He gave the following history of his illness :? During the last six months he had had repeated attacks of ' colicky pain' in the abdomen not confined to any particular area, vomiting and constipation, each attack lasting for about a week or so. The present troubles began six weeks ago with the initial symptons of vomiting, constipation and abdominal pain, of an indefinite character, at first be...

The diagnosis of intestinal obstruction in pregnancy is difficult, as the symptoms may mimic pregnancy-associated complaints. The surgical management is challenging, as the mortality rate of midgut volvulus in pregnancy is high. We report the case of a 35-year-old woman at 21 weeks and 5 days of gestation with small bowel obstruction who presented to our institution with a 24 h history of colic...

Two cases of internal herniation through a defect in the broad ligament of the uterus are described. Both were successfully treated laparoscopically. This rare condition should be borne in mind when a middle-aged woman presents with colicky lower abdominal pain. The cause is unknown, but both congenital and acquired origins have been proposed. As far as emergency situations are concerned, lapar...

A nine year old female patient presented with complaints of severe colicky abdominal pain, vomiting, and tingling with numbness for 3 days. Acute necrotizing pancreatitis associated with tetany due to anti-retroviral therapy was diagnosed. Stavudine was the probable causal agent. Unfortunately, the patient died due to severity of the reaction. High index of suspicion and early withdrawal of the...

Bumetanide is an effective diuretic for the treatment of ascites. Fifteen out of 17 patients with chronic liver disease responded satisfactorily and the incidence of hepatic encephalopathy and electrolyte disturbances was similar to that previously observed with frusemide. Colicky abdominal pain was reported in three patients but no other adverse effects were noted. An unexpected response was o...

The rare condition of pseudo-obstruction of the small bowel was first described by Naish, Capper and Brown in 1960. The main features of the condition are colicky abdominal pain and distension which are due to dilatation of the small bowel; malabsorption with steatorrhoea; episodes of acute intestinal obstruction for which no mechanical cause can be found. The condition is almost certainly due ...

Hydatid cysts are known to occur in most organs especially in the endemic areas. However, its occurrence in uterus is extremely rare and it mostly occurs as a secondary involvement. Herein we reported on a 25-year-old woman with primary involvement of the uterus and left fallopian tube. The patient presented with a colicky abdominal pattern and fever and was admitted to the Emergency Ward. Iran...

A nine year old boy who had received Ceftriaxone for one week because of suspected bacterial meningoencephalitis developed colicky abdominal pain in the right upper quadrant two days after termination of Ceftriaxone treatment. Stones in the gallbladder were identified as cause of the abdominal symptoms. Ceftriaxone has been reported to result in so-called pseudo-lithiasis of the gallbladder in ...

Ureteric sciatic hernias are extremely rare. Here we report a case of a 78-year-old woman presented with colicky left abdominal pain. Computed tomography revealed a ureteric sciatic hernia, and drip infusion pyelography revealed dilated left ureter with herniation of the ureter into the sciatic foramen. The hernia was successfully repaired laparoscopically. We have described the diagnosis and m...

Meckel's diverticulae can present with symptoms and signs mimicking acute appendicitis. We present the case of a healthy 35-year old male who was suspected of having acute appendicitis but at operation was found to have an inflamed Meckel's diverticulum containing a giant faecalith, which had caused ischaemic necrosis due to a pressure effect. Post-operatively the patient admitted to a year of ...