BACKGROUND To review the results of Wilms' tumour patients in a tertiary referral hospital in a developing country and to find ways of improving long-term survival. PATIENTS AND METHODS Between January 1998 and May 2004, 40 patients with Wilms' tumour (WT) were admitted to Queen Elizabeth Central Hospital. Their files were reviewed and general physical condition on admission, pre-operative in...

Small bowel obstruction is a frequent surgical emergency. Adhesional obstruction is the commonest cause in patients who have had previous abdominal surgery. In those without previous abdominal surgery common causes of obstruction include obstructed hernias and metastatic malignancy involving the small bowel. Rarer causes include small bowel volvulus, stricturing Crohn’s disease, small bowel dia...

Ovarian cancer is the leading cause of death from gynaecological malignancy in developed countries. Synchronous endometrioid endometrial and ovarian cancer in patients appears with different clinical characteristics compared to patients with isolated endometrial cancer. A 34-year-old woman with lower abdominal pain of 1 year duration presented at the emergency department. On gynaecological exam...

We report on a 61-year-old man who was referred to the accident and emergency department with recurrent episodes of vomiting and diffuse abdominal pain for 1 week prior to admission. The patient also reported frequent constipation and intermittent melaena. He had undergone tumour nephrectomy for metastatic renal clear cell carcinoma 3 years before and had received sequential vascular endothelia...

Tuberous sclerosis (TS) is an autosomal dominant disorder associated with various renal pathologies, including angiomyolipoma (AML). Renal cell carcinoma (RCC) with concomitant AML is rare. We report a case of composite RCC and AML in a young male with TS. This 25-year-old male presented with an abdominal mass. The abdominal computed tomography scan revealed RCC in the left kidney and AML in ri...

Primary mesenteric liposarcoma is extremely rare and is treated by aggressive surgical management i.e. wide excision with adequate margins (in the absence of distant metastases). We report a case of huge slow-growing primary mesenteric liposarcoma in a 52-year-old man, who presented with gross abdominal distension. He was anaemic with pre-operative imaging demonstrating a well-encapsulated huge...

BACKGROUND The reported case illustrates an instance of colonic adenocarcinoma presenting as an isolated tumour 3 1/2 years after open surgery. The presentation was in some respects unique as it was complicated by an incisional hernia and occurred in the anterior abdominal wall. A literature review was performed. CASE PRESENTATION An 83 year old lady initially underwent an extended right open...

Historically it has been shown repeatedly that single high doses of radiation do not allow a therapeutic differential between tumor and critical normal tissues but dose fractionation does. The purpose of conventional dose fractionation is to increase dose to the tumor while preserving normal tissue function. Tumors are generally irradiated with 2Gy dose per fraction delivered daily to a more or...

Objectives: 1) To study the feasibility of performing and outcome of vaginal hysterectomy in uteri without any descent and associated with benign ovarian tumour. 2) To compare the outcome of vaginal hysterectomy over hysterectomy performed through abdominal route and laparoscopically. Methodology: Three hundred (300) patients requiring pan hysterectomy for benign ovarian tumours were studied wi...

To cite: Hamilton B, Pang CL, Adlan T. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/bcr-2015211311 DESCRIPTION A 72-year-old retired museum guide presented with a discrete lump in the right upper quadrant of his abdomen, which he noticed after feeling a pull in his abdomen while heavy lifting several days prior. The lump was firm, tender and warm with overlying ery...