Publications by authors named "Ramaswami Sukumar"

Morel-Lavallée lesions (MLLs) are rare closed degloving injuries resulting from significant trauma. These lesions occur when a high-impact force causes separation of the skin and subcutaneous tissue from the underlying fascia, leading to hemolymphatic collections. Despite their clinical significance, MLLs are frequently underdiagnosed, often leading to improper management and recurrence.

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Background Breast cancer remains one of the most common malignancies affecting women globally, contributing significantly to the disease burden. The advent of neoadjuvant chemotherapy (NAC) has revolutionized the treatment for locally advanced breast cancer, allowing tumors to be downstaged and making breast-conserving surgery (BCS) feasible. Accurate localization of the tumor bed post-NAC is crucial for successful surgical removal of residual disease.

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Introduction Obstructive jaundice due to proximal biliary obstruction presents significant diagnostic and therapeutic challenges. Accurate and timely diagnosis is essential for effective management. Objective/aim This study aimed to evaluate and compare the diagnostic accuracy of magnetic resonance cholangiopancreatography (MRCP) and percutaneous transhepatic cholangiography (PTC) along with percutaneous transhepatic biliary drainage (PTBD) stenting in obstructive jaundice, while also incorporating the comparison of ultrasonography (USG) and computed tomography (CT) findings.

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Mucormycosis (previously called zygomycosis or phycomycosis) is an uncommon opportunistic infection with the gastrointestinal form being the rarest occurrence and one of the most lethal infections known to humanity. The most common risk factors predisposing to develop gastric mucormycosis are uncontrolled diabetes mellitus, stem cell transplantation, or underlying any hematologic malignancy and major trauma. Pain abdomen, hematemesis, and melena are common symptoms which the patient presents.

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Study Design: A retrospective radiological study of the ligamentum flavum (LF).

Purpose: We determined the relationship of dorsal spinal LF thickening with age and sex using magnetic resonance imaging (MRI). We also determined whether LF thickening has a predominant tendency to occur at a specific dorsal level and on a specific side.

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Background: Massive hemobilia is a rare but potentially life-threatening cause of upper gastrointestinal hemorrhage. In this retrospective analysis, we have evaluated the challenges involved in the diagnosis and management of massive hemobilia.

Methods: Between 2001 and 2011, a total of 20 consecutive patients (14 males) who were treated in our department for massive hemobilia were included in the study and their records were retrospectively analyzed.

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Background. Hemosuccus pancreaticus (HP) is a very rare and obscure cause of upper gastrointestinal bleeding. Due to its rarity, the diagnostic and therapeutic strategy for the management of this potentially life threatening problem remains undefined.

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Background: Isolated caudate lobe resection remains a technical challenge even in the best hands. This is due to the difficult approach and its location between major vessels. This retrospective study aims to analyze our experience with isolated caudate lobe resections.

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Article Synopsis
  • Curative treatments for hepatocellular carcinoma (HCC) like surgery and liver transplants are only viable for patients with early-stage tumors; later stages need other therapies.
  • Resection is the primary method offering a chance for cure in HCC, but recurrence is common even after surgery.
  • There’s growing interest in transarterial embolization/transarterial chemoembolization (TACE) for various uses in HCC management, showing promise as both a palliative tool and in combination with other therapies.
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Introduction and Objective. Biliary cystadenoma is a rare benign neoplasm of the liver with less than 200 cases being reported allover the world. We report a series of 13 cases highlighting the radiological findings and problems related to its management.

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Article Synopsis
  • Haemosuccus pancreaticus (HP) is a rare cause of upper gastrointestinal bleeding, primarily found in patients with chronic pancreatitis, with a mean age of 34 years in a study involving 31 patients.
  • The study reviewed cases from 1997 to 2008, finding that 84% of patients attempted selective arterial embolization, which was successful in 50%, while 64% ultimately needed surgery to manage the bleeding.
  • Diagnosis of HP should involve upper digestive endoscopy, contrast-enhanced CT, and selective arteriography, with contrasting treatment options including endovascular techniques and surgical procedures for severe or recurrent cases.
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