Publications by authors named "Ajay Dhiman"

Giant gallstone with a secondary hepatic abscess is a very rare phenomenon. We recently treated a patient with a giant gallbladder (GB) stone of size 11.5 cm with a hepatic abscess who presented with features of an acute abdomen.

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Pancreatic pseudocyst (PPC) and walled-off necrosis (WON) develop as late complications of acute pancreatitis that have been historically managed surgically. With the advancement in endoscopic equipment and the evolution of endoscopic surgery, the management of PPC has evolved considerably in recent years from surgical drainage to transmural endoscopic drainage. Till the end of the 20th century, a limited number of surgeons performed laparoscopic drainage of PPCs.

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Article Synopsis
  • High voltage electric injuries (HVEIs) are uncommon but serious, causing severe muscle damage and potentially fatal heart issues; trauma centers like the one in Rishikesh are crucial for treatment, especially in areas with fewer burn centers.
  • A study over 17 months found that out of all trauma admissions, only 0.5% were HVEIs, mainly affecting young males and resulting in thermal burns, with many patients requiring multiple surgical procedures like amputation and fasciotomy.
  • Findings revealed that despite aggressive surgical treatment, nearly half of the patients faced amputation; additionally, standard tests like urine myoglobin did not indicate kidney failure, and ECG monitoring provided little benefit for patients with normal initial readings.
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Leopard attacks on humans are reported most often from the Indian subcontinent. The bite wounds are complex injuries infected with polymicrobial inoculum and may present as punctures, abrasions, lacerations or avulsions. The presentation and acceptable treatment of these injuries vary according to the wound.

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Electrocution injuries, particularly high voltage, are uncommon, but can be devastating. Thermal burns, arrhythmias and myonecrosis are commonly known and monitored complications of electrical injuries. Direct thermal trauma to internal viscera is also known and almost all internal organs have been reported to be affected, bowel being the most common.

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