Publications by authors named "Nikhil Kenny Thomas"

A 57-year-old male with a background of chronic pancreatitis presented with acutely worsening abdominal pain and vomiting. He previously had a pancreatic duct stent which had been removed 1 year prior to presentation. Initially suspected to be acute-on-chronic pancreatitis, a computed tomography (CT) scan of the abdomen and pelvis revealed an atrophic pancreas and a new mass in the pancreatic head, raising the suspicion of pancreatic malignancy.

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Article Synopsis
  • Ascariasis is a common parasitic infection that often shows no symptoms, but can lead to biliary ascariasis if worms migrate to the biliary tract, resulting in symptoms like abdominal pain, jaundice, and fever.
  • A case study details a patient who experienced fever, jaundice, breathlessness, loose stools, and altered mental status, but notably no abdominal pain.
  • Diagnosis was made through ultrasound and ERCP, and treatment involved endoscopic sphincterotomy and the medication albendazole, with the patient remaining stable after 10 days, illustrating the varied presentation of biliary ascariasis.
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Pancytopenia due to systemic lupus erythematosus (SLE) is rarely reported, and among those reported, it is mostly due to immunologically mediated cell destruction. Pancytopenia due to bone marrow fibrosis secondary to SLE is an extremely rare entity. Myelofibrosis secondary to SLE per se is reported only in 21 cases in the literature.

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