A previously healthy 4-year-old female presented to the Emergency Department complaining of sudden-onset rightlower-quadrant abdominal pain that awoke her from sleep. The pain was constant, non-radiating and severe. She denied trauma, dysuria, hematuria, nausea, vomiting, diarrhea, constipation or hematochezia. Her vitals were HR: 92, RR: 16, BP: 116/76 and T: 37.0 °C. Physical exam revealed te...

BACKGROUND Choledochal cyst, a common surgical problem of childhood, can have a delayed presentation in adults. The clinical course in adults differs from that in children because of a higher incidence of associated hepatobiliary pathology. METHODS The clinical data of 57 adults with choledochal cyst managed in a general surgical unit between January 1988 and March 2003 were analysed. RESUL...

An IgG ELISA was evaluated as a serological test for the diagnosis of invasive amoebic disease in an endemic area. Sixteen patients with proven amoebic dysentery, 22 with suspected amoebic dysentery and 21 with amoebic liver abscesses were studied. Control subjects were 26 asymptomatic amoebic cyst passers, 13 patients with giardiasis, 26with enteric fever and 31 individuals with no evidence of...

This report describes a two-month-old girl who presented with signs and symptoms of a distal small bowel obstruction. She underwent an abdominal ultrasound that revealed a right lower quadrant cystic mass. A Technetium-99 scan revealed increased activity in the right lower quadrant consistent with a Meckel's diverticulum. Following a nondiagnostic laparoscopic evaluation, a laparotomy was perfo...