A 42-year-old man patient presented with progressively increasing, occasionally painful lump in the left upper and central abdomen. Investigations revealed well-defined capsulated left adrenocortical carcinoma. Tumor was resected successfully along with left kidney. Tumor recurred in the abdominal surgical scar 1.5 years after surgery. We are reporting this case because of rarity of metastatic ...

A patient developed persistent symptoms and signs suggestive of partial spinal cord infarction after an operation involving the use of the hyperlordotic position. This position involves extension at the waist, such that both the head and feet are below the level of the waist. It is employed to increase surgical access to the abdomen. Where this position is adopted for a prolonged surgical proce...

Appendectomy is one of the most common procedures in surgical practice. Stump appendicitis is an acute inflammation of the residual part of the appendix and a rare complication of incomplete appendectomy. It may present clinically as acute abdomen. We report a case of stump appendicitis 12 years after open appendectomy. After the diagnosis of acute appendicitis, the patient was operated and dis...

UNLABELLED Accidental or intentional ingestion of sharp metallic foreign bodies is a common clinical occurrence. Predisposing factors include excessive alcohol intake, mental impairment and psychiatric illnesses. Usually, the detection of a migratory foreign body is incidental when patients present with unrelated symptoms. A 50-year-old woman attended the surgical outpatient clinic with a forei...

An 18-month-old male infant presented with intermittent non-bilious vomiting with pain abdomen for last six months. There was history of localized abdominal distension which gets relieved partially, with vomiting. Patient was born at full term and had no previous medical or surgical history. On examination, patient’s weight was 8.8 kg. Biochemical profile was normal. X-ray abdomen revealed gast...

Inflammatory pseudotumour is a rare cause of intussusception. It consists of a localized, usually polypoid mass that is composed of inflammed fibrous and granulation tissue. We report a case of 42-year old woman who presented with abdominal pain, vomiting and distention of abdomen since one day. X ray abdomen (erect) did not show air fluid level. CT abdomen showed target sign suggestive of intu...

Hemophiliacs are subjected to develop episodes of spontaneous bleeding at different sites of the body, primarily the knees. On occasions, such episodes affect the abdomen. The picture engendered in such cases may mimic that of an abdominal emergency requiring surgical intervention. Such ill advised and unwarranted intervention may end with the patient's death. With the proper employment of radi...

Introduction In our day to day practice we have to face many of the acute abdominal conditions. As we know acute abdomen means the patient complaints of an acute attack of pain in abdomen which may occur suddenly or for a period of several hours and gradually becoming worse and demands an urgent diagnosis, treatment and even surgical intervention. Early accurate diagnosis is essential for prope...

Major additional pathology, in the abdomen or directly related to the aneurysm itself, which influenced surgical management was demonstrated in 39 (34.5%) of 113 patients with suspected abdominal aortic aneurysm who had undergone pre-operative assessment with computed tomography (CT). Major additional pathology within the abdomen was shown in 11 (9.7%) and related to the aneurysm itself in 26 (...