Tej D. Phatak

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PURPOSE To describe the authors' experience in using a single-incision technique for placing implantable chest ports and tunneled dialysis catheters. MATERIALS AND METHODS Implantable chest ports and tunneled dialysis catheters were placed in 130 consecutive unselected patients aged 18 to 81 years over a 6-month period. A micropuncture needle bent into a(More)
When a patient presents with right-lower-quadrant pain in the emergency room, the diagnosis of appendicitis must always be considered, but the differential diagnosis for this symptom includes many other etiologies. We describe a case of an 8-year-old girl with von Willebrand disease who presented with right-lower-quadrant pain and was found to have an(More)
The authors describe a technique for the de novo placement of a tunneled dialysis catheter (TDC) over a wire. With use of a micropuncture needle bent into a C shape, the internal jugular vein was accessed under real-time ultrasonographic guidance from the expected catheter exit location in the deltopectoral fossa. The TDC was placed over the wire alone,(More)
This report describes a 64-year-old man with Laennec cirrhosis requiring a transjugular intrahepatic portosystemic shunt (TIPS) to alleviate ascites before surgical mesh repair of a large symptomatic umbilical hernia. During the procedure, both internal jugular veins and the right external jugular vein were found to be occluded. The right subclavian vein(More)
Presentation A 16-year-old African American girl presents to the emergency department with severe cramping and pain in all quadrants of her abdomen, with the most severe pain located in her right upper quadrant. The pain had started 24 hours previously and initially was dull and diffuse. The pain has worsened progressively with sudden, more severe pain(More)