BACKGROUND The first reported case of intestinal perforation secondary to metastatic lung carcinoma was reported in 1957. Intestinal metastases are present in up to 1.8% of the cases, with small bowel obstruction as the most common clinical presentation. CLINICAL CASE An 89 year-old male, who was diagnosed with a high-grade pulmonary mucoepidermoid tumour 2 months previously. The patient was ...

KEY CLINICAL MESSAGE Norovirus (NoV) and rotavirus (RV) gastroenteritis are usually self-limiting. However, few pediatric cases of bowel perforation and no duodenal perforation with NoV gastroenteritis were reported. We describe two children with duodenal perforation due to NoV or RV gastroenteritis. Suspicion for this association enables prompt intervention, preventing lethal outcomes of these...

Plasmodium falciparum, the commonest cause of severe malaria in children, is an important cause of mortality in developing nations like Nepal. Duodenal perforation in a case of complicated malaria, although a rare entity, can occur in children. Early diagnosis, proper medical treatment, and early surgical repair can be a lifesaving measure in such cases. Here, we report a case of a 5-year-old m...

The over-the-scope-clip (OTSC; Ovesco, Tübingen, Germany) has been developed for the closure of intestinal defects [1,2]. We report on the case of a misplaced OTSC, which grasped the small intestine through an iatrogenic colonic perforation. A 78-year-old women underwent followup colonoscopy after right-sited colon resection, which was performed for colon carcinoma. In the transverse colon, a f...

We report herein the case of a 58-yearold-woman who was admitted for hematochezia with acute anemia (hemoglobin 9g/dL). She had a history of small-bowel adenocarcinoma (T3N0M0) complicating celiac disease; this had been treated by a Whipple procedure 12 years previously, with complete remission since then. She was taking anticoagulants following mitral valve replacement with a mechanical valve,...

Meckel's diverticulum is the most common congenital malformation of gastrointestinal tract. This a true as it contains all layers intestinal wall. It usually asymptomatic and discovered an incidental finding during surgery for another cause. In adults, its complication rare clinically indistinguishable from appendiceal condition. has risk complications ranging 2 to 40%, frequent being bleeding,...

BACKGROUND Ramucirumab is a monoclonal antibody targeting vascular endothelial growth factor receptor 2 (VEGFR-2). Ramucirumab either alone or in combination with paclitaxel (PTX) has been found to be safe and effective for patients with previously treated advanced gastric cancer. One of the serious adverse events associated with ramucirumab is gastrointestinal (GI) perforation. CASE PRESENTA...

A 21-year-old man, who had been treated for congenital dilatation of the bile duct 13 years previously, presented with an acute abdomen. The physical examination suggested peritonitis, and an emergent laparotomy was performed. A perforation was foundin the jejunum approximately 100 cm distal to the ligament of Treitz, followed by resection of a 60-cm jejunal segment. No tumorous lesions were fo...

Inflammatory fibroid polyps (Vanek's tumor) are rare benign localized lesions originating in the submucosa of the gastrointestinal tract. Intussusceptions due to inflammatory fibroid polyps are uncommon; moreover, ileo-ileal intussusception with small bowel necrosis and perforation has rarely been reported. We report a 56-year-old woman who was admitted two days after complaints of nausea and v...

Objective: To evaluate the efficiency of ultrasound for diagnosis of different gastro-intestinal surgical affections in dogs and cats. Design: Clinical study. Animals: 36 dogs and 20 cats. Procedures: Ultrasonography was performed using two real-time ultrasound machines. The entire abdomen was examined ultrasonographically while the animal was in dorsal recumbency. Percutaneous ultrasound-gu...