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Search Results: 1 - 10 of 20660 matches for " Shilpi Singh Gupta "
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Giant adrenal cortical carcinoma
Singh Onkar,Gupta Shilpi
Saudi Journal of Kidney Diseases and Transplantation , 2011,
Carcinoma colon presenting as cutaneous metastasis to an old operative scar of hysterectomy
Gupta Shilpi,Singh Onkar
Journal of Cancer Research and Therapeutics , 2010,
Abstract: Cutaneous metastases from asymptomatic colonic carcinoma have been documented rarely in the literature. But cutaneous metastasis to an already present operative scar as the mode of presentation of otherwise asymptomatic colon cancer is an extremely rare phenomenon which has been described only thrice till now. We report such a case of adenocarcinoma of sigmoid colon which presented as a large subcutaneous metastasis to an already existing scar of hysterectomy.
Urethral Foreign Body Causing Urethral Fistula
Onkar Singh,Shilpi Singh Gupta
Urology Journal , 2012,
Abstract: No Abstract
A rare case of primary solid intrarectal dermoid
Singh Onkar,Gupta Shilpi,Mathur Raj
Saudi Journal of Gastroenterology , 2011,
Abstract: Primary rectal teratomas are rare and only few cases have been reported in the literature worldwide. These usually occur in females. These are usually cystic but very rarely solid variants may occur. We present a case of a solid intra-rectal dermoid arising primarily in rectum from postero-lateral wall. Excision biopsy was done per rectally. Histology revealed the presence of squamous epithelium, fat cells, hair follicles, cartilaginous material and columnar lining of glandular structures suggestive of mature teratoma. It is usually benign but may become malignant, therefore complete resection is advised.
Urogenital Fistulas in Women: 5-year Experience at a Single Center
Onkar Singh,Shilpi Singh Gupta,Raj Kumar Mathur
Urology Journal , 2010,
Abstract: Introduction: Urogenital fistula is one of the most devastating complications that can result from labor or urogenital surgeries. It is still a frequent problem in the developing world. Urogenital fistulas can lead to devastating medical, social, and psychological problems; thus cause major impact on the lives of girls and women. However, these cases are still largely neglected in the developing world. We aimed to evaluate causative factors and discuss management of urogenital fistulas. Materials and Methods: Forty-two cases of urogenital fistula developing within 5 to 38 days after delivery, pelvic surgery, and obstetric procedures were treated over a period of 5 years from 2003 to 2008. These included 37 vesicovaginal fistulas (88.1%), 4 uterovesical fistulas (9.5%), and 1 pure ureterovaginal fistula (2.4%). All of the patients were catheterized immediately on presentation and the catheter was left in situ for a minimum of 3 weeks before surgical intervention. Results: The most common cause of vesicovaginal fistulas was obstructed labor, while other varieties of fistulas were mostly associated with pelvic surgery. Spontaneous closure occurred in 3 cases of vesicovaginal fistula. Surgical intervention needed in 39 patients. Peritoneal flap and Martius flap were interposed between suture lines in transabdominal and transvaginal approaches, respectively. Thirty-four fistulas (80.1%) were closed at the first attempt. There was no mortality from the surgical procedure. Conclusion: Vasicovaginal fistula is the most common urogenital fistula. Obstructed labor and its complications are still the leading cause of its development. Peritoneal flap interposition technique is a successful and effective treatment method for urogenital fistula.
Congenital fibrosarcoma of the chest wall: Report of a case
Gupta Shilpi,Singh Onkar,Sharma Shashi,Mathur Raj
Journal of Cutaneous and Aesthetic Surgery , 2010,
Abstract: Congenital fibrosarcoma (CFS) is a rare soft tissue tumour that usually occurs before the age of 1, and involves the distal extremities. The literature regarding the precise diagnosis and treatment of these tumours is limited. We present and discuss a case of CFS which ended fatally due to lung metastasis after 2 years.
Collagen dressing versus conventional dressings in burn and chronic wounds: A retrospective study
Singh Onkar,Gupta Shilpi,Soni Mohan,Moses Sonia
Journal of Cutaneous and Aesthetic Surgery , 2011,
Abstract: Objective : Biological dressings like collagen are impermeable to bacteria, and create the most physiological interface between the wound surface and the environment. Collagen dressings have other advantages over conventional dressings in terms of ease of application and being natural, non-immunogenic, non-pyrogenic, hypo-allergenic, and pain-free. This study aims to compare the efficacy of collagen dressing in treating burn and chronic wounds with that of conventional dressing materials. Materials and Methods : The records of 120 patients with chronic wounds of varied aetiologies and with mean age 43.7 years were collected and analyzed. The patients had been treated either with collagen or other conventional dressing materials including silver sulfadiazine, nadifloxacin, povidone iodine, or honey (traditional dressing material). Patients with co-morbidities that could grossly affect the wound healing like uncontrolled diabetes mellitus, chronic liver or renal disease, or major nutritional deprivation were not included. For the purpose of comparison the patients were divided into two groups; ′Collagen group′ and ′Conventional group′, each having 60 patients. For assessment the wound characteristics (size, edge, floor, slough, granulation tissue, and wound swab or pus culture sensitivity results) were recorded. With start of treatment, appearance of granulation tissue, completeness of healing, need for skin grafting, and patients′ satisfaction was noted for each patient in both groups. Results : With two weeks of treatment, 60% of the ′collagen group′ wounds and only 42% of the ′conventional group′ wounds were sterile (P=0.03). Healthy granulation tissue appeared earlier over collagen-dressed wounds than over conventionally treated wounds (P=0.03). After eight weeks, 52 (87%) of ′collagen group′ wounds and 48 (80%) of ′conventional group′ wounds were >75% healed (P=0.21). Eight patients in the ′collagen group′ and 12 in the ′conventional group′ needed partial split-skin grafting (P=0.04). Collagen-treated patients enjoyed early and more subjective mobility. Conclusion : No significant better results in terms of completeness of healing of burn and chronic wounds between collagen dressing and conventional dressing were found. Collagen dressing, however, may avoid the need of skin grafting, and provides additional advantage of patients′ compliance and comfort.
An arrowhead found incidentally in the chest during workup for unrelated disease after 22-years of initial injury
Gupta Shilpi,Singh Onkar,Shukla Sumit,Mathur Raj
Journal of Emergencies, Trauma and Shock , 2011,
Localized renal cystic disease: Report of a rare case
Gupta Shilpi,Singh Onkar,Shukla Sumit,Chowdhary Sangeet
Saudi Journal of Kidney Diseases and Transplantation , 2010,
Abstract: We report a case of a 32-year-old female who presented with right flank pain. Ultrasonography done for hematuria 10 years ago indicated the presence of renal cysts in the right kidney, but she had been asymptomatic since then. This history attracted our attention to the possibility of "localized renal cystic disease" (LRCD). Diagnosis was confirmed by computerized tomogram, negative renal ultrasound of one of the parents and absence of family history of renal disease. She is still being followed up for the last 3 years and is doing well. LRCD has been given various names since it was first recognized as a distinct clinical entity but the term LRCD appears to be the most accurate. Here, we present a brief discussion of clinical significance, diagnosis and differentials of this rare condition.
Rare case of ureteral endometriosis presenting as hydronephrotic kidney
Gupta Shilpi,Singh Onkar,Shukla Sumit,Mathur Raj
Saudi Journal of Kidney Diseases and Transplantation , 2011,
Abstract: A 29-year-old woman presented with unilateral loin pain because of severely hydro-nephrotic kidney due to deposits of pelvic endometriosis. Double J-stent was placed beyond the obstruction and she was started on hormone therapy. The stent was removed after three months when back pressure changes had resolved. This case is being presented along with a short relevant discussion, due to rarity of ureteral involvement by endometriosis.
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