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    Evisceration of the small bowel through a perforated and prolapsed sigmoid colon: an unusual presentation of rectal prolapse

    Ahmad, Arshad, Kumar, Suresh, Sonkar, Abhinav Arun, Kumar, Sanjeev
    BMJ case reports, 15 April 2016, Vol.2016, pp.10.1136/bcr-2016-214811 [Peer Reviewed Journal]
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    Title: Evisceration of the small bowel through a perforated and prolapsed sigmoid colon: an unusual presentation of rectal prolapse
    Author: Ahmad, Arshad; Kumar, Suresh; Sonkar, Abhinav Arun; Kumar, Sanjeev
    Subject: Colon, Sigmoid ; Intestine, Small ; Intestinal Perforation -- Complications ; Rectal Prolapse -- Complications ; Sigmoid Diseases -- Complications
    Description: Spontaneous prolapse of the sigmoid colon and evisceration of the small bowel through a rupture in the rectosigmoid is a rare presentation. We report a case of a 60-year-old man presenting with massive small bowel evisceration through a perforation in a prolapsed sigmoid colon. The patient had a 2-year history of rectal prolapse. He was also incontinent for flatus and liquid stool. There was no other significant medical history. After reduction of the small intestine, a large perforation was seen in the prolapsed sigmoid colon. The sigmoid colon was identified by presence of appendices epiploicae and taeniae coli. After initial resuscitation, an emergency laparotomy was performed. The perforated sigmoid colon was resected and a Hartmann's colostomy was created. This resulted in complete recovery. Reversal of the Hartmann's colostomy was performed after 6 weeks.
    Is part of: BMJ case reports, 15 April 2016, Vol.2016, pp.10.1136/bcr-2016-214811
    Identifier: 1757-790X (E-ISSN); 27084900 Version (PMID); 10.1136/bcr-2016-214811 (DOI)

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    Multi detector computed tomography based volumetric assessment of lung parenchymal injury in isolated blunt thoracic trauma patients acts as predictor of clinical outcome: a prospective observational study

    Pal, Ajay, Kumar, Sanjeev, Kumar, Suresh, Ansari, Saquib, Ahmad, Arshad, Kumar, Manoj
    Indian Journal of Thoracic and Cardiovascular Surgery, 2017, Vol.33(3), pp.213-219 [Peer Reviewed Journal]
    Springer Science & Business Media B.V.
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    Title: Multi detector computed tomography based volumetric assessment of lung parenchymal injury in isolated blunt thoracic trauma patients acts as predictor of clinical outcome: a prospective observational study
    Author: Pal, Ajay; Kumar, Sanjeev; Kumar, Suresh; Ansari, Saquib; Ahmad, Arshad; Kumar, Manoj
    Subject: Lung trauma ; Multi detector CT ; Volumetric analysis
    Description: To access, purchase, authenticate, or subscribe to the full-text of this article, please visit this link: http://dx.doi.org/10.1007/s12055-017-0559-1 Byline: Ajay Kumar Pal (1), Sanjeev Kumar (1), Suresh Kumar (1), Saquib Ansari (1), Arshad Ahmad (1), Manoj Kumar (2) Keywords: Lung trauma; Multi detector CT; Volumetric analysis Abstract: Introduction The role of multi detector computed tomography (MDCT) in thoracic trauma is continuously evolving with identification of occult injuries and better characterization of potentially life threatening injuries. Keeping this in mind, we have done a prospective study for volumetric analysis of lung parenchymal injury in isolated blunt thoracic trauma patients, explored its prognostic implications, and evaluated its correlation with clinical outcome of patient. Methods Prospective evaluation of patients with isolated blunt thoracic trauma coming from the trauma center was done with MDCT. Patients with poly trauma, pregnancy, penetrating thoracic trauma, pre-existing pulmonary or renal disease, and any other significant co-morbid medical or surgical illness and requirement of urgent thoracotomy (surgery) were excluded from the study. Data was collected regarding patient demographics, mechanism of injury, involvement of thoracic viscera and thoracic wall, uninvolved mean lung volume and overall prognosis in relation to eventless recovery, need for mechanical ventilation, and mortality which were taken as primary outcome parameters. Mean lung volumes of both lungs were compared in between groups of eventless recovery, need of mechanical ventilation and mortality with p value
    Is part of: Indian Journal of Thoracic and Cardiovascular Surgery, 2017, Vol.33(3), pp.213-219
    Identifier: 0970-9134 (ISSN); 0973-7723 (E-ISSN); 10.1007/s12055-017-0559-1 (DOI)

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    Respiratory functional outcomes improvement with intervention in chronic empyema thoracis: a retrospective analysis

    Kumar, Sanjeev, Kumar, Ashok, Pal, Ajay, Ahirwar, Suresh, Kumar, Suresh, Ahmad, Arshad
    Indian Journal of Thoracic and Cardiovascular Surgery, 2019, Vol.35(1), pp.36-40 [Peer Reviewed Journal]