Gastrointestinal duplications are rare but interesting clinical entities. The presentation depends on their anatomical location, size and other characteristics. The most common variety is the small bowel cystic duplication. We report a case of a 13 year old male who presented with recurrent abdominal pain and vomiting. USG abdomen suggested a possibility of Meckel’s diverticulum. Laparotomy rev...

INTRODUCTION Hypothalamic hypopituitarism is relatively rare cause of secondary adrenal deficiency which is often accompanied by severe hypoglycemia. Hydrocortisone replacement therapy is essential for this condition, but gastrointestinal symptom such as nausea and vomiting is not well-recognized adverse effect of hydrocortisone. CASE DESCRIPTION A 64-year-old-woman was referred to our hospit...

A boy aged five years presented with a new recurrent headache over the past month, associated nausea and occasional vomiting, as well photophobia, phonophobia pallor. The episodes lasted up to six hours at time occurred 3–4 times per week. They were usually preceded by approximately 30 minutes of irritable dysregulated behaviour. any day. patient had only woken once headache. There was no abdom...

OBJECTIVE To compare the analgesic efficacy of diclofenac sodium and paracetamol on post adenotonsillectomy postoperative pain and oral intake. METHODS Between January 1999 and July 2000, 80 children aged 3-14 years, underwent tonsillectomy and adenoidectomy for either recurrent tonsillitis or adenotonsillar hypertrophy in Prince Zeid Ben Al-Hussein Hospital and Prince Rashid Ben Al-Hussein H...

Appendicitis has its acute, subacute, recurrent and chronic forms. is commonly predisposed to precipitated by a single or combination of multiple discrete factors like obstruction lumen, ischemia from thromboembolic episodes, infection idiopathic etc. Typically, it starts as umbilical peri-umbilical midline abdominal dull aching pain that soon gets localized in the right iliac region. Movements...

BACKGROUND Cyclic vomiting syndrome (CVS) in adults is a disorder characterized by recurrent and stereotypic episodes of severe nausea, vomiting and abdominal pain separated by symptom-free intervals. Our goal was to investigate gastric emptying (GE) in CVS patients. MATERIAL AND METHODS This was a retrospective study of 30 adult patients who met Rome III diagnostic criteria for CVS. Rapid GE...

A 23-year-old male with one month of intractable vomiting, subsequent cholecystitis status post cholecystectomy, and overall 40-pound weight loss over the last few months presented with altered mental status and seizures. MRI showed signal abnormalities involving the hypothalamus, periaqueductal gray matter, 4th ventricle, and bilateral thalami, indicative of Wernicke's encephalopathy. The pati...

Malrotation of the gut especially the mid gut is rare and is a common cause of upper intestinal obstruction resulting in recurrent bilous vomiting early in life. Early diagnosis is important, so that corrective surgery can be performed immediately. The aim of the study is to review 26 cases of malrotation of upper gastro-intestinal tract managed by the authors over a 5 year period, note associa...