One-hundred consecutive patients with typhoid perforation of the gut admitted in the same surgical unit of the University Hospital have been studied. The cases were diagnosed on the basis of history, clinical examination, exploratory findings, histopathological examination, Widal test and blood culture. Forty-six patients had perforation in the second week of fever. Sixty-one patients presented...

Thirty-three patients with oesophageal perforation seen within a 20-year period are reviewed. Endoscopic perforation in patients with neoplastic disease of the oesophagus carried a 100% mortality despite early diagnosis and immediate resection of the growth. Only two deaths occurred after instrumental perforation of the thoracic oesophagus for benign pathology in patients who were in the extrem...

Endoscopic retrograde cholangiopancreatography (ERCP) has a vital role in the diagnosis and management of various biliary and pancreatic diseases but is also associated with adverse events. Commonly seen complications are pancreatitis, bleeding, cholangitis, cholecystitis, postspinchterotomy strictures and perforation. Migration of stents, which is more with plastic stents, is a well-known comp...

Toxic megacolon complicating inflammatory or infective colitis carries a high morbidity and mortality and surgical intervention is necessary in up to 80% of cases. Perforation complicates toxic megacolon in about 35% of cases. After perforation, the death rate nears 50%. Gaseous distension of the bowel causes considerable discomfort to the patient and increases transmural pressure. The latter i...

Oesophageal perforation after blunt injury cervical fracture in patients with ankylosing spondylitis (AS) is rarely reported. The early diagnosis of oesophageal perforation is extremely important. We present two cases of patients with AS who sustained cervical fracture dislocation and spinal cord injury. The ossified sharp fragments caused oesophageal perforation, and the delayed diagnoses had ...

BACKGROUND AND STUDY AIMS  Patients undergoing bowel preparation for colonoscopy are at risk of potentially severe adverse events such as large-bowel obstruction (LBO) and perforation. These patients usually need emergency surgery and the consequences may be fatal. Little is known about the risk factors for LBO and perforation in these circumstances. We sought to establish the natural history o...

We aimed to present our experience on the gastrointestinal (GI) perforations and the factors affecting the outcome. A retrospective study carried out at a tertiary neonatal intensive care unit. A total of 38 neonates with GI perforation managed in our neonatal intensive care unit during 2005 to 2011 were included into the study. The patients were grouped as necrotizing enterocolitis (NEC) and n...

The aim of this study was to analyze the risk factors and prognosis for patients with esophageal perforation occurring during or after radiotherapy for esophageal carcinoma. We retrospectively analyzed 322 patients with esophageal carcinoma. These patients received radiotherapy for unresectable esophageal tumors, residual tumors after operation, or local recurrence. Of these, 12 had radiotherap...

Coronary artery perforation is a rare but catastrophic complication of percutaneous coronary intervention (PCI). Grade III coronary perforation and rupture invariably results in pericardial effusion and tamponade requiring urgent pericardiocentesis. Advances in coronary intervention have increased the opportunity to treat coronary artery perforation. We are reporting a case of 55 years old hype...

We report a rare case of incomplete congenital duodenal obstruction (Type 1 duodenal atresia) in association with situs inversus totalis presenting with gastric perforation in a neonate. The infantogram was suggestive of perforation with air under diaphragm along with dextrocardia. On exploration, a pin point perforation at fundus near lesser curvature along with situs inversus was noted. Prima...