OBJECTIVES To determine the epidemiology of, and define the morbidity and mortality factors following emergency surgery for patients with perforated peptic ulcer disease in Accra, Ghana. DESIGN A retrospective and prospective hospital-based study. SETTING The general and paediatric surgical wards of the Korle-Bu Teaching Hospital. MAIN OUTCOME MEASURES Demography, the systolic BP, pulse r...

Fungal empyema thoracis is a rare and emerging entity, the increase in rate of fungal infections mainly due to increasing use broad-spectrum antibiotics, intravascular devices, hyperalimentation, as well number critically ill or immunocompromised patients. Candida species are most common pathogens thoracis, it extremely isolate fungi such pleural fluid. We report here 60-year-old male with case...

Recently, endoscopic submucosal dissection (ESD) has been applied for the removal of superficial esophageal neoplasms [1]. Here, we report on the endoscopic management of a perforation during esophageal ESD, which resulted from an unexpected partial muscular defect. An 80-year-old man underwent gastrointestinal endoscopy, and a lesion was detected on the left side of the middle thoracic esophag...

background: by presenting this case we aimed to describe an uncommon complication of generalized peritonitis following spontaneous pyometra perforation in untreated cervical carcinoma. case presentation: this report describes a 60-year-old postmenopausal woman presenting with clinical features mimicking intestinal perforation who was later diagnosed as cervical carcinoma with pyometra perforati...

introduction: adequate seal of iatrogenically perforated area within the root canal system can improve the long term treatment prognosis. this in vitro study evaluated the sealing ability of mineral trioxide aggregate (mta), calcium-enriched mixture (cem) cement and biodentine in repair of furcation perforation in primary molars. methods and materials: a total of 61 freshly extracted primary ma...

statement of problem: perforations are significant complications that can occur during root canal therapy and may result in the destruction of adjacent periodontal tissues. an ideal material for repairing a perforation should be biocompatible and have a high sealing ability. purpose: the aim of this study was to compare histologic tissue responses of experimentally induced pulp chamber perforat...

conclusions spontaneous rupture of pyometra duo to cervical cancer in cases of acute abdomen in elderly patients should be considered. introduction pyometra is an accumulation of purulent material or pus in the uterine cavity. spontaneous perforation of uterus by pyometra is rare. this is a clinical presentation and management of a spontaneous perforation of uterine caused by pyometra. case pre...

BACKGROUND AND OBJECTIVES Compared with total parenteral nutrition (TPN), enteral nutrition is more suitable for patients post-operatively. Our aim was to determine the safety and feasibility of early enteral nutrition (EEN) using a jejunum feeding tube in neonates after undergoing a partial gastrectomy. METHODS AND STUDY DESIGN This was a retrospective review of 46 patients who underwent par...

Ascariasis is a common worm infestation in developing and under-developed countries. It is caused by the ingestion of food contaminated with Ascaris eggs from faeces and is more common in places with poor sanitation. Almost 25% of the world population is infested by Ascaris lumbricoides. Although ascariasis is a chronic disease, it can present as acute abdomen rarely. The wandering nature of As...