Chronic low back pain is one of the leading chief complaints affecting adults in the United States. As a result, this increases the percentage of patients that will eventually undergo surgical intervention to alleviate debilitating, chronic symptoms. A 37-year-old woman presented ten hours postoperatively after a lumbar laminectomy with an acute abdomen due to the extraordinarily rare complicat...

Subarachnoid block is commonly used regional anesthetic technique for patients who require surgical anesthesia for lower extremities, perineum, pelvic girdle or lower abdomen. It may be useful in patients with difficult airway or suffered from co-morbidities of severe respiratory disease. Spinal anesthesia covering the mid-thoracic level yields a contracted small intestine to provide superior s...

from april 1983 to september 1990, 32 patients with familial mediterranean fever (fmf) were studied. fmf is characterized by short, self-limited, febrile episodes that occur with inflammation of serosal surfaces. major symptoms include fever and abdominal pain, presenting as acute surgical abdomen. these attacks are associated with considerable morbidity and in some patients lead to unnecessary...

background: renal cell carcinoma is the third most common urological cancer. surgical resection is still the mainstay of treatment for this tumor. here we present a new surgical approach for the management of locally advanced renal cell carcinoma. methods: we chose ten patients with extensive renal masses. the patient, under general anesthesia after preparation and draping, was placed in the su...

Kawasaki disease is generally known as a systemic vasculitis that often concerns doctors due to its serious cardiac complications; however, other visceral organs may get involved as well. Surgical manifestations of the intestinal tract in Kawasaki disease are rare. In this report, we describe the case of a 2.5-year-old boy with typical Kawasaki disease who presented with GI bleeding and surgica...

Wound dehiscence is the premature opening of a wound along surgical line. It is a surgical complication that results from poor wound healing that can increase significantly the risk of morbidity and mortality. Risk factors in general are age, diabetes, obesity, cancer, emergency surgery, pulmonary diseases, malnutrition, weight loss, anaemia, chemotherapy and radiotherapy. The objective of this...

A 85-year-old woman was admitted to our surgical ward with a 4day history of left lumbar pain associated with vomiting and constipation. Her past medical history included congestive heart failure and atrial fibrillation. There was no previous history of trauma or surgery. Physical examination revealed a tender left lumbar mass, 10 cm in diameter, which was not reducible (Fig. 1). The abdomen wa...

Acute abdominal pain with peritonitis due to sudden extravasation of lymph into the peritoneal cavity is a rare condition that is often mistaken for other causes of acute abdomen. The diagnosis of spontaneous chylous peritonitis is rarely suspected preoperatively, usually misdiagnosed with diverse common surgical emergencies. We report the case of an 81 year old female who presented with typica...

2012 in Topiwala National Medical College (TNMC) and BYL Nair Hospital, Mumbai, India, in surgical outpatients, with a left flank lump, oligomenorrhoea, weight loss, increased facial hair and deepening of voice for the last two months. The abdomen was distended, soft, non-tender, with a firm ballotable 17x10 cm mass moving with respiration palpable in left flank. Computed tomography (CT) abdome...

A five-year-old female child presented with intestinal obstruction. X-ray abdomen and chest showed multiple air-fluid levels in abdomen and a single gas shadow with air-fluid level in left hemithorax. Ultrasound confirmed the presence of gut loop in left side of chest. Laparotomy was carried out with repositioning of intestinal loops in abdominal cavity and closure of posterolateral diaphragmat...