Denkatz

06/06/2023

18/02/2023

A rare case of gangrenous gallbladder with perforation at proximal common bile duct and surgery done was cholecystectomy, bile duct exploration, T- tube insertion, intraop cholangiogram and drain.

11/11/2022

A case of Gastric Cancer Stage 3 and surgery done is distal gastrectomy with Bilroth I anastomosis. Gastric cancer is usually asymptomatic at the early stage and becomes symptomatic when the tumor is already large and the common symptoms are epigastric pain, bleeding and obstruction. Diagnosis is usually done by endoscopy and contrast CT scan and the definitive treatment is surgery.
# gastric cancer
# gastrectomy

07/08/2022

3 Common Signs of Gallstone Disease

06/08/2022

3 common signs of Acute Cholecystitis

1. Epigastric or Right upper quadrant abdominal pain.
2. The pain is triggered or aggravated by fatty food intake.
3. The pain is accompanied by fever or jaundice.
If you have these 3 signs, consult your doctor immediately.

13/07/2022

19/06/2022

A case of large abscess at the middle trunk and debridement with drainage of abscess was done. This case is usually seen in diabetic patients with a cyst that's infected but neglected. To prevent the development of large abscess, early consult and treatment should be done to avoid complications.

06/12/2021

3 signs that you have acute appendicitis

1. Pain at the right lower quadrant of the abdomen where the appendix is located.

2. The pain becomes persistent and severe.

3. The pain is not relieved by medications.

If you experience the 3 signs, seek surgical consult as soon as possible.

Diagnosis is usually done thru physical examination by a surgeon.

Ultrasound is recommended for equivocal findings and to rule out other causes of abdominal pain.

Treatment is always surgical removal of the appendix (appendectomy).

09/11/2021

How do you know if you have gallstone disease?

Gallstone simply means the presence of stones in the gallbladder. It is usually caused by fatty diet or fried foods. Patients with gallstones are usually asymptomatic until complications occur. The 3 most common complaints are
1. Pain at the right upper quadrant of the abdomen where the gallbladder is located. The pain is usually triggered by intake of fatty foods.
2. Jaundice or yellowish discoloration of the skin especially the sclerae.
3. Fever due to infected gallbladder known as Acute Cholecystitis.

If you experience the above signs and symptoms, ULTRASOUND at the right upper abdomen is indicated for diagnosis to detect the presence of stones in the gallbladder.

Surgical removal of the gallbladder known as Cholecystectomy is the definitive treatment for symptomatic gallstone disease.

19/10/2021

What will you do if you have breast lump?

First of all, don't get panic because more than 90% of breast lumps are benign. But it does not mean that you ignore it because of the small possibility of cancer. So the first thing to do is to seek consult from a medical doctor preferably a general surgeon who treats breast lumps. And what will you expect during medical check up?

1. History will be asked to identify any risk factors of breast cancers such as family history of breast cancers.
2. Physical examination will be conducted to look for signs of cancer such as redness, dimpling, ni**le retraction and discharges.
3. A breast ultrasound or mammogram may be requested depending on the assessment of the doctor. It can detect non- palpable breast lumps, determine if the lump is solid or cystic, and may identify if it is cancer or not.
4. A breast biopsy will be done to confirm the diagnosis wherein a tissue sample will be taken for histopathologic examination. Biopsy procedures include fine or core needle biopsy, incision and excision.
5. Once the diagnosis is confirmed by biopsy, surgical plan will be recommended which is excision for benign breast lumps and mastectomy( removal of the breast) for breast cancers.

So what is the prognosis?

1. For benign breast lumps, after excision, the patient is cured with no further treatment.
2. For breast cancers, it depends on the stage of the cancer. For early stage, the survival rate is very high up to 100 %. For advance stage, the survival is very low as 10%. That's why early detection and prompt treatment are the keys for the successful management of breast cancers. Additional treatments include chemotherapy, radiation and hormonal therapy.

# breastcancerawarenessmonth

18/10/2021

A case of a 32yo female with advanced gastric cancer who came in due to epigastric pain, vomiting after meals and severe malnutrition for several months. Gastrojejunostomy was done as a palliative procedure so that she can eat with solid foods.
# gastric cancer