Isolated fallopian tube torsion is a rare situation in reproductive-aged women. The gold standard for diagnosis laparoscopic evaluation, and the treatment of choice salpingectomy without oophorectomy to preserve fertility. Still, inpatient with presentation acute abdomen or hemodynamically unstable, urgent laparotomy choice. Here, we reported 15-year-old virgin girl presented abdominal pain evi...

Pancreatic cysts that develop after abdominal trauma are generally considered to be pseudocysts. We present a patient with a post-traumatic peri-pancreatic cyst that later ruptured suddenly, leading to an acute abdomen. Following an urgent laparotomy and excision of the cyst, post-operative histopathological assessment showed this to be a mucinous cystadenoma of the pancreas. We have reviewed t...

Adnexal torsion is rare but an urgent surgical condition that usually occurs in women of reproductive age. The recommended treatment is immediate laparotomy. We present an example of torsion of normal adnexa during early pregnancy. Laparoscopy was used to establish the diagnosis and for the definitive treatment and pregnancy continued without any further problems. We consider that laparoscopic ...

Introduction: Internal herniation of the small bowel is difficult to diagnose before surgery. Delayed laparotomy is related to high morbidity and mortality. We present a rare case of a transmesosigmoid hernia to demonstrate the importance of high suspicion and early laparotomy. Case Report: A 44­year­old female patient had severe abdominal pain of acute onset. A CT scan at six hours after onset...

INTRODUCTION Gastric emphysema or pneumatosis is a rare finding. Early endoscopy and urgent laparotomy is advised in post-trauma patients. CASE PRESENTATION A 29 year old man presented with blunt abdominal injury following a high-speed motorbike crash He complained of abdominal pain and abdomen was distended. CT abdomen revealed air in the gastric wall with disruption of gastric mucosa. He ha...

BACKGROUND Acute appendicitis is a rare complication of colonoscopy that has been reported only 12 times in the English-language literature and is usually associated with obstruction of the appendiceal lumen with fecal matter during colonoscopy. None of the previous reports have described findings of perforation of the appendix within 24 hours of colonoscopy. METHODS We present the case repor...

Clinical practice guidelines have been shown to improve the delivery of care. Anterior abdominal stab wounds, although uncommon, pose a challenge in both rural and urban trauma care. A multidisciplinary working party was established to assist in the development of evidence-based guidelines to answer three key clinical questions: (i) What is the ideal prehospital management of anterior abdominal...

BACKGROUND Torsion of the ovary is an urgent event for fertile women. Until recent years, the common treatment for twisted ischemic ovaries was salpingo-oophorectomy. We have demonstrated in the past that the ovary can be salvaged provided detorsion is performed. We studied the outcome of women undergoing minimal surgery for ischemic ovaries versus the extended procedure including cystectomy in...