BACKGROUND Acute appendicitis is a rare complication of colonoscopy that has been reported only 12 times in the English-language literature and is usually associated with obstruction of the appendiceal lumen with fecal matter during colonoscopy. None of the previous reports have described findings of perforation of the appendix within 24 hours of colonoscopy. METHODS We present the case repor...

Perforated peptic ulcer is a common emergency condition worldwide, with associated mortality rates of up to 30%. A scarcity of high-quality studies about the condition limits the knowledge base for clinical decision making, but a few published randomised trials are available. Although Helicobacter pylori and use of non-steroidal anti-inflammatory drugs are common causes, demographic differences...

A 65-year-old lady presented with a 5-day history of watery diarrhoea and right-sided abdominal pain. Overnight she developed localised peritonitis in the left iliac fossa. An abdominal computed tomography scan revealed free fluid in the abdominal cavity, free air in the retroperitoneum and a small bowel perforation. An emergency laparotomy was carried out which revealed multiple jejunal divert...

Diverticula rarely occur within the lumen of the duodenum and are diagnosed in 2-5% of patients. They usually arise near the papilla of Vater and extend distally [1]. Duodenal diverticula are classified into two types: extraluminal or intraluminal. Although the patient with a diverticulum may be asymptomatic, a duodenal diverticulum usually presents with typical or atypical symptoms of peptic u...

PURPOSE To identify the gray-scale and color Doppler ultrasonography (US) findings of amniotic sheets. MATERIALS AND METHODS Among 1201 pregnant patients who underwent detailed second trimester US, nine had amniotic sheets. An amniotic sheet was defined as a shelf-like structure in the uterine cavity with a free edge not attached to the fetus or umbilical cord. There was no major fetal anomal...

GIST is the commonest mesenchymal tumour of the gastrointestinal tract. Jejunal GIST is rare and spontaneous perforation of asymptomatic jejunal GIST is unique. A review of the English literature reveals only fifteen cases of perforated GIST till date. Pre-operative diagnosis is difficult. Diagnosis is confirmed on histopathology and immuno-histochemistry. Complete removal with postoperative im...

OBJECTIVE We sought to evaluate the surgical service in the central part of the Eastern Cape Province by reviewing the practice of appendicectomy at Frere Hospital. Specifically, it was our aim to compare the service to those patients who reside in and outside the East London metropolitan area and the outcomes of patients according to their operative finding. PATIENTS AND METHODS A retrospect...

When a blunt cutting tool is forced through a thin elastic sheet that is held along its lateral boundaries, a strikingly regular wavy cut can be left behind, examples of which are presented in Fig. 1. The thin film is brittle, hence it undergoes negligible irreversible deformation besides fracture. For tools much wider than the film’s thickness, the crack tip follows a highly reproducible nonsi...

background appendicitis is one of the most common causes of mortality, despite medical advances it continues to be a major problem. objectives the main goal of this study was healing initial of appendectomy infection wounds with washing method. patients and methods this study is a semiexperimental investigation which was performed on 300 patients with perforated appendicitis and infected ulcers...

Spontaneous perforation of the uterus is rare, its incidence being about 0.01%-0.05%. We report a rare case of diffuse peritonitis caused by spontaneously perforated pyometra. A 63-year-old woman with severe abdominal pain was admitted to our hospital. Laparotomy was performed because of the suspicion of gastrointestinal perforation with generalized peritonitis. At laparotomy, about 900 mL of p...