever, jaundice, melena, or hematemesis. An abdominal ultrasound showed a solid cystic lesion in the left lobe of the liver with upstream dilatation of bile ducts. Computed tomography and magnetic resonance imaging showed similar findings. With a differential diagnosis of intrahepatic cholangiocarcinoma, intraductal papillary neoplasm, and biliary cystadenoma, he underwent robotic-assisted left hepatectomy. Histopathology was suggestive of IPNB. Following surgery, he had an uneventful recovery and was advised for follow-up visits every six months. A clinical, radiological, and pathological profile of this rare tumor has been described here with a review of the existing literature.
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http://dx.doi.org/10.7759/cureus.13063DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7929547PMC
February 2021

Pictorial essay on a case of giant retroperitoneal liposarcoma.

BMJ Case Rep 2020 Dec 12;13(12). Epub 2020 Dec 12.

Surgery, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, Pondicherry, India

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http://dx.doi.org/10.1136/bcr-2020-237607DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7735128PMC
December 2020

Barium peritonitis: a near-fatal complication following a distal loopogram.

BMJ Case Rep 2020 Dec 9;13(12). Epub 2020 Dec 9.

Department of Surgery, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India.

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http://dx.doi.org/10.1136/bcr-2020-239351DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7733098PMC
December 2020

A Rare Case of Penile Strangulation by a Hard Plastic Bottleneck.

Cureus 2020 Oct 5;12(10):e10814. Epub 2020 Oct 5.

General Surgery, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, IND.

Penile strangulation is an uncommon condition that mandates emergent management to remove the constricting device and restoring penile blood flow. Different kinds of metallic and non-metallic objects were placed over the penis due to various reasons but mostly due to autoerotic intentions. We present a case of a middle-aged male who presented to the emergency with penile strangulation by a hard plastic bottle, which was successfully removed using a bone-cutter. The patient had an uneventful recovery without any immediate complications. Treatment aims at decompressing the penis to restore blood flow and maintain urethral continuity. Early removal of the constricting object with minimal discomfort to the patient prevents long term complications such as urethral stricture and priapism.
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http://dx.doi.org/10.7759/cureus.10814DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7645305PMC
October 2020

147 Pancreatoduodenectomies: a Single Center's Perspective into the Epidemiology and Surgical Outcomes of Periampullary and Pancreatic Cancers in South India.

J Gastrointest Cancer 2020 Oct 14. Epub 2020 Oct 14.

Division of GI & HPB Surgery, Department of Surgery, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India.

Background: Pancreatoduodenectomy (PD) is the only curative procedure for resectable periampullary cancers. This study aims to survey the various outcome variables of the procedure at our institute, which is in the early process of evolving into a high-volume center for PDs.

Methods: Data of patients, who underwent PDs, was collected retrospectively from January 2010 to December 2017 and prospectively from January 2018 to December 2019. Various preoperative, intraoperative, and histopathological parameters were compared with the outcome variables-morbidity and mortality rates.

Results: A total of 147 patients underwent PDs over the last decade. From January 2010 to December 2014 (period A), 29 patients underwent PD, while 118 patients underwent PD from January 2015 to December 2019 (period B). Clinically relevant (CR) delayed gastric emptying (44.8% vs 23.7%), CR post-pancreatectomy hemorrhage (37.9% vs 18.6%), and blood loss (850 ml (400-5300 ml) vs 600 ml (150-2500 ml)) improved in period B with no improvement in CR postoperative pancreatic fistula (20.7% vs 28.8%). The rates of SSI (63.6%), pulmonary complications (29.9%), and mean postoperative stay (19.87 ± 11.59 days) were found to be higher than most of the major centers. Mortality rates decreased significantly from 27.6% in period A to 10.2% in period B (p = 0.029). Median overall survival was 30 months (95% CI 20.76-39.23 months) CONCLUSION: Over the last decade, there has been a significant improvement in the mortality rate, but morbidity remains high and must be looked into as the department enters the new decade as a young high-volume center.
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http://dx.doi.org/10.1007/s12029-020-00534-5DOI Listing
October 2020

A Curious Case of Cutaneous Horn.

Cureus 2020 Sep 5;12(9):e10253. Epub 2020 Sep 5.

Surgery, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, IND.

Cutaneous horns are uncommon lesions that occur as conical projections in various sun-exposed parts of the body. They are made of hyperkeratotic material and look similar to animal horns. These lesions lack a central bony core that differentiates them from the animal horns. They are frequently associated with various benign, premalignant, and malignant lesions, and therefore carry a clinical significance. We present a case of a 58-year-old gentleman who presented with a conical projection over the center of the forehead, which was clinically diagnosed as a cutaneous horn. Excision of the horn along with the base was done, and the histopathology revealed benign seborrheic keratosis as the underlying lesion. The excision of small lesions along with their bases or biopsy of the base of large lesions is of paramount importance in the management of cutaneous horns.
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http://dx.doi.org/10.7759/cureus.10253DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7536107PMC
September 2020

Arterio-Hepatic Venous Fistula Following Liver Biopsy: A Rare Case Report and Literature Review.

Vasc Endovascular Surg 2021 Feb 3;55(2):177-182. Epub 2020 Sep 3.

Division of GI & HPB Surgery, Department of Surgery, 29988Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India.

Arterio-hepatic venous fistula (AHVF) is an exceedingly rare phenomenon compared to arterio-portal venous fistula with only 8 cases reported in world literature. Many listed causes can be attributed to the development of there are no reported cases of AHVF following a core-needle biopsy. We report a case of 38 year-old-female with EHPVO, who underwent splenectomy with a proximal splenorenal shunt. She had an injury to left hepatic artery, consequent to a blind intra-operative core needle biopsy from the liver, which led to the development of a fistulous connection between left hepatic artery and middle hepatic vein causing high output cardiac failure. She was successfully managed with trans-arterial embolization. The present review emphasizes the possibility of AHVF following a liver biopsy and the role of digital subtraction angiography in the diagnosis, therapeutic intravascular interventions, and follow-up.
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http://dx.doi.org/10.1177/1538574420954300DOI Listing
February 2021

Sporadic bilateral carotid body paragangliomas.

BMJ Case Rep 2020 Aug 24;13(8). Epub 2020 Aug 24.

Department of Surgery, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India

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http://dx.doi.org/10.1136/bcr-2020-237668DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7449354PMC
August 2020

Pancreatic divisum with chronic pancreatitis of the ventral pancreas.

ANZ J Surg 2021 03 10;91(3):E126-E127. Epub 2020 Jul 10.

Division of GI and HPB Surgery, Department of Surgery, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India.

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http://dx.doi.org/10.1111/ans.16152DOI Listing
March 2021
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