D Ghuliani

Publications (2)0.73 Total impact

• Article: Post burn Marjolin's ulcer in the natal cleft mimicking anal canal carcinoma: a rare site.

  S K Jain, R Tanwar, R C M Kaza, D Ghuliani
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  ABSTRACT: Marjolin's ulcer is a recognised complication of burn scars, chronic sinuses, and at sites of chronic irritation. The majority of these wounds occur at either venous ulcer or burn sites, usually in the extremities or the trunk. The only current method for confirming diagnosis is biopsy, which if positive will be followed by wide local excision and skin coverage. This paper reports an unusual case, in which a Marjolin's ulcer presented in the natal cleft 45 years after the initial burn injury. Its presentation mimicked that of an anal canal carcinoma, although detailed workup, which included computed tomography (CT) scan revealed this growth to be separate from the anal canal, albeit in close association. This is an extremely rare site and the study illustrates that squamous cell carcinoma can mimic anal carcinoma unless carefully examined.
  Journal of wound care 12/2010; 19(12):532-4.
• Source

  Available from: sma.org.sg

  Article: Giant cavernous haemangioma of the spleen presenting as massive splenomegaly and treated by partial splenectomy.

  D Ghuliani, S Agarwal, S Thomas, O P Pathania
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  ABSTRACT: Cavernous haemangioma is a rare disorder of the spleen with fewer than 100 cases reported. Only rarely do they attain large sizes. A 36-year-old woman presented with a six-month history of pain in the left hypochondrium and a massive splenomegaly. Ultrasonography, Doppler studies, and computed tomography could not distinguish between a haemangioma and a secondary deposit. Magnetic resonance imaging showed characteristic features of splenic haemangioma with central fibrosis, thrombosis and haemorrhage. Partial splenectomy was done. Intraoperative imprint cytology was negative for malignant cells. Histopathology showed cavernous haemangioma with areas of infarction necrosis. It is extremely rare to have such a massive solitary splenic haemangioma presenting as a giant splenomegaly. Preoperative investigations are often inconclusive and may not distinguish between haemangioma and metastases. Magnetic resonance imaging is the most reliable imaging method. Haemangiomas are treated only when they are symptomatic or very large with an increased risk of haemorrhage. Partial splenectomy is the treatment of choice.
  Singapore medical journal 01/2009; 49(12):e356-8. · 0.73 Impact Factor