Biomedical subjects
Publications and source records attributed to K L Chandrasekhara.
A case of spontaneous rupture of the stomach associated with perforation of the diaphragm is reported. Spontaneous rupture of the stomach is a rare but fatal condition. The pathophysiologic features, clinical manifestations, and treatment are discussed.
Six cases of diffuse muscular hypertrophy of the esophagus are reported. The clinical diagnosis is often missed and may be confused with achalasia. Some clinical features that help distinguish this disease are a sensation of "grasping" any tube or instrument introduced into the esophagus, marked sustained elevation in the baseline pressure in the body of the esophagus over a longer segment, and poor response to forced pneumatic dilatation (in those cases in which achalasia is suspected). An interesting association was the relationship with diabetes mellitus in four of the six cases described.
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Explore the source record for details and available documents.
A case of obstructive jaundice due to radiation-induced hepatic duct stricture is reported. The patient received postoperative radiation for left adrenal carcinoma, seven years prior to this admission. The sequelae of hepatobiliary radiation and their management are discussed briefly.
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Explore the source record for details and available documents.
A case of endoscopic retrieval of a gastric foreign body, retained due to peptic ulcer disease, is reported. An Olympus polypectomy snare was used to extract the foreign body. The role of endoscopy in the management of an upper gastrointestinal tract foreign body is discussed.
A case of foreign body perforation of the stomach is reported. Complications of foreign bodies in the gastrointestinal tract and their management are discussed.
A case of small bowel obstruction caused by inflation of a sealed, mercury-filled finger cot tipped feeder catheter, used for enteral alimentation, is reported. The patient had infrapapillary duodenal obstruction, secondary to the intramural hematoma caused by blunt abdominal injury. The patient underwent surgery for the obstruction and the distended finger cot was decompressed. The mechanisms for such distention are discussed.
A case of leukopenia associated with cimetidine therapy is reported. The patient had sarcoid cirrhosis with portal hypertension. Cimetidine therapy was instituted for upper gastrointestinal bleeding due to gastritis, resulted in leukopenia, and was reversed on discontinuation of therapy.