A 49-year-old Caucasian female underwent a second kidney–pancreas transplant in May 2002 for end-stage diabetic nephropathy. Her postoperative course was complicated by intra-abdominal sepsis and the development of bilateral deep venous thrombosis (DVT). The patient was treated conservatively, with a 6-month course of oral anticoagulation. One month after discontinuation of oral anticoagulation...

We report a rare case of solid pseudopapillary neoplasm in 24-year-old woman, who presented with progressively worsening left epigastric and right lower quadrant abdominal pain for several weeks. A CT scan showed mass the tail pancreas that extended to hilum spleen. Endoscopic ultrasound (EUS)-guided fine needle aspiration (FNA) immunohistochemical analysis exhibited findings pathognomonic neop...

A letter cancellation task revealed neglect of the lower left quadrant when cancellation began at the top, but of the upper left quadrant when it began in the bottom. When the cancellation was done line by line through a "window" which covered all but the line currently worked on, the quadrant effects disappeared, so that fatigue could not explain these effects. An alternative hypothesis is tha...

The occurrence of methicillin-resistant Staphylococcus aureus (MRSA) is well documented, but the pathology is usually associated with post surgical infections or long-term peritoneal dialysis. We report the case of a 50-year-old Caucasian man who presented with a one week history of left lower quadrant abdominal pain, poor appetite and nausea due to MRSA peritonitis secondary to perforated sigm...

A 70-year-old woman presented to our emergency department with recurrent episodes of left lower quadrant pain. She subsequently underwent high anterior resection with working diagnosis of acute diverticulitis, but intraoperatively was found to have perforated sigmoid diverticulum due to toothpick impaction. A high index of suspicion is required for diagnosis of toothpick ingestion. Appropriate ...

Ectopic ovarian tissue is a rare gynecologic condition. The presence of ectopic ovary may be accompanied by maldevelopments of the genital and urinary tract. We report an extremely rare case of a 39-year-old woman presenting with abdominal pain localized in the right lower quadrant. During the preoperative investigation and the exploratory laparotomy, an ectopic ovary in contact with the append...

BACKGROUND Class 3 urogenital malformations are a rarely encountered in the clinical setting. The association with complex vascular malformations represent a challenge in diagnosis and intraoperative management with an enhanced degree of the complexity. CASE PRESENTATION Young female presented to the emergency department with pain in the left lower quadrant and unspecific abdominal symptoms t...

A very agitated and nervous 20-year-old presented with severe dental pain, bad breath and complaining about his poor dental appearance. A comprehensive intraoral and radiographic examination revealed 22 carious and erosion lesions. He reported using methamphetamine for the better part of five years and had not experienced problems with the teeth prior to using the drug. The patient’s medical an...