Anuradha Tunuguntla

Diagnostic and therapeutic difficulties in retroperitoneal abscess.

Abscesses developing within the retroperitoneal spaces are complicated and serious infections. These abscesses present insidiously, leading to considerable mortality and morbidity. A high clinical suspicion can help diagnose and treat this potentially fatal illness. Computed axial tomography is the best diagnostic modality for retroperitoneal abscess. Computed tomographic scan is useful, not only for diagnosing the retroperitoneal abscess, but can be used for therapeutic drainage of abscesses in high-surgical-risk patients. We present an illustrative case of retroperitoneal abscess and discuss the pathogenesis of retroperitoneal abscess, diagnosis, and treatment.

Endometriosis of the pancreas presenting as a cystic pancreatic neoplasm with possible metastasis.

The authors report a case of endometriosis that presented as a cystic mass in the tail of the pancreas, leading to extensive evaluation and ultimately a major surgical resection. The diagnosis was made by histopathological evaluation, revealing endometrial glands and stroma in the wall of the mass with hemorrhagic fluid in the cystic lumen, compatible with pancreatic involvement by an endometrial cyst.

A new concept for the treatment of intractable pruritus ani.

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Initial experience with the sullivan technique for the treatment of gastroesophageal reflux disease

Initial experience with the sullivan technique for the treatment of gastroesophageal reflux disease