BACKGROUND Undetected perforation during laparoscopic pyloromyotomy can be fatal. Detecting a perforation at the time of laparoscopic pyloromyotomy is difficult. The purpose of this study was to determine whether air insufflation of the stomach reliably detects perforation during laparoscopic pyloromyotomy. CASE REPORTS Between 2007 and 2008, 71 patients underwent laparoscopic pyloromyotomy a...

Background: The purpose of this prospective study was to determine the accuracy of pedicular screw insertion withoutthe use of fluoroscopy.Methods: This study was conducted on patients with spinal diseases in need of pedicular screw fixation and fusion.The included patients suffered from such conditions as vertebral fracture, spinal stenosis, kyphosis, tumor, and pelvicf...

PURPOSE In this study, we aimed to review the clinical presentation of preterm infants with gastrointestinal perforations and compare the clinical features of gastric perforation with other intestinal perforations. METHODS The medical records of preterm neonates with pneumoperitoneum, admitted to the neonatal intensive care unit (NICU) between January 1994 and December 2013, were retrospectiv...

Septal perforation from intranasal cocaine abuse is well recognised. We present a case of progressive septal as well as palatal perforation. Progression from septal perforation to palatal perforation occurred after cessation of intranasal cocaine abuse. This patient had a weakly positive cytoplasmic antineutrophilic cytoplasmic antibody (C-ANCA) but no histologic evidence of Wegener's Granuloma...

With the exception of accidental perforation during a laparoscopic cholecystectomy, an iatrogenic gallbladder perforation is quite rare. Several cases have been reported as a complication of interventional or endoscopic procedures. Although a case of gallbladder and stomach perforation during gastric endoscopic mucosal resection (EMR) has been reported, we encountered a case of gallbladder perf...

Spontaneous duodenal perforation in two patients with primary systemic amyloidosis associated with multiple myeloma is described. Bowel perforation is a rare and often fatal complication of amyloidosis, and duodenal perforation has not been previously described. Both patients survived the bowel perforation with conservative management. Bowel perforation should be suspected in patients with amyl...

Background. The challenging treatment of penetrating paediatric Crohn's disease (CD) involves pharmacological and surgical approaches. Despite a proved efficacy of anti-TNF agents for treatment of complex fistula, a large number of patients cannot achieve a complete healing and relapse during the followup. Aim. We report a paediatric case with CD and colonic perforation who was successfully tre...

Background: Currently, the CAP protocol mandates evaluation of ≥12 Lymph nodes as a quality indicator for adequacy pathologic examination colorectal cancer resection specimens. Aim: To identify factors that may influence lymph node yield in specimens and to compare with relevant publications. 
 Methods: The retrospective study seventy patients loco-regional adenocarcinomas treated by stand...

Gall bladder perforation is a potentially life-threatening condition. Spontaneous perforation is infrequent and rarely seen in the absence of gallstones but gall bladder perforation is an occasional complication of typhoid fever. If such perforations are not treated in time, mortality rates are very high. We report a case of gall bladder perforation complicating typhoid fever following enteric ...