Duodenal injury following blunt abdominal trauma is a rare clinical entity and often unnoticed leading to delay in management thereby increasing morbidity mortality. We reported case of duodenal perforation with near complete transaction duodenum at junction D2 D3 grade 1 splenic laceration highlight the challenges decision-making dilemmas associated its management.

BACKGROUND Esophageal perforation is a rare, often life-threatening condition, and management remains challenging. METHODS Retrospective review of consecutive patients with esophageal perforation treated at two university hospitals between 2000 and 2010. Pertinent data from hospital records were retrieved for statistical calculations and evaluation of perforation score. RESULTS Forty-seven ...

AIM Gastrointestinal spontaneous hematomas (GSHs) represent 5-10% of patients with acute abdomen. Conservative treatment is the most common approach but the bowel perforation can be a fatal complication. In patients with spontaneous rectal wall hematoma, high comorbidity and abdominal signs of acute abdomen but without radiological signs of intestinal perforation, an early exploratory laparotom...

Isolated jejunal perforation due to blunt abdominal trauma is a rare clinical condition and it may be easily unnoticed during the first examination or radiological studies, so that a delay in diagnosis is common. We present a case with isolated jejunal perforation after a blunt abdominal trauma which was not diagnosed at the first examination in the emergency department. The initial radiologica...

Endoscopic retrograde cholangio-pancreatography (ERCP) is increasing utilized in the setting of liver transplantation for a number of post-operative related biliary issues. Although ERCP represents an excellent technology, it is not without attendant risk including sepsis, bleeding and perforation. In this case report, the first of its kind, is described the occurrence of a migrated biliary ste...

BACKGROUND/OBJECTIVE Perforation peritonitis is the most common surgical emergency in India. The spectrum of etiology of perforation in Tropical countries continues to be different from its Western counterpart. The objective of the study was to highlight the spectrum of perforation peritonitis as encountered by us at Government Medical College and Hospital (GMCH), Chandigarh. METHODS Five hun...

Infectious necrotizing scleritis is a rare but devastating disease that often develops after trauma or surgery. A delay in the diagnosis or inappropriate treatment can cause a progression of the infection to scleral thinning and even perforation of the eye, resulting in endophthalmitis and blindness. For cases that do not respond to medical therapy or when the necrosis has advanced to perforati...

Acute gastric dilatation was first described by Duplay in 1833. Since the stomach has rich blood circulation, necrosis and perforation due to dilatation are rarely seen. Clinically, more than 90% of cases have complaints of vomiting. The most useful method to determine diagnosis and etiology is computerized tomography (CT). Medical treatment is suitable for cases that have no necrosis or perito...

BACKGROUND Traumatic perforation of the distal oesophagus due to blunt trauma is a very rare condition and is still associated with a significant morbidity and mortality. This is further exacerbated by delayed diagnosis and management as symptoms and signs are often masked by or ascribed to more common blunt thoracic injuries. CASE REPORT We present a case of a distal oesophageal perforation,...