Roopesh Jain

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Visceral pain in the perineal area associated with malignancies may be effectively treated with neurolysis of the ganglion impar. Since the first description of the technique of accessing the ganglion impar through anococcygeal ligament, many techniques for ganglion impar block have been described. We present a patient diagnosed with carcinoma of the anal(More)
We report a rare case of chromoblastomycosis caused by a non-sporulating species of Rhytidhysteron (Order Patellariales, Ascomycota) which was identified by molecular methods. The patient was a post-renal transplant recipient male aged 50 years and a resident of Delhi. The diagnosis was made by direct microscopy, histopathology and isolation of multiple(More)
Cancer pain treatment according to the guidelines of World Health Organization (WHO) is effective and safe in majority of patients. 818 neuropathic cancer pain patients were enrolled in the study and pain was managed according to WHO analgesic ladder and followed up to six months. Main adjuvant drugs used were amitryptaline (29.9%), gabapentin (29.9%) and(More)
Peripheral nerve field stimulation (PNFS) is being applied in individual cases where conventional treatments have failed to control pain localized to limited dermatomal distribution. We applied PNFS for unrelieved post-thoracotomy scar pain. Although spinal cord stimulation may have resulted in good coverage in the same dermatomal distribution, we chose the(More)
Chylothorax is a rare but serious complication following neck dissection with an incidence of 0.5%-2%. Because of the rarity of chylothorax, surgeons are unfamiliar with its early signs which allow a prompt diagnosis and effective management. Most cases reported in the literature are associated with a concurrent external chyle leakage, occurring either(More)
Endomyocardial fibrosis, a disease of unknown aetiology, is prevalent in the equatorial regions of the world. It is characterised by progressive fibrosis and endocardial thickening of one or both ventricular cavities, resulting in congestive heart failure and atrioventricular valvar regurgitation [1,2]. Although supraventricular arrhythmias in the presence(More)
Persistent cerebrospinal fluid leak is a known complication of intrathecal pump system insertion for drug delivery. Various treatment modalities, such as an epidural blood patch, use of glue, removal of catheter, and surgical closure of dura and subdural blood patch, have been reported previously. This report presents a 35-year-old woman in whom an(More)
An 80-year-old male was diagnosed with carcinoma in the lung with multiple bony metastases and had been prescribed pain medications as per World Health Organization analgesic ladder guidelines. However, he was not getting adequate pain relief and there were difficulties in titration of the morphine doses on an outpatient basis. Therefore, he was(More)
We report a 20-year-old male patient with mitral atresia, double outlet right ventricle, subaortic ventricular septal defect, valvar pulmonary stenosis and an aneurysm of atrial septum who presented with minimal effort tolerance and cyanosis. The morphological features were confirmed by cross-sectional echocardiography and cine-angiocardiography.