Search

Pseudomyxoma peritonei is a relatively rare and poorly understood condition in which mucus accumulates within the peritoneal cavity. The presence of cells in the mucin, either inflammatory or neoplastic, distinguishes [...]

Symptomatic Meckels diverticulum is an extremely rare entity in pregnancy, and Perforated Meckel's diverticulum even more. The clinical presentation may be variable as in any case of acute abdomen in pregnancy and the preoperative diagnosis may be hampered by the various anatomical and physiological changes that occur during pregnancy. The treating surgeon should have a high index of suspicion to diagnose such cases, as prompt diagnosis and appropriate treatment is imperative in these cases to prevent high rate of maternal and fetal morbidity. We report one such case of perforation of Meckel's diverticulum in whom the clinical findings on abdominal examinations did not reveal any signs of peritonitis, the patient underwent spontaneous abortion within a few hours after admission, massive pneumoperitoneum was only diagnosed after a CT scan of abdomen was done. Patient had been treated outside at a local hospital for 3 days conservatively, probably due to normal abdominal findings except for distension. When we did an exploratory laparotomy we found to our surprise a perforated Meckel's diverticulum with gross fecal contamination, segmental resection and anastomoses was done. The patient was discharged on the 10th post operative day. Keywords: Meckel's diverticulum | Perforation | Pregnancy | Spontaneous abortion, Introduction Various disorders of the Gastrointestinal tract can present during pregnancy and in fact 0.2--1 % of all pregnant women require non obstetrical general surgery [1], the incidence of acute [...]

Spontaneous perforation of pyometra is a rare pathologic condition that presents as diffuse peritonitis. We report a rare case of diffuse peritonitis caused by spontaneously perforated pyometra. A 68 year old woman was admitted to our hospital with signs of generalised peritonitis. At laparotomy, about one litre of pus was found in the peritoneal cavity with two perforations present in the dome of uterus. There were no abnormal findings in the alimentary tract. A total abdominal hysterectomy with bilateral salpingo-oophorectomy was performed. Pathological examination of the specimen revealed uterine perforation with changes of chronic cervicitis, but there was no evidence of malignancy. Although spontaneously perforated pyometra is rare, it should still be kept in the differential diagnosis when an elderly woman present with an acute abdomen. Keywords: Pyometra | Peritonitis | Ruptured uterus, Introduction Pyometra is defined as a pooling of pus in the uterine cavity and occurs when the natural drainage of the uterine cavity is compromised. It develops gradually and progresses [...]

Laparoscopic appendicectomy is now increasingly performed in cases of uncomplicated appendicitis, offering potential advantages in terms of reduced postoperative pain, hospital stay and negative appendicectomy rates. (1) As with the open operation, the peritoneal cavity should be examined for alternative pathologies where the appendix appears normal. We describe an unusual case of cocktail stick perforation of the terminal ileum that mimicked appendicitis., Table of Contents Abstract Case report Discussion References Abstract Case report A 22-year-old man presented to the emergency department complaining of a 6-day history of abdominal pain, localised predominantly in [...]

Tropical pyomyositis is an infection of the muscle, most commonly by the bacteria Staphylococcus aureus, that results in the deterioration of muscle tissue. It commonly occurs in regions close to the equator and accounts for four percent of surgical admissions in areas of Africa, Southeast Asia, and the South Pacific. Although the disease is rare in the United States, the first reported cases occurred in three patients from India, Puerto Rico, and Biafra, who had immigrated to the United States. Pyomyositis occurs in three stages: muscle pain, fever, an increased number of white blood cells and decreased erythrocyte sedimentation rate (the rate at which red blood cells settle; used to indicate certain diseases), occur in the first stage; stage II occurs 10 to 21 days after disease onset and is characterized by fever, muscle pain, accumulation of fluid, local reddening and hardening, and accumulation of inflammatory cells and bacteria; the final stage is associated with infection of the blood and thus spreading of the infection, and inflammation of the heart and joints. A case is described of a 19-year-old man originally from El Salvador with symptoms of abdominal pain, fever, increased white blood cells, rapid heart rate, and low blood pressure upon standing. Abdominal abscesses were detected by imaging techniques and surgical drainage of the abscess showed infection of the muscle. The muscle disease can be treated by surgically opening and draining the abscess and use of antibiotics given directly into the circulation. (Consumer Summary produced by Reliance Medical Information, Inc.)

Table of Contents Background Case Report Conclusion Corresponding author References Background Para-oesophageal (rolling) hiatus herniae are less common than sliding hiatus herniae. They are more common in the elderly age [...]

Patients who are receiving nutrition through a catheter in a leg vein should be checked periodically to make sure the fluid is not leaking into the tissues. Three children who were receiving nutrition through a femoral catheter developed symptoms of abdominal distress. Diagnostic procedures revealed that the fluid had leaked out into the abdominal cavity. Removing the catheter caused abdominal function to return to normal within three days.