BACKGROUND A common dilemma in the management of pelvic fractures is recognizing the presence of associated abdominal injury. The purpose of this study was to determine the association between initial therapeutic intervention (laparotomy or transcatheter arterial embolization (TAE)) and mortality. METHODS This was a cohort study using the Japan Trauma Data Bank between 2004 and 2010, includin...

Background: The equine colic, which is caused by the presence of enteroliths that are most often found in the small or large colon, is typical for certain geographical regions (dry and hot climate). A diet rich in alfalfa is one of the highest risk factors. The earliest symptoms include weight loss and repeated episodes of colic pain. Aims: To present the resul...

Endometriosis is defined by the presence of ectopic endometrial tissue outside the uterine cavity. Despite being a lead cause of chronic pelvic pain and infertility, its clinical presentation can vary, leading to diagnostic and therapeutic challenges. Extra-pelvic endometriosis is particularly difficult to diagnose owing to its ability to mimic other conditions. Endometrial tissue in a surgical...

we report a case of a 40 year old man with portal hypertension caused by a splenic arteriovenous fistula that was diagnosed at laparotomy. he presented with bleeding esophageal varices and was initially treated by sclerotherapy. at laparotomy, portal pressure was 40 cmh20 but fell to 20 cm h20 after the fistula was treated with splenectomy. all symptoms disappeared shortly after operation and t...

BACKGROUND The nontherapeutic laparotomy rate in penetrating abdominal trauma remains high and the morbidity rate in these cases is approximately 40%. Selective management, rather than mandatory laparotomy, has become a popular approach in both stab wounds and gunshot wounds. The advent of spiral technology has stimulated a reassessment of the role of computed tomography (CT) in many aspects of...

INTRODUCTION Endometrial carcinoma is one of the most common neoplasms in gynecological oncology and the most common genital cancer in women in developed countries. The 5-year overall survival rate depends on the FIGO stage. For patients with stage I endometrial cancer it is estimated as 80%. Traditionally, the main treatment of endometrial cancer consists of total abdominal hysterectomy with b...

BACKGROUND Recently detorsion has replaced salpingo-oophorectomy as treatment for the twisted ischaemic adnexa. This paper asssess whether the ovary resumes normal function after preservation by detorsion. METHODS The results of detorsion performed between January 1988 and December 2001 were retrospectively analysed. Post-operative complications and subsequent ovarian function were assessed i...

OBJECTIVE To compare the operative findings, operative procedure and complications, postoperative complications and hospital stay in patients with ectopic pregnancy managed by laparoscopy and conventional laparotomy. STUDY DESIGN A cross-sectional, observational study. PLACE AND DURATION OF STUDY Department of Obstetrics and Gynaecology, Kathmandu Medical College Teaching Hospital, Kathmand...