scholarly journals Spontaneous perforation of caecum, a rare entity: case report and review of literature

2018 ◽  
Vol 5 (5) ◽  
pp. 1946
Author(s):  
Rakesh Sharma ◽  
Biren P. Padhy ◽  
Supreet Kumar ◽  
G. Lakshmi Suchithra ◽  
Meka Hareesh

Spontaneous perforation of caecum is a rare entity. Here we present a case of 72-year-old male who had presented with pain, distension of abdomen with tense pneumo-peritonium and peritonitis. Exploratory laparotomy showed caecal perforation without any obvious cause.  Various theories have been proposed regarding the pathology but still its etiology remains a dilemma. Though it is not a common entity, it weighs a high importance in case of diagnosis and prompt intervention due to its high mortality from peritonitis and septicaemia.

2014 ◽  
Vol 03 (07) ◽  
pp. 392-397 ◽  
Author(s):  
Ahmed M. Makki ◽  
Soha Hejazi ◽  
Nisar Haider Zaidi ◽  
Adel Johari ◽  
Abdulmalik Altaf

2018 ◽  
Vol 32 (3) ◽  
pp. 458-461
Author(s):  
G. Venkateswara Prasanna ◽  
Sathish Kumar Vandanapu ◽  
Hima Bindu

Abstract Bilateral extradural haematomas [EDH] are rare and it is an uncommon consequense of cranio cerebral trauma. The mortality is higher than unilateral extradural haematoma and management of extradural haematomas requires careful planning, judicial surgical exposure and most important is timing of evacuation of extradural haematomas. Emergency evacuation of bilateral extradural haematomas were performed in this case with uneventful postoperative period. The pathophysiology and surgical nuances of this rare entity been discussed.


2020 ◽  
Author(s):  
Mumin Hakim ◽  
Rania Mostafa ◽  
Mohammed Al Shehri ◽  
Sherif Sharawy

Abstract Background: Subhepatic appendicitis is an exceedingly rare presentation accounting for 0.01% of Acute appendicitis. It is of prime importance to be aware of various variants and thereby managing such challenging cases accordingly.Case presentation: We present a middle-aged female patient with subhepatic perforated appendicitis and peritonitis who underwent an exploratory laparotomy and appendectomy.Conclusions: Surgical management of such patients is challenging due to an atypical presentation. The surgical management of such patients is discussed with a brief review of literature.


2019 ◽  
Vol 33 (3) ◽  
pp. 312-315 ◽  
Author(s):  
Torroni Andrea ◽  
Gasparini Giulio ◽  
Longo Giuliana ◽  
Pelo Sandro

2014 ◽  
Vol 10 (4) ◽  
pp. 1098 ◽  
Author(s):  
LPavan Kumar ◽  
I Monica ◽  
MeghaS Uppin ◽  
VJagannathrao naidu Kotiyala

Author(s):  
Wais Farda ◽  
Mohammad Omar Shaban ◽  
Mohammad Salem Sadeq ◽  
Hedayatullah Mangal ◽  
Mohammad Ibrahim Hail ◽  
...  

2020 ◽  
Vol 8 (C) ◽  
pp. 121-124
Author(s):  
Darmadi Darmadi ◽  
Riska Habriel Ruslie ◽  
Carolus Trianda Samosir

BACKGROUND: Gallstone ileus (GI) is a mechanical obstruction in the intestinal lumen due to gallstones. Its prevalence is very low, but it possesses a high mortality rate. It is commonly found in older female population. CASE REPORT: We reported a case of GI in a 61-year-old Chinese female, who presented with acute onset of abdominal pain, nausea, and intermittent vomiting. On water-soluble contrast follow-through examination, she showed total bowel obstruction on the level of terminal ileum due to suspected gallstone. Exploratory laparotomy with procedure of enterolithotomy and stone removal by milking the bowel distal to the stone were performed. Post-operative course was uneventful, but the patient was discharged at post-operative day 8. Furthermore, the patient underwent cholecystectomy and fistula repair in the following days (two-stage surgery). She was followed up in the clinic for 12 months and the patient remained asymptomatic. CONCLUSION: GI is a rare medical condition with a high mortality rate, commonly affecting females and elder population. It must be considered in a patient with bowel obstruction, especially with a history of cholelithiasis. Many clinicians prefer enterolithotomy alone, followed by cholecystectomy at later date, because of its lower morbidity and report high spontaneous fistula closure.


2020 ◽  
pp. 1-3
Author(s):  
Rinsha Gireesh ◽  
Kaustubh Bendale ◽  
Subha Lakshmi ◽  
Shiva Bharani

Hyponatremia secondary to malignancy is a rare finding. Syndrome of inappropriate ADH secretion in head and neck cancer patient can be a serious comorbidity leading to decline in the survival rate. However, most of the time it goes undetected at the outset. And the pathophysiology of this link is not clarified. This article highlights a case of SIADH developed in 40-yr-old man with oral cancer. Also, focusses on the importance of diagnosing it and rendering treatment at the earliest.


2014 ◽  
Vol 3 (1) ◽  
pp. 47 ◽  
Author(s):  
PriyaShirish Joshi ◽  
Someshwar Golgire ◽  
Sachin Majati

2019 ◽  
Vol 15 (04) ◽  
pp. 206-211
Author(s):  
José Alberto Carranco Dueñas ◽  
Genny Sánchez Hernández ◽  
Rosa Edith Gálvez Martínez

Abstract Salmonella osteomyelitis is a rare entity, typically associated with hemoglobinopathies or other underlying disorders. We report a case of Salmonella osteomyelitis of the right knee in an otherwise healthy 1-year-old boy. He received 8 weeks (2 weeks intravenous and 6 weeks oral) of antibiotic treatment, with full recovery.


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