Modushudan Bhattacharjee

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This case report describes spontaneous thrombosis of a congenital coronary artery fistula with associated aneurysmal dilatation of the right coronary sinus of Valsalva. The grossly dilated sinus of Valsalva was reconstructed with a Dacron patch. Coronary revascularization was performed with a sequential saphenous vein graft anastomosed to the right(More)
n engl j med 361;19 nejm.org november 5, 2009 1886 A 21-year-old primigravida at nearly 40 weeks’ gestation presented with a spontaneous onset of pelvic pain and difficulty in walking. After a rapid delivery, the postpartum physical examination revealed pain only with weight bearing and abduction and adduction at both hips. Pelvic radiography showed a 23-mm(More)
A 48-year-old white man was seen in November in the emergency room of a county hospital in Houston with cold blue toes on both feet after exposure to temperatures that were above freezing, and with no snow on the ground. Besides the blue toes, the foot pulses were diminished. The skin over the feet was intact. An arteriogram revealed the absence of flow in(More)
With respect to hepatitis B virus (HBV) vaccine, not only IBD patients, but other patients with impaired immune function tend to have lower peak anti-hepatitis B (HBs) levels than immunocompetent indivi duals ( 3 ). In the case of IBD patients, the response rate is low, even among those not receiving immunosuppressants or biologic therapy, suggesting that(More)
Context Long-standing diabetes mellitus results in autonomic nervous system dysfunction, leading to gastroparesis and cholecystoparesis. The latter can result in hydropic gallbladder, a condition that arises from the accumulation of mucinous secretions within the gallbladder, usually caused by obstruction of the cystic duct, but not in the case of the(More)
Malignant eccrine spiradenoma is very rare skin appendageal cancer. We report a 64-year-old man who presented with a 6-month history of a rapidly growing mass in his groin. Physical examination revealed a 10-cm, ulcerated, fungating mass involving the entire right ilioinguinal region. PET/CT scan demonstrated intense FDG-avid lesion in the inguinal region.(More)
CASE DESCRIPTION A41-year-old Hispanic female presented with 1-week history of exertional dyspnea, and abdominal pain with distention. Other medical problems included end-stage renal disease on intermittent hemodialysis, congestive heart failure and history of catheter-associated superior vena cava (SVC) thrombosis. Physical examination revealed decreased(More)