Rare Cases

Acquired Haemophilia: Unusual presentation of IgG4-related disease

A 67-year-old diabetic male with coronary artery disease on dual antiplatelets presented with left submandibular swelling. He had been unwell for the past many months with progressive renal failure, one episode of gastrointestinal bleeding and a pathological fracture of the right hip for which cemented hemiarthroplasty was done. Biopsies taken during upper gastrointestinal endoscopy and during arthroplasty showed reactive tissue at both sites. A renal biopsy was also advised but not done.

Transcranial Direct Current Stimulation (tdcs) : A novel non-invasive treatment for Tourette Syndrome

A 13-year-old boy studying in class 8th, resident of an urban area and belonging to lower middle-class socio-economic status, was referred by the Neurology Department to the Mental Health and Behavioural Sciences Department of Max Super Speciality Hospital, Dehradun, with complaints of vocal and motor tics for a year, along with hyperactivity and inattention. The tics were present in the form of head jerks, eye blinking, face grimaces, sning, spitting, shoulder jerks, limb jerks, and coprolalia, i.e., the use of abusive and obscene words.

Treated by - Dr. Saloni Gupta

Successful use of Laparoscopic Myomectomy to remove a giant Uterine Myoma

A 38-year-old woman came to the Gynaecology Department of Max Super Speciality Hospital, Dehradun, with complaints of intermittent abdominal pain that had intensified during the previous three months and progressive abdominal swelling during the past two years. She was a mother of 2 (both by caesarean section) and suered from Menometrorrhagia leading to severe anaemia and a history of blood transfusion in other hospitals.

Treated by - Dr. Rashmi Varshney Gupta

Management of Caustic Ingestion

A 2-year-old girl child was admitted to Max Smart, with a history of caustic ingestion three hours before coming to the hospital.

Treated by - Dr. Preeti Anand, Dr. Bhaskar Saikia

Emergency surgery for massive haemoptysis

A 25-year-old woman with 28 weeks of pregnancy and no previous illness presented with massive haemoptysis to the emergency at Max Smart Super Speciality Hospital, Saket.

Treated by - Dr. Shaiwal Khandelwal

Robotic-assisted Buccal Mucosal Graft Onlay Ureteroplasty

Robotic-assisted Buccal Mucosal Graft Onlay Ureteroplasty for Ureteric Stone and stricture repair done at Max Patparganj

Treated by - Dr. Pawan Kesarwani

Max Smart's first Robotic Knee Replacement Surgery

A 62-year-old man from Somalia, complained of pain in both the knees and diculty in walking for the past 10 years. He was under tremendous pain, which intensified over the last three years. He used stick support even for normal walk.

Treated by - Dr. Ramneek Mahajan

RSOV Mimicking Liver Disease: Dilemma of Diagnosis

A 46-year-old man was admitted to the gastroenterology department, with a running diagnosis of Chronic Liver Disease (CLD) with Liver Cirrhosis and Congestive Hepatomegaly. The patient's only symptom initially was abdominal pain with distensions. The patient first sought medical advice from a local gastroenterologist but didn't get any relief.

Treated by - Dr. Ravi Kumar Singh

Splenic Flexure of Colon at Max Hospital

A middle-aged man suffering from Ca Splenic Flexure of the colon with liver metastasis, visited Max Super Speciality Hospital, Dehradun, with acute large bowel obstruction.

Treated by - Dr. Mayank Nautiyal

Robotic Surgery Helps Two Morbidly Obese Patients Lose Significant Weight

Two morbidly obese patients weighing over 200 kgs each successfully underwent robotic Bariatric surgery at Max Hospital, Vaishali, recently. Pertaining to the co-morbidities associated with their condition, both patients had a depleted quality of life, and post-operatively they are leading a comfortable, normal life.

Treated by - Dr. Vivek Bindal

Saved Lives of 3 Patients from Advanced Cardiac Ailments

With recent advancements in technology, treatment for valvular heart diseases has become much safer and minimally invasive. A 38-year-old was diagnosed with complications in his aortic valve, with heart function of only 20%. "The patient came to us with complaints of breathlessness for months. He was subsequently diagnosed with narrowing of one of the heart valves, the aortic valve. Replacing this heart valve is a very common procedure and is done surgically. Upon evaluating the case and ascertaining the high risk involved in the case, we decided to conduct a Trans Aortic Femoral Valve Replacement (TAVR) as we thought this would be the best approach for the patient.

Turp and Robotic-Assisted Bilateral Diverticulectomy Save Both the Ureters

A 65-year-old man came to Max Super Speciality Hospital, Patparganj, with a recurrent UTI, benign prostatic enlargement, and two big urinary bladder diverticuli of more than 1000-1400 ml capacity. One of the diverticuli was almost 10 cm in size. His uroflowmetry showed obstructed flow due to BPH (75 cc prostate). The patient presented with urosepsis, so he was catheterised, and Transurethral Resection of the Prostate (TURP) was performed after stabilisation.

Treated by - Dr. Shailesh Sahay