BackgroundAssessing patients' quality of life has received increasing attention, mainly because questions have been raised regarding the direct benefits of the treatment provided. Hence, clinical outcomes and quality of life must be measured after chronic venous disease treatment. The primary objective of the study was to assess the improvement in clinical outcome and improvement in quality of life using the revised venous clinical severity score and chronic venous insufficiency questionnaire-14, respectively, in patients with varicose veins undergoing Trendelenburg's surgery and subfascial ligation of perforators. The secondary objective was to identify the relationship between the revised venous clinical severity score and the chronic venous insufficiency questionnaire-14 score.
MethodThe present study is a single-center, prospective cohort study to assess the clinical improvement and quality of life in patients with varicose veins undergoing Trendelenburg surgery and subfascial ligation of perforators. All the study participants were evaluated preoperatively with the clinical, etiological, anatomical, and pathophysiological stage of the disease, revised venous clinical severity score for the clinical severity, and the chronic venous insufficiency questionnaire-14 questionnaire for the quality of life. The study participants were reviewed 90 days after surgery and reassessed for clinical severity and quality of life, both scores.
Gastrointestinal stromal tumors are the most common nonepithelial tumors of the gastrointestinal tract. The stomach is the most common site of occurrence. Most of the tumors are asymptomatic. Many patients may present with mass per abdomen, gastrointestinal bleed. Tumors arising from the stomach's posterior wall may grow large, and on imaging, it may create confusion of the site of origin. We present a case of gastrointestinal stromal tumor arising from the stomach's posterior wall, growing large and creating a confusion of site of origin.
Acute or chronic pancreatitis can cause pseudoaneurysm of visceral arteries. The splenic artery is the most common to get affected. Here, we report a case of acute pancreatitis with pseudoaneurysm of the splenic artery. A 40 year old male, a chronic alcoholic with a known history of acute pancreatitis, presented with acute abdominal pain, haematemesis, and melena. Diagnosis of pseudoaneurysm of splenic artery was confirmed by computed tomography abdomen. The endovascular coil embolization was done successfully, following which the patient made an uneventful recovery
Acute massive gastric dilatation (AMGD) is a rare event which is usually underdiagnosed. It can occur due to multiple etiologies, including medical and surgical, or as a postoperative complication. We report a rare case of AMGD as a result of closed-loop obstruction of the stomach following feeding jejunostomy in a patient with carcinoma oesophagus. A high index of suspicion, early diagnosis and prompt management is the key to the successful treatment. To the best of our knowledge, this is the second case report of a closed-loop obstruction of the stomach leading to AMGD in published literature.
Hepatic haemangioma (HH) is a common benign tumour of the liver and is usually asymptomatic. HH causing isolated right-sided pleural effusion and bilateral pedal oedema due to inferior vena cava (IVC) compression have never been reported in the literature. We report a 35-year-old male patient who presented with breathlessness and mass per abdomen. On examination, the patient was found to have right-sided pleural effusion, bilateral pedal oedema, hepatomegaly. Contrast-enhanced CT showed compression of the IVC by the HH. The patient was managed with right-sided intercostal drain insertion for pleural effusion and hepatic artery embolisation. The patient improved gradually with reduced pleural effusion and resolving pedal oedema.
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