Objective: To evaluate the outcome of loop illestomy in late cases of illeal typhoid perforation in terms of duration of hospital stay, morbidity and mortality in our set up. Methodology: This prospective study was conducted at Khyber medical University (KMU), Institute of Medical Sciences, Kohat from January 2005 to January 2011. We studied 58 consecutive cases having ileal typhoid perforation...

BACKGROUND Ramucirumab is a monoclonal antibody targeting vascular endothelial growth factor receptor 2 (VEGFR-2). Ramucirumab either alone or in combination with paclitaxel (PTX) has been found to be safe and effective for patients with previously treated advanced gastric cancer. One of the serious adverse events associated with ramucirumab is gastrointestinal (GI) perforation. CASE PRESENTA...

There are very clear-cut indications for exploratory laparotomy. With all of the diagnostic aids in use at present and even with the maximum amount of skill on the part of the surgeon, conditions arise which are not possible of diagnosis without exploratory laparotomy. This study was done to look for the various indications of exploratory laparotomy, their presentation and outcome. This retrosp...

Ascariasis is a common worm infestation in developing and under-developed countries. It is caused by the ingestion of food contaminated with Ascaris eggs from faeces and is more common in places with poor sanitation. Almost 25% of the world population is infested by Ascaris lumbricoides. Although ascariasis is a chronic disease, it can present as acute abdomen rarely. The wandering nature of As...

burkitt lymphoma of stomach is among the most rapidly growing gastric cancersassociated with several gasterointestinal  symptoms  including  hematemesis,  anorexia,  vomiting  and  etc. gastric perforation  in patients with burkitt lymphoma of stomach is a very rare condition especially after chemotherapy. we herein present a 21-year old man who was kwon case of gastric burkitt lymphoma who had...

PURPOSE To determine the rate of persistent tympanic membrane perforation after intratympanic steroid injection. To determine which comorbid conditions and risk factors are associated with prolonged time to perforation closure following intratympanic steroid injection. MATERIALS AND METHODS Clinical data were gathered for patients who had undergone intratympanic steroid injection to treat sud...

Background: Appendiceal perforation in patients with acute appendicitis may cause a variety of potentially life-threatening complications. Escherichia coli endotoxin has been shown to impact physiological bile flow in vivo. This had led to the theory that hyperbilirubinemia and elevated CRP in patients with appendicitis may have a predictive potential for the preoperative diagnosis of appendice...

The records of 39 patients who had developed a perforation of the oesophagus after instrumentation were reviewed. Ten (group A) had cervical and 29 (group B) thoracic oesophageal perforation. Twenty three perforations occurred during dilatation of an oesophageal stricture, 10 during oesophagoscopic removal of a foreign body, and six during diagnostic oesophagoscopy. Of the 21 patients treated w...

Background and study aims  Management of post-sphincterotomy perforations is variable, with some patients managed conservatively and other requiring surgery. Fully-covered self-expanding metal stents (FCSEMs) have been used in the past, but data is limited. The aim of this study was to report the clinical characteristics and outcomes following placement of anchored FCSEMSs for the immediate man...

INTRODUCTION Femoral perforation after hemiarthroplasty is a known complication. In cases with cemented hemiarthroplasty the recommendation is to leave the implant till it requires revision while for uncemented hemiarthroplasty early revision is recommended. CASE REPORT We present a case of perforation of lateral femoral cortex after Autin Moore hemiarthroplasty.. The patient reported a swell...