Rare Cases

Myomectomy plus a Hysteroscopic Myomectomy of a patient with multiple fibroids

A 36-year-old woman patient came to the OPD at Max Super Speciality Hospital, Mohali, with complaints of two previous miscarriages and a wish to conceive. She was obese, with a BMI of 30.

Treated By - Dr. Seema Wadhwa

Apr 18 , 2023

A case of complex Cervical Carotid Artery Stenosis

A middle-aged female with diabetes and hypertension came to Max Super Speciality Hospital, Shalimar Bagh. She was brought to ER from another hospital and presented with complaints of headache and numbness over the left half of her body. Her MRI of the brain stroke protocol showed acute Ischaemic Infarct in the right thalamus and sub-thalamic region. Her angiography revealed critical stenosis (97%) of the ipsilateral right cervical carotid artery. She had a major risk of further stroke in future, considering the degrees of stenosis.

Treated By - Dr. Shailesh Jain

Apr 18 , 2023

Radial Head Replacement of left elbow

A 27-year-old female came to Max Super Speciality Hospital, Shalimar Bagh, with severe pain in her left elbow, massive swelling and inability to use the elbow. On X-ray of the left elbow AP lateral view, a grossly comminuted fracture radial head was formed. It

Apr 18 , 2023

Case of Reverse CART (RCA opened from left side)

A chronic smoker male was admitted to Max Super Speciality Hospital, Shalimar Bagh, with complaints of chest pain on exertion. The patient was first admitted to another hospital, where he was diagnosed with LM-TVD (LM=90% stenosis, LAD proximal CTO, LCX proximal 80% stenosis, RCA-CTO). The patient’s 2D echo showed LVEF=23%, and then he was referred to Max Hospital, Shalimar Bagh, for CABG.

Treated By - Dr. Naveen Bhamri

Apr 18 , 2023

Successful complex surgery for advanced-stage large Intestinal Tumour

Pertaining to the fact that there has been a significant rise in Gastrointestinal tract cancers (GI Tract) and to increase awareness amongst the public about the recent advancements made in its treatment modalities, Max Super Speciality Hospital, Vaishali, organised a public awareness session.

Treated By - Dr. Vivek Mangla

Apr 18 , 2023

Management of Stage-IV Rectal Cancer with Liver Metastasis

A 65-year-old woman was diagnosed with rectal cancer with isolated liver metastasis (3 tumours, seg 1, 6 and 7) in February 2022 on evaluation for rectal bleeding. Follow-up PET-CT and MRI revealed significant responses in both rectal and liver lesions after initial chemotherapy. Subsequently, a Right Hepatectomy with partial caudate resection, incorporating all liver lesions,

Treated By - Dr. Vivek Mangla

Apr 18 , 2023

Robot-assisted Bladder Diverticulectomy: An interesting case scenario

A male patient with severe diculty in passing urine came to Max Super Speciality Hospital, Patparganj. On ultrasound examination, it was found that his prostate was more than 200 cc which is ten times than normal prostate size. Both hips were fixed due to ankylosis of the hip joints. His serum PSA was normal, so there was no suspicion of prostate cancer. The usual surgery doctors opt for prostate is TURP/HOLEP, in which hip joints are flexed to put the patient in a lithotomy position. This was impossible in this case due to ankylosis of the hip joints. The only option was an open surgery (simple prostatectomy or Freyer’s procedure).

Treated By - Dr. Pawan Kesarwani, Dr. Shailesh Chandra Sahay

Apr 18 , 2023

Endobronchial Balloon Tamponade using a Fogarty catheter

Haemoptysis is a medical emergency and needs urgent intervention. If not managed, the outcome can be catastrophic. Even if the patient stabilises post-bleed, the clots need to be evacuated to prevent secondary collapse or infection in the lung and also to decrease the oxygen requirement of the patient. Massive haemoptysis may even require emergency thoracotomy or BAE, which cannot be oered to a critical patient.

Treated By - Dr. Vaibhav Chachra

Apr 18 , 2023

A case of STEMI with post-MI Angina: Role of intravascular imaging

A 50-year-old normotensive, euglycemic, smoker man with a history of a recent inferior wall MI, post-PTCA to LCX, came to Max Super Speciality Hospital, Dehradun, with complaints of chest pain on minimal exertion for a few days. His vitals were normal, and ECG showed q and T wave inversion in leads II, III, and AVF. 2D Echo showed LVEF 50% with RWMA in the inferior territory. Diagnostic angiogram revealed OM- 80% stenosis, LAD 50% stenosis.

Treated By - Dr. Preeti Sharma

Apr 18 , 2023

A rare case of non-resolving Pneumonia in the ICU

A 43-year-old woman was admitted to ICU for left upper lobe pneumonia with hypoxemic respiratory failure. CT thorax revealed consolidation with ground opacities in the left upper lobe and lingular segment. A bronchoscopy was done, and cultures were sterile. However, despite many courses of empiric wide-spectrum antibiotic treatment taken before admission, respiratory failure and radiological opacities persisted.

Apr 18 , 2023

Endovascular Coiling and Multidisciplinary Care achieved an Excellent Outcome

An eighty-year-old lady came to the emergency of Max Super Speciality Hospital, Saket, in an unconscious state. On evaluation, she was found to have a high-grade subarachnoid haemorrhage due to a ruptured basilar artery aneurysm. Her family was updated about the same. They were extensively counselled and made clear that survival in such cases at her age is only about 20-30%, despite the best treatment.

Treated By - Dr. Prakash Singh, Dr. Himanshu Agarwal

Apr 18 , 2023

case of large bilateral tubo-ovarian masses with pelvic adhesions & severe sepsis managed

A complex and high-risk case of large bilateral tubo-ovarian masses with extensive pelvic adhesions and severe sepsis managed successfully.

Treated By - Dr. Anuradha Kapur

Feb 02 , 2023