Spontaneous bile duct perforation is an unusual cause of acute abdomen. It is an extremely rare condition and rarely suspected or correctly diagnosed pre-operatively. A case of a 29 year old adult female, presenting with peritonitis, 2 days post partum is presented. Exploratory laparotomy showed biliary peritonitis secondary to a perforated common bile duct. She had a cholecystectomy and closur...

Ear is the most pressure sensitive organ of the body and is susceptible for rupture with altered pressure. Tympanic membrane (TM) perforation reduces the total ratio of surface area, allowing the sound waves to directly pass through the middle ear. However, implications of the tympanic membrane perforation on sound transmission in the middle ear is not well characterised. The study was undertak...

Gut perforations during ERCP and stenting or due to migration of stents are very rare complications, with an incidence of well below 2%. Moreover, direct duodenoscope-induced lateral or medial duodenal wall perforation is much less common, accounting for 0.1% of patients who undergo ERCP, but tends to be large and further away from the ampulla. Duodenal perforations from the superior duodenal a...

Perforation is a life-threatening complication of peptic ulcer disease. Smoking and use of non-steroidal anti-inflammatory drugs are important risk factors for perforation. Diagnosis is made clinically and confirmed by the presence of pneumoperitoneum on radiographs. Nonoperative management is successful in patients identified to have a spontaneously sealed perforation proven by water-soluble c...

Spontaneous perforation of the colon is rare and is classified as "Idiopathic" and "Stercoral." Four patients with a total of 5 episodes of spontaneous perforation of the large bowel treated at the department of surgery, Rustaq hospital over the past 5 years are presented in this study as well as a literature review of clinical and pathological characteristics of each case. Spontaneous perforat...

a rare case of ascaris coming out through the anterior abdominal wall is reported here. a 40‑year‑old female had undergone dilatation and curettage by a quack. on the second day she presented with presented with features of peritonitis. she was explored. resection anastomosis of the ileum was done for multiple perforations of the ileum. patient developed a fistula in the anterior abdominal wall...

Iatrogenic perforation of the furcation area in multi-rooted molars during preparation of the access cavity can potentially lead to tooth extraction. The present case report describes the nonsurgical endodontic management of an extensive pulp chamber floor perforation in a first mandibular molar with calcium enriched mixture (CEM) cement. The perforation was chemically cleaned and then physical...

The treatment of acute thromboembolic limb ischemia includes well-established surgical thrombectomy procedures and, in recent times, also percutaneous rotational thrombectomy using Straub Rotarex® system. This modality not only enables efficient treatment of such thrombotic occlusion but also in rare cases may imply the risk of perforation of the occluded artery. Herein, we report the case of a...

Esophageal perforation is the fastest progressing and the most life-threatening disruption of gastrointestinal tract continuity. It must be regarded as an emergency condition that requires early diagnosis as well as very aggressive and rapid implementation of treatment in order to avoid serious complications and death. Methods of treatment for spontaneous esophageal perforation continue to be a...

this study evaluated the use of the solar dryer at esfahan agricultural research center for drying prunes. a factorial experiment was carried using a randomized complete block design with four replications. the four methods used to accelerate prune drying were: control group (no treatment), mechanical perforation at one week of drying, blanching, submersion in australian cold dip method. the dr...