A female patient was admitted to our hospital with sigmoid colon perforation caused by migrated biliary plastic stent, which was placed 2 months ago for the treatment of choledocholithiasis. The patient underwent sigmoid colon resection with primary anastomosis and was discharged on seventh postoperative day in good general condition.

Postoperative neonatal intestinal obstruction has a myriad of etiology. An operated case of imperforate anus developed intestinal obstruction early postoperatively. At re-operation, missed complete congenital pouch colon with a small perforation and displacement of small bowel into the lesser sac were found. The patient was managed by adhesionolysis, excision of pouch colon, and end ileostomy. ...

Perforative peritonitis is the most common cause of emergency encountered by surgical units all over the world including India. The spectrum of etiology of perforation in asian countries differs from the western world. This study was conducted at Padmashree Dr D.Y.Patil hospital and research centre ,Navi Mumbai to highlight the spectrum of perforative peritonitis ,identify the factors influenci...

A 64-year-old woman was admitted to our hospital with lower abdominal pain. Routine laboratory values were unremarkable except for the white blood cell count (15,000/micro litter) and the C-reactive protein (CRP) value (22.5 mg/dl). A Computed tomography (CT) scan revealed air collection in the middle of the anterior pararenal space. One day later, CT revealed air collection in the anterior par...

A 78-year-old woman presented to the emergency department with severe abdominal pain. Her WBC count was within normal limits, and a physical examination revealed abdominal distention and perianal tenderness. Written informed consent was obtained from patient for computed tomography (CT). Scout radiography revealed signs of colonic obstruction and fecal impaction in the colon (Figure 1). Accordi...

An 86 year old male with a four-day history of nonspecific gastrointestinal symptoms was found on colonoscopy to have evidence of sigmoid colon obstruction and possible perforation. Emergent operative exploration revealed diffuse peritonitis, sigmoid perforation, adjacent dense adhesions, and a foreign body protruding through the perforated area. Pathologic examination showed the foreign body t...

month history of chronic constipation and abdominal bloating. Because of concern about a colorectal lesion, colonoscopy was done and hundreds of small polyps were found throughout the colon, most being less than 4mm in diameter. Some of the bigger polyps were removed by polypectomy andwere found at pathologic examination to be tubular adenoma. As the patient was unwilling to undergo a rectum-pr...

Ogilvie syndrome (colonic pseudoobstruction); it is an acute and excessive dilatation of the colon with clinical radiological obstruction, although there no mechanical obstruction in colon. In this syndrome, severe nausea-vomiting, abdominal pain distension are seen as findings. Although its etiology not known exactly, assumed to occur due autonomic nervous system dysfunction. This which especi...

True idiopathic perforation of the colon in the adult is both a rare and unusual clinical entity. As the name suggests, there is no identifiable cause making this a diagnosis of exclusion. Due to its rarity, it is difficult to establish causality between the disease and associated patient factors. Mortality of this disease is secondary to the resulting fecal peritonitis and can be reduced by ea...

Prasanna L. Ponugoti, MD, Douglas K. Rex, MD Indiana University School of Medicine, Division of Gastroenterology and Hepatology Indianapolis, Indiana, USA Underwater EMR is effective and safe and does not require submucosal injection. Here, we describe the first perforation during underwater EMR. A 62-year-old man had a 30-mm flat lesion in the proximal ascending colon visible only in retroflex...