ERCP (endoscopic retrograde cholangiopancreatography) represents a safe endoscopic procedure and serious complications (perforation, haemorrhage, and acute pancreatitis) are usually uncommon. We present the case of a 38-year-old patient with gallstones in the common biliary duct who developed acute pancreatitis after ERCP. One month later a huge fluid collection with necrotic tissue in the righ...

INTRODUCTION Eckert and Davis grade 3 superior peroneal retinaculum injury is rare and the optimal treatment is not yet determined. CASE REPORT A 57 year-old lady sprained her left ankle resulting in grade 3 injury of the superior peroneal retinaculum and was treated by endoscopic retinaculum reconstruction. The fracture healed and the peroneal tendons were stabilized. However, it was complic...

Perforated ulcers are a rare cause of abdominal pain, and may not be considered when pain is localized to the right lower quadrant (RLQ). This case highlights an unusual presentation of a perforated duodenal ulcer that presented with RLQ pain, which has been described as Valentino’s Syndrome. Valentino’s Syndrome occurs when gastric or duodenal fluids collect in the right paracolic gutter causi...

Transplantation of the liver, as originally conceived, was first reported in 1955 as an auxiliary liver transplant in which the native liver was preserved in its normal position and the new liver placed at a heterotopic site, usually the right paravertebral gutter, with portal inflow supplied with systemic blood via the inferior vena cava or iliac vein. Orthotopic liver transplantation is the a...

Revision of a displaced permanent spinal cord stimulator paddle lead presents certain challenges, not least of which is how to maintain the implant inthecorrectposition.Theauthorrecentlyencounteredapatient whose thoracic lead,whichwasoriginallyplaced in themidline,migrated into the lateral gutter. As afibrous sheathhadalready formedaround the lead in the displaced position, simplymoving it back...