BACKGROUND Pancreatic cancer has the worst survival for any cancer and is often diagnosed late when the cancer is advanced. Chances of survival are more likely if patients can be diagnosed earlier. AIM To derive and validate an algorithm to estimate absolute risk of having pancreatic cancer in patients with and without symptoms in primary care. DESIGN AND SETTING Cohort study using data fro...

Intussusception in a premature baby is a rare condition. We report a male preterm infant, who developed abdominal distension and abdominal wall erythema. He was operated with suspicion of NEC but an ileo-ileal intussusception and intestinal perforation were encountered at operation.

Carcinosarcomas are rare biphasic malignant neoplasms with an epithelial and a spindle cell component. We present a 62-year-old man with a history of noticeably abdominal distension, proved by surgery to be caused by carcinosarcoma of the renal pelvis and urinary bladder, occupying the entire left abdominal flank. We also illustrate the appearance of this rare entity on sonography and computed ...

A 62-year-old patient presented with flatulence, abdominal distension and other symptoms of ileus. Roentgenographic finding found compression on duodenum. Blood pool scintigraphy ((99m)Tc erythrocytes) showed aortal aneurysm, while simultaneous gastric emptying study with liquid meal ((99m)Tc-S-colloid) showed dislocation of duodenum and compression from abdominal aortal aneurysm.

A thirty eight year old female with a long standing history of a chronic duodenal ulcer presented at the Nyeri Provincial General Hospital with vomiting, abdominal pain and abdominal distension. Oesophago-gastro-duodenoscopy revealed a tight pyloric stenosis while abdominal ultrasonography showed ascites. At laparatomy, she was coincidentally found to have pneumatosis cystoides intestinalis (PC...

Intestinal obstruction caused by an enterolith formed in a small bowel divertic-ulum is rare. In most cases the enterolith arises from a jejunal diverticulum in an elderly patient. When enterolith obstruction is diagnosed, the entire small bowel and gallbladder should be examined to determine the source. We present three cases and discuss the management options. CASE 1. A 37-year-old female pre...