Borderline para-ovarian cysts (PCs) are rare entities. They are commonly present in the third decade. Borderline PCs are often discovered fortuitously on routine ultrasound examination or they are common incidental findings during a laparotomy. They must be differentiated from simple ovarian cysts, peritoneal inclusion cysts and hydrosalpinges on ultrasound sonography. Papillary projections on ...

A 32-year-old woman presented with abdominal pain in the left lower quadrant, of one day's duration. Ultrasonography of the abdomen revealed a cystic structure in the right adnexa, probably with torsion. Computerized tomography of abdomen and pelvis showed a large pelvic cyst which arose most likely from the left ovary. An urgent laparotomy was done, which however showed a twisted para-ovarian ...

Uterine rupture is a life threatening condition for both the mother and her fetus. It may be seen in the second trimester usually after induction for pregnancy termination in a scarred uterus. Spontaneous rupture in the second trimester before labor is a very rare condition. Here, we report a case of uterine rupture at 23-week pregnancy due to elevated uterine pressure with a history of laparos...

Haemorrhagic cholecystitis is a known rare life-threatening complication of acute cholecystitis. In this case report, we describe clinical presentation and radiological findings of acute cholecystitis presenting with massive intra-abdominal haemorrhage. We present a case of a 57-year-old male presenting to the emergency department with clinical symptoms of acute cholecystitis. Initially, the pa...

Isolated fallopian tube torsion is an uncommon cause of acute low abdominal pain in women. We present a case of 18-year-old virgin girl with isolated right fallopian tube torsion. She was admitted to the Emergency Department of our hospital with abdominal pain. Pelvic ultrasound revealed bilateral enlarged ovaries containig 4 cm and 3 cm cystic masses and some free fluid in the pouch of Douglas...

BACKGROUND Isolated omental haemorrhage is a rare entity of which only case reports exist. This is usually in the setting of trauma, neoplasms or anticoagulation. CASE PRESENTATION We report a case of spontaneous idiopathic omental haemorrhage with no evidence of trauma, neoplasm or presence of anticoagulation. This was identified on the imaging studies performed for the purpose of diagnosis ...

PURPOSE The purpose of this study is to describe the CT features of the small bowel feces sign and to determine its value as a positive criteria of non-severity in adhesive small bowel obstruction. MATERIALS AND METHODS We performed a retrospective study of adhesive small bowel obstructions diagnosed by CT from January 2001 to December 2002. All CT examinations featuring a small bowel feces s...

Pancreatico-pleural fistula is a rare condition in which pancreatic enzymes drain directly in to the pleural cavity, most commonly from an enlarging pseudocyst. We review the literature on the causes, investigations and treatment of pancreatico-pleural fistulae and compare this with our own experience of the case of a 41 year old man with a left sided pancreatico-pleural fistula associated with...

BACKGROUND Gastrointestinal stromal tumor represents a rare neoplasm that originates in the muscular wall of the hollow viscera. AIM To report gastrointestinal stromal tumor as a source of upper gastrointestinal bleeding, which required urgent surgical control. PATIENT/METHOD A man with 61 years old was admitted to the emergency service sustaining hematemesis and melena. Endoscopy showed ac...

Primary fallopian tube cancer in pregnancy is rare and is even more so for the clear cell variant. Our case is the third case of primary fallopian tube cancer in pregnancy and the first case of clear cell adenocarcinoma of the fallopian tube in pregnancy. The patient presented with increasing pelvic pain starting in the second trimester. Serial ultrasound evaluations were performed and revealed...