Background . Acute adhesive small bowel obstruction (AASBO) is a common surgical emergency requiring immediate interventions. AASBO usual indication for both resection and adhesiolysis. Postoperative adhesions cause 60% of obstructions. Materials methods An analysis treatment outcomes presented 197 acute patients; 63 patients had urgent laparotomy, 134 were scheduled laparoscopy. The examinatio...

identifi ed disorder [1,2], is traditionally managed in theatre with a semi-elective surgical decompressive laparotomy leaving the abdomen open [3]. Fewer options exist, however, in patients who develop critical haemodynamic instability in the ICU. We describe the case of a 58-year-old woman admitted to the ICU with hypotension and abdominal distension. She had been discharged from the ICU 48 h...

Ilias Kouerinis, Kipselis 17, 11257 Athens, Greece, e-mail: [email protected] Conversely, several degrees of colonic lesions following pancreatic abscess formation have been described: a) localized paralytic ileus of the transverse colon b) Intramural involvement of the colon in a localized area c) colonic stricture simulating colonic carcinoma d) colonic bleeding e) colonic fistula. The i...

We present a case of a 71-year-old man with an advanced melanoma of the right colon. The final diagnosis was determined based on histopathological examination of the material collected during urgent laparotomy performed due to ileus. Although we considered the tumor to be a disseminated primary melanoma of the colon, the possibility of unknown primary origin could not be excluded. Palliative ch...

Background: With an increase in the number of emergency laparotomies performed on geriatric age group, there is urgent need to develop preoperative optimisation strategies for these vulnerable patients. Frailty being a common occurrence this group and measurable index can be used prognosticate such Hence study was aimed determine prevalence influence frailty mortality morbidity patients undergo...

Spontaneous rupture of the esophagus, which is also known as Boerhaave's syndrome, is a rare life-threatening condition that requires urgent surgical management. The optimal treatment involves surgical repair of the esophageal defect, which is usually accomplished via laparotomy, thoracotomy, or both, and mediastinal debridement. Here, we report a case of spontaneous rupture of the esophagus th...

Hepatic portal venous gas (HPVG) is a rare ominous radiological sign usually indicative of mesenteric ischemia. Increased detection of HPVG has been associated with a growing number of non-ischemic causes. A 64-year-old gentleman following radical cystectomy and neobladder formation developed clinical signs suggestive of bowel obstruction. HPVG was demonstrated on abdominal imaging. Urgent lapa...

Despite being one of the most common urgent surgical procedures, emergency exploratory laparotomy still proves to be a challenge for the surgeons around the world. This study was done to present the clinico-demographic profile of emergency laparotomies performed in our institution, to investigate the etiological profile with the assessment clinical outcomes and to find out proportion and type o...

Foramen of Winslow hernias account for 8% of all internal hernias. Their non-specific presentation and often late diagnosis are associated with an estimated mortality of 50%. The use of complementary diagnostic methods facilitates the diagnosis and planning of the therapeutic strategy. Urgent surgery is the appropriate treatment due to the risk of intestinal ischemia, being laparotomy the main ...

Obturator hernia is a rare clinical entity usually presenting with strangulation. Preoperative diagnosis is seldom made and this has contributed to a high. mortality. One should suspect a strangulated obturator hernia in an elderly thin. female patient presenting with vague abdominal symptoms or intestinal obstruction associated with a positive Houiship-Romberg sign. Urgent laparotomy is indica...