for right sided lesions - go ahead with hemicolectomy- try avoiding stoma - unless it is very high risk- discuss with anesthetist, on table decision stable patient etc.... - avoiding stoma is always good ...for right sided lesions
At 32.00 Why can't one expect a lump in a case of GOO? There might be a distal stomach lesion presenting as a hard lump and the proximal stomach distended. There might be involvement of transverse colon and omentum to form a hard lump. Why not a lump?
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Sir an examiner asked (at 1hr.55 min) can't it be a Retroperitoneal tumor infiltrating into the ureter causing hematuria..when the candidate says its borders are well defined, sir said they are well defined as well encapsulated non infiltrating... (also the lump is ballotable here) I have seen 2 other presentations where the candidate was questioned why to keep retroperitoneal tumor as dd..its very very unlikely to present with hematuria...mostly presents with HUN due to compression... What to say in exam sir?? Retroperitoneal tumor as a DD of Renal mass with hematuria??
