Sir We read this article with interest. The study sought to predict the risk of ischaemia in patients with small bowel obstruction (SBO). Existing evidence in the literature supports a strong association between metabolic acidosis and ischaemic bowel in SBO1,2. Surprisingly, metabolic acidosis was not included as a parameter for evaluating such patients in the study. Furthermore, the predictive...

linguatula serrata (l. serrata), an aberrant arthropod of the pentastomida phylum, inhabits the canine respiratory system as its final host. intermediate hosts include humans and herbivores. humans can be infected via consumption of raw or under-cooked liver or lymph nodes of sheep, goats, and cattle. a few human cases have been reported from iran. here, we have reported a case of pentastomiasi...

Bowel intussusception is rare in adults and usually driven by an underlying pathological process affecting the bowel. Renal cell carcinoma (RCC) most common type of kidney cancer its disease course, depending on initial histology stage, can metastasize to adrenal glands, lungs, bones, brains contralateral that be challenging follow. We present case a patient with history radical left nephrectom...

BACKGROUND In Africa, acute intestinal obstruction accounts for a great proportion of morbidity and mortality. Ethiopia is one of the countries where intestinal obstruction is a major cause of morbidity and mortality. This study aims to determine prevalence, causes and management outcome of intestinal obstruction in Adama Hospital in Oromia region, Ethiopia. METHOD A hospital based cross-sect...

Obstruction is the most common surgical disorder of the small bowel. Complete small bowel obstruction (SBO) is usually treated surgically because bowel strangulation cannot be excluded with certainty. Acute SBO has been previously considered a relative contraindication for laparoscopic management especially due to the laparotomy conversion rate. We present a case of SBO for which laparoscopic m...

Splenosis is a historically uncommon etiology for bowel obstruction. Autotransplanted splenic tissues following surgery or trauma of the spleen are known to occur in multiple locations of the abdominal cavity and pelvis. The small bowel mesentery is a blood vessel-rich environment for growth of splenic fragments. We present a case of a 36-year-old male patient who sustained a gunshot wound to h...

Gall stone is responsible for about 1% of total small bowel obstruction, 1.2 and recurrent gall stone ileus is even more unusual. 3 Gall stone ileus is caused by the impaction of the stone in bowel lumen. It was first described in a patient examined at autopsy by Bartholin in 1654. This paper based on unusual recurrent intestinal obstructions by a gall stone. The patient presented with large bo...

INTRODUCTION Endometriosis is a common and benign condition that causes significant morbidity to women of childbearing age. It uncommonly affects the gastrointestinal tract and rarely manifests as an acute small bowel obstruction. PRESENTATION OF CASE A 46-year old female presented to the emergency department with signs and symptoms consistent with an acute small bowel obstruction. She had a ...

BACKGROUND Very few cases of small bowel obstruction due to ingested fruits have been described in literature, and most of these have managed by a laparotomy. Laparoscopic assisted surgery can effectively deal with such impacted foreign bodies, thereby avoiding a formal laparotomy. CASE PRESENTATION A 75 years old lady was admitted via the Accident and Emergency to the surgical ward with a th...