Various complications of hydatid cyst have been recognized to date. We have encountered one such complication-rupture of hydatid cyst to the duodenum­ leading to upper gastrointestinal bleeding in a 40 year old male, who referred with severe right upper quadrant (RUQ) pain and gastrointestinal bleeding of a few hours' duration. Laparotomy revealed a cyst (7 x 15 cm) in the left lobe of the ...

Corpus luteal rupture is a common gynecologic cause for hemoperitoneum. Recent sexual intercourse is usually a preceding factor. However, postcoital hemoperitoneum without evident vaginal injury or trauma is rarely reported. We present a 34-year-old female who presented to the emergency department with severe bilateral lower quadrant abdominal pain after sexual intercourse. CT of the abdomen an...

Appendicectomy for appendicitis is one of the commonest surgical procedures performed worldwide. The residual appendiceal stump left after an initial appendectomy risks the development of stump appendicitis. Stump appendicitis is a real recognized entity but not often considered when evaluating patients with right lower quadrant abdominal pain, especially those with past history of appendectomy...

Herpes zoster (HZ) most commonly occurs in elderly patients and involves sensory neurons resulting in pain and sensory changes. Clinically significant motor deficits and visceral neuropathies are thought to be relatively rare. A 72-year-old man presented with abdominal segmental hernia, constipation, and pain following HZ in the left T9-10 dermatome. Sixteen days before presentation, he had dev...

OBJECTIVES To systematically identify clinical prediction rules (CPRs) for children with suspected appendicitis and compare their methodological quality and performance. STUDY DESIGN AND SETTING Included studies involved children aged 0-18 years with suspected appendicitis identified through MEDLINE and EMBASE from 1950 to 2012. The quality was assessed using 17 previously published items. Th...

Background: Insertion of rectal foreign bodies intentionally or unintentionally is not unusual. Case presentation: A 19-years-old unmarried male was admitted to our hospital due to a lump of left lower quadrant of abdomen. He denied sexual assault .The abdomen was soft on physical examination. Abdominal x-ray and CT scan showed a foreign body in lower abdomen and pelvis. The patient was oper...

A 36-year-old woman was investigated at a local hospital for persistent, intense pain in her right lower abdomen. Diagnostic laparoscopy revealed minor intraabdominal adhesions. An EVS was used during the resultant appendectomy. Histopathologic examination revealed a normal appendix. Ten days after discharge, the patient came to the emergency room with feculent vomiting and cramping abdominal p...

   A 36-year-old woman with right upper quadrant abdominal pain since three months previously and no other significant medical history was referred for evaluation of an abdominal mass. Upon clinical examination, a large palpable mass in the mid -upper abdominal area was noted. Abdominal ultrasound and spiral CT-scan showed a large hepatic mass in the left liver lobe. ...