One-day-old term male newborn admitted with features of birth asphyxia. An NG tube was passed and IV fluids with parenteral antibiotics were started. Next day, the patient developed a progressive abdominal distention and bilious vomiting. A plain abdominal X-ray showed evidence of massive pneumoperitoneum. Laboratory tests were within normal limits. At operation, there was an ovoid gastric perf...

man at Barrackpore. I had met him at a ball on the 29th September ; he then appeared quite well, danced a good deal, was in high spirits, &c. lie stated tbat on Saturday evening (30th September), he felt " seedy" and could not eat his dinner. He thought he wa3 bilious and took some aperient pills, going to bed. The pills did not operate. The night of Saturday to Sunday was very uncomfortable : ...

We are reporting two neonates with isolated pyloric atresia, with an objective to emphasize the importance of considering this rare condition in the differential diagnosis of upper intestinal atresias. Both had non-bilious vomiting and epigastric fullness. X-ray showed a dilated gastric shadow with no evidence of gas in the rest of the abdomen. On exploration they had pyloric atresia which was ...

Ficus racemosa Linn. is a moderate-sized avenue tree found throughout India either wild or cultivated for its fruits eaten by villagers. It is popular in Indigenous System of Medicine like Ayurveda, Siddha, Unani and Homoeopathy. In the Traditional System of Medicine, various plant parts such as bark, root, leaves, fruits and latex are used in dysentery, diarrhoea, diabetes, bilious affections,...

CASE REPORT A 3-yr-old female presented at the emergency dept with a 24-h history of dyspnoea, productive cough, bilious vomiting and a low-grade fever. At physical examination, nasal flaring and mild chest retractions were noted. No stridor or wheezing was present and oxygen saturation was normal. Heart rate was 120 bpm in the presence of a low-grade fever (38.6uC). Decreased breath sounds wer...

Spontaneous perforation of extrahepatic bile duct is rare. The cause is idiopathic once trauma and choledochal cyst are ruled out. The condition presents a diagnostic dilemma. Preoperative recognition is necessary as early surgical intervention gives excellent prognosis. We report clinical observations made in three cases with acute presentations. Diagnosis is to be suspected by the presence of...

Congenital tracheobiliary and bronchobiliary fistulae are rare malformations in which patent communications exist between the respiratory system and biliary tract, respectively. We present a newborn who was admitted with respiratory distress and bilious tracheal discharge. Investigation revealed a bronchobiliary fistula originating from the left main bronchus, as well as biliary atresia. Excisi...

Duodenal tuberculosis is an uncommon disease. It may be either extrinsic or intrinsic or both. In the extrinsic type there can either be primary duodenal involvement or compression due to enlarged paraduodenal lymph nodes. The clinical presentation can be dyspeptic or obstructive symptoms. The dyspeptic symptoms include epigastric pain, nausea, and occasional vomiting and obstructive symptoms i...