Network


Latest external collaboration on country level. Dive into details by clicking on the dots.

Hotspot


Dive into the research topics where Sachin Mittal is active.

Publication


Featured researches published by Sachin Mittal.


Indian Journal of Gastroenterology | 2013

Rectal perforation by impacted fecaloma—a new mechanism proposed

Amit Narang; Sachin Mittal; Pradeep Garg; Sourabh Aggarwal; Jaspreet Singh; Kaviraj Kaushik; Surender Verma

Editor: A fecaloma is a mass of accumulated feces that is much harder in consistency than a fecal impaction. The rectosigmoid area is the common site for fecalomas [1]. Fecal impaction, defined as a “compacted, immovable mass of feces filling the rectum,” is commonly seen in chronic constipated patients. It can result in obstipation, the inability to pass stool or gas, but can also present with diarrhea, because liquid stool can pass around the impaction. If untreated, fecal impaction may result in a variety of complications, including stercoral perforation [2]. We describe a patient with stercoral perforation with an atypical location. A 65-year-old female presented with nonpassage of flatus and stool for 8 days, abdominal distention for 5 days, vomiting and fever for 1 day, and a history of constipation for the last 5 years. On examination the pulse rate was 104/min and BP, 104/76 mmHg. The abdomen was distended, and generalized guarding was present. Per rectal examination revealed hard fecoliths. Plain X-ray of the abdomen (Fig. 1) showed radiopaque masses all over the colonic area. Ultrasonography of the abdomen showed content-filled gut loops with free fluid. Contrast-enhanced computed tomography of the abdomen revealed free air and fluid in the peritoneal cavity with prominent small and large bowel, suggestive of bowel perforation. The patient was explored urgently. On exploration about 1 L of foul-smelling blackish fluid was aspirated from the peritoneal cavity. A large gangrenous patch of size 5 cm × 5 cm was present in the upper rectum on the posterior wall with a stony hard fecolith protruding through the necrosed central part (Fig. 2). The entire colon was loaded with hard fecoliths which were extracted (Fig. 3). A segment of gangrenous rectosigmoid was resected, the rectal stump closed, and the distal cut end of the sigmoid colon brought out as an end colostomy. Fecal impaction causes the intraluminal pressure within the colon to increase and exceed the capillary perfusion pressure in the bowel wall, resulting in pressure necrosis of the wall and eventually ulceration and perforation. The most common sites of fecal impaction are the sigmoid and rectosigmoid colon, because here much of the water has already been reabsorbed from the feces, which can then develop into hardened masses or scybala [2]. In addition, the distal colon, particularly along the antimesenteric border, has a relatively poor blood supply, making it more susceptible to pressure necrosis from scybala. Finally, because these areas of the colon have the narrowest diameter, they allow the formation of higher intraluminal pressure in the event of fecal impaction which can lead to perforation [2]. Mauer et al. proposed four diagnostic criteria of stercoral perforation [3].


Vascular | 2013

Internal jugular vein thrombosis: an uncommon presentation.

Sachin Mittal; Pradeep Garg; Surender Verma; Sandeep Bhoriwal; Sourabh Aggarwal

Internal jugular vein (IJV) thrombosis is a rare entity. It is usually secondary to various etiologies such as ovarian hyperstimulation, deep vein thrombosis of upper limbs, venous catheter, malignancy, trauma, infection, and neck surgery and hypercoagulable status. We report an unusual case of internal jugular vein thrombosis with cerebral sinus thrombosis, postpartum in a 22-year-old female patient who presented with a painful swelling on the left side of her neck. Diagnosis was established by color Doppler ultrasonography and magnetic resonance venography. Thorough evaluation of the patient revealed no etiological factor leading to thrombosis. Patient was treated with low-molecular-weight heparin.


Archive | 2012

Adult intussusception: Case series

Pradeep Garg; Gulshan Garg; Surender Verma; Sachin Mittal; Vazir S Rathee; Amit Narang; Sourabh Aggarwal


Journal of Evolution of medical and Dental Sciences | 2014

SIGMOID PERFORATION - LPG TUBE FOUND ON EXPLORATION

Surender Verma; Pradeep Garg; Sachin Mittal; Shyam Singla; Jaspreet Singh; Kaviraj Kaushik


The Internet Journal of Otorhinolaryngology | 2013

Branchial Cyst In The Midline Of The Neck: A First Case Report In The Literature

Sourabh Aggarwal; Pradeep Garg; Sandeep Bhoriwal; Vazir Singh Rathee; Surender Verma; Sachin Mittal; Amit Narang; Kaviraj Kaushik; Jaspreet Singh


The Internet Journal of Gastroenterology | 2013

Aberrant Cystic Artery Causing Pseudo-Bilobed Gall Bladder: An Unknown Entity

Sachin Mittal; Pradeep Garg; Surender Verma; Amit Narang; Sourabh Aggarwal; Jaspreet Singh; Kaviraj Kaushik; Vazir Singh Rathee; Hansraj Ranga


The Internet Journal of Dermatology | 2013

Rare Squamous Cell Carcinoma In A Psoriatic Patient – Management Challenge!

Sourabh Aggarwal; Pradeep Garg; Sandeep Bhoriwal; Amit Narang; Surender Verma; Sachin Mittal; Vazir Singh Rathee; Naveen Verma; Sunil Yadav


The Internet Journal of Urology | 2012

Accidental Complete Avulsion Of Penoscrotum And Bilateral Testes: A Misery Of Illiteracy

Pradeep Garg; Surender Verma; Sachin Mittal; Pawanjeet Rohilla


The Internet Journal of Urology | 2012

Fauxing Epithelial Adrenal Cyst: A Case Report

Sandeep Bhoriwal; Pradeep Garg; Sham L. Singla; Vazir S Rathee; Surender Verma; Sachin Mittal; Sourabh Aggarwal; Amit Narang


The Internet Journal of Surgery | 2012

Eosinophilic Cholecystitis Mimicking Adenomyomatosis.

Sourabh Aggarwal; Pradeep Garg; Vazir S Rathee; Amit Narang; Sachin Mittal; Surender Verma; Gulshan Garg

Collaboration


Dive into the Sachin Mittal's collaboration.

Top Co-Authors

Avatar

Pradeep Garg

All India Institute of Medical Sciences

View shared research outputs
Researchain Logo
Decentralizing Knowledge