BACKGROUND Laser lithotripsy of vesical calculi in tetraplegic subjects with long-term urinary catheters is fraught with complications because of bladder wall oedema, infection, fragile urothelium, bladder spasms, and autonomic dysreflexia. Severe haematuria should be anticipated; failure to institute measures to minimise bleeding and prevent clot retention can be catastrophic. We present an il...

We present a 69-year-old woman with a chief complaint of postmenopausal bleeding. She was diagnosed as having an endometrioid adenocarcinoma by biopsy, and underwent a total abdominal hysterectomy. At the time of surgery, granulation tissue-like nodules were found on the peritoneal serosa of the uterus. In the intraoperative cytology of peritoneal washing, atypical cells were noted. The intraop...

Case reports Case I-A 60 year old woman had a laparotomy for severe abdominal pain and shock, at which 2 litres of blood was drained from the peritoneal cavity. The liver was cirrhotic with an extensive nodular tumour encasing the porta hepatis. The tumour had ruptured with brisk bleeding from a 3 cm crater. Absolute alcohol (20 ml) was injected directly into the crater. The area blanched immed...

Aim: To investigate upper GI bleeding as a particular complication in chronic kidney disease patients. Material and methhod: 30 chronic kidney disease patients admitted to the Nephrology Department for upper gastrointestinal bleeding over a period of 5 years. Results: 16 patients were undergoing hemodialysis (53.3%) and 14 patients were not in a hemodialysis program. There were no patients unde...

Jejunal diverticulosis is a rare condition seen in 1–2% of the population and asymptomatic 80% its patients. It can however rarely produce life-threatening complications such as perforation, bleeding, obstruction. Diagnosis often delayed patients causing high mortality. We report 79-year-old gentleman presenting with intestinal obstruction for 2 days peritoneal signs. CT revealed jejunal dilata...

Peritoneal dialysis therapy has increased in popularity since the end of the 1970s. This method provides a patient survival rate equivalent to hemodialysis and better preservation of residual renal function. However, technique failure by peritonitis, and ultrafiltration failure, which is a multifactorial complication that can affect up to 40% of patients after 3 years of therapy. Encapsulant pe...

Diagnostic peritoneal lavage (DPL) is an emergency diagnostic procedure performed when intra-abdominal bleeding secondary to trauma is suspected. This procedure is part of the surgical skills section of the Advanced Trauma Life Support course. DPL is traditionally taught using anesthetized animals or cadavers. For reasons described below, these alternatives are not ideal. We have developed a co...

Hysteroscopic complications are infrequent. Major complications include: 1. Uterine perforation that is the most common complication of operative hysteroscopy (0.8 - 1.6 %). The perforation rate is less during diagnostic hysteroscopy. 2. Bowel or bladder injury which is rare, but may occur in association with uterine perforation or as a result of use of electrical current. 3. Cervical laceratio...

Renal failure is associated with an increased mcidence of hemorrhage from a variety of sites, particularly In patients undergoing surgical procedures. The primary factors in the pathogenesis of bleeding in renal failure are platelet biochemical abnormalities and alterations in platelet vessel wall interactions. Hemodialysis improves hemostatic abnormalities in uremia, but the need for hepariniz...

Patients with oesophageal varices frequently present with gastrointestinal haemorrhage but bleeding from varices at other sites is rare. We present a patient with hepatitis C-induced cirrhosis and partial portal vein occlusion who developed spontaneous haemorrhage from anterior abdominal wall varices into the rectus abdominus muscle and peritoneal cavity.