DESCRIPTION A 92-year-old lady presented to the emergency department with a 2-day history of generalised colicky abdominal pain, diarrhoea and vomiting. Her medical history included gallstones and a right hemicolectomy for a benign caecal neoplasm in 2008. Abdominal palpation revealed suprapubic tenderness with no peritonism. Initial investigations included a white cell count of 12.5×10/l, C-re...

Abstract Introduction Gallstone ileus is a rare complication of gallstones that occurs in 1%-4% all cases bowel obstruction. We present surprising case gallstone causing small obstruction 19 years after open cholecystectomy. Case Report A 77-year-old male presented with 3-day history abdominal pain, 4 episodes vomiting and absolute constipation. He had surgical background an cholecystectomy app...

Abstract Aim Bouveret syndrome is a rare condition characterised by gastric outlet obstruction secondary to gallstone fistulating into the proximal duodenum or pylorus. In this report, we present case of in 68-year-old requiring an atypical approach surgical retrieval. Method The patient presented acutely with abdominal pain and vomiting. This was on background recent admission for ileus manage...

OBJECT Microvascular decompression (MVD) has become one of the primary treatments for typical trigeminal neuralgia (TN). Not all patients with facial pain, however, suffer from the typical form of this disease; many patients who present for surgical intervention actually have atypical TN. The authors compare the results of MVD performed for typical and atypical TN at their institution. METHOD...

  Abstract   Gallstone ileus is a rare complication of cholelithiasis found in less than 0.5% of   patients. It is an uncommon cause of small bowel obstruction, accounting for 1% to   3% of all mechanical bowel obstructions and over 25% of nonstrangulated bowel obstructions in patients older than 65 years with a female predominance.   We report a 60-year-old woman who was referred to our hospit...

The present report describes a case involving a 57-year-old HIV-positive man who presented with acute retrosternal chest pain accompanied by 24 h of fever. Septic arthritis of the manubriosternal joint was diagnosed based on magnetic resonance imaging findings in addition to Staphylococcus aureus bacteremia. To the authors' knowledge, the present case is only the 12th reported case of manubrios...

BACKGROUND AND AIMS Severe acute pancreatitis can have serious consequences and a high mortality rate may necessarily require intensive care unit admission. This study is to describe the demographic clinicopathological characteristics of severe (SAP) in tertiary-level (ICU). METHODS The was designed retrospectively with diagnosis admitted adult ICU “between” January 2019 December 2022. RESULTS ...