Background: To study the causes of intestinal obstruction with regards to symptoms,duration of symptoms and subsequent management. Methods: This observational study included 120 consecutive patients with clinical symptoms and signs of intestinal obstruction along with abdominal radiographic findings consistent with mechanical intestinal obstruction or those verified at operation subsequently to...

In 1940, Hofl und, in his experimental study, produced chronic indigestion in cattle simulating functional stomach disorders after selective vagotomy. Hofl und concluded that injury to the vagus nerve is the main etiological factor for the production of chronic indigestion and hence coined the term‘vagal indigestion.’ After the name of the scientist, vagal indigestion is also referred to as Hof...

A 47-year-old man with a four-year history of ileo-colonic Crohn’s disease (CD) presented with abdominal pain and vomiting. On examination, his temperature was 38.2oC and a distended and generalized tender abdomen without peritoneal signs was noted. Laboratory tests revealed an increased white blood cell count of 10,000/mm3 and a C-reactive protein of 6.2 mg/dl. A plain abdominal radiograph rev...

Background and Objectives Internal hernia (IH) after gastric bypass can be a life-threatening complication. Obstruction presents acutely or as chronic relapses, with symptoms of abdominal pain, nausea, and vomiting. Early detection and exploration of IH as the cause of small bowel obstruction (SBO) is critical in this surgical emergency and can reduce morbidity and mortality. We conducted a ret...

A 58-year-old woman presented with severe abdominal pain. Laboratory findings showed markedly raised amylase and lipase concentrations at 1169IU/L and 5040IU/L respectively. She denied any alcohol consumption. Triglyceride and calcium levels were within the normal range. An abdominal computed tomography (CT) scan showed a round, 2.7-cm, low density, mass-like lesionwith a central area of air de...