The bilioenteric fistulas, first described in 1890 by Courvoisier, are found in 0.15% 8% of biliary tract operations. Combined fistulas involving the gallbladder, duodenum and colon are extremely rare. We presented a case of 38 year female who presented to our OPD with complaints of pain right upper abdomen for seven months in whom a cholecysto-duodenocolic fistula (Figure 1 & Figure 2) was fou...

Ganglioneuroma is a benign neoplasm derived from the neural crest consisting of mature ganglionic cells and Schwann cells. The posterior mediastinum is its most common location, followed by the retroperitoneum. Only a small proportion of ganglioneuromas arise from the adrenal medulla (15--30%). The routine use of imaging tests has increased the frequency of diagnosis of adrenal incidentalomas. ...

conclusions coccygectomy is a successful treatment in patients unresponsive to conservative treatments for coccydynia. results the patients were followed up for an average of 25.7 months. the results were good in 11 patients, excellent in 1, and fair in only 1 patient. the excellent and good rates amounted to 92.2%. no major complication was seen. patients and methods between october 2010 and d...

introduction: coverage of bone grafts is very important in reconstructive surgery. in edentulous alveolar ridges this coverage is particularly important for supporting dental prostheses. here we present the case of a patient with a large deficient maxillary anterior region that was reconstructed with a bilateral palatal submucosal periosteal connective tissue flap: a soft tissue reserve for upp...

the coverage of soft- tissue defects of the hand specially volar side needs special consideration. although certain local flaps have been described and used for resurfacing the palm, extensive injury requires distant or free flaps for coverage. abdominal pedicle flap has been traditionally used for extensive hand injuries, however there is no doubt that one of the ideal tissues for resurfacing ...