Uterine rupture often occurs in the third trimester of pregnancy or during labor. Its occurrence in early pregnancy and in the absence of any predisposing factors is very rare. Untimely diagnosis and a low index of suspicion could be life-threatening. Here we report the case of a 29-year-old woman with a history of two previous cesarean sections. An ultrasound report revealed a dead fetus in th...

Background. 1 in 200 ectopic pregnancies are true ovarian pregnancies that fulfill the Spiegelberg criteria. Despite being rare, multiple case reports and series have been reported. Few cases have been published in which the event was preceded by salpingectomy. Case. The patient is a 32-year-old female who presented to the emergency room with abdominal pain. She was found to be pregnant, despit...

Small bowel obstruction is a frequent surgical emergency. Adhesional obstruction is the commonest cause in patients who have had previous abdominal surgery. In those without previous abdominal surgery common causes of obstruction include obstructed hernias and metastatic malignancy involving the small bowel. Rarer causes include small bowel volvulus, stricturing Crohn’s disease, small bowel dia...

A 20-year-old male judo teacher presented with acute left flank pain and gross hematuria. At the time of this presentation, the patient was hemodynamically stable. He had no clear history of blunt abdominal trauma, or preexisting conditions or previous surgery. Multiphase abdominal computed tomography confirmed an active extravasation from a segmental renal artery during the arterial phase (Fig...

A 50 year old man presented with abdominal pain and weight loss after a splenectomy performed 26 years ago for abdominal trauma. At laparotomy, a mass was found at the tail of the pancreas. Pathological examination showed this was a traumatic neuroma and revealed evidence of chronic pancreatitis. Traumatic neuroma may be a rare cause of a pancreatic mass, especially after previous surgery or tr...

A 43 year-old male patient presented with small bowel obstruction while being treated for cervical tuberculous lymphadenopathy. Laparotomy revealed multiple adhesions and multiple jejuno-jejunal fistulae. Absence of previous abdominal surgery or other abdominal insult favoured an 'idiopathic' origin of these unusual lesions, although treated tuberculosis may have been the underlying cause. To t...

Cutaneous endometriosis of the umbilicus is an unusual condition with unclear pathogenetic mechanisms that might be mistaken for a malignant condition. A 46-year-old woman presented with a cutaneous black mass in the umbilicus. The lesion was removed surgically and histological analyses revealed that it consisted of endometrial tissue. There was no recurrence at 18-month follow-up. Endometriosi...

Background: The etiology of pelvic organ prolapse is multifactorial. Age and parity are especially the two most important risk factors for this condition. Small bowel obstruction one common clinical presentations to emergency department that can result in significant morbidity mortality. Case presentation: A 79-year-old woman with a previous history uterine no intraabdominal surgery or malignan...