intra-abdominal hernias are rare conditions usually secondary to congenital defects, with pericecal hernias accounting for a minority of them. they can be difficult to diagnose due to non-specific presentations but may lead to strangulation and thus require early management. we herein report a rare case of pericecal hernia with gangrenous appendicitis in an 88 year-old lady presenting with feat...

conclusions it is important to keep in mind that even peritoneal involvement may be seen despite intact hepatic cysts. careful excision of these cysts is the treatment of choice. case presentation a 40-year-old man was referred to the emergency department with dull and intermittent periumbilical pain in the left and right lower quadrant regions accompanied by moderate tenderness and rebound wit...

pneumatic rectosigmoid rapture is usually occurred following the inappropriate fun by direct entering a high volume of the air through the pneumatic device to the anus. such an event was reported for the first time in 1904 by stone. diagnosis and treatment of such injuries are often delayed because of some social limitations and preventing the patient form explaining the event. colon sigmoid ru...

introduction hemangioma is the most common benign tumor of the liver. most cases are asymptomatic and do not require treatment. a hemangioma can rarely be pedunculated; as a result, it may undergo torsion and infarction, which can make it symptomatic. case presentation we report the case of a 45-year-old woman with acute abdominal pain due to torsion of a giant pedunculated hepatic hemangioma a...

a woman presenting with severe right lower quadrant (rlq) abdominal pain is presented here. she was evaluated for all usual cause of such pain. laboratory tests and abdominal and pelvic sonography was normal. mri revealed l1-l2 disc herniation.

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...

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...

appendicitis is the most common abdominal disease that requires surgery in the emergency ward. it usually presents as right lower quadrant pain, but may rarely present as left upper quadrant (luq) pain due to congenital anatomical abnormalities of the intestine. we report a patient who complained of persistent luq abdominal pain and was finally diagnosed by computed tomography (ct) as congenita...

early detection of free air in the peritoneal cavity is vital in diagnosis of life-threatening emergencies, and can play a significant role in expediting treatment. we present a series of cases in which bedside ultrasound (us) in the emergency department accurately identified evidence of free intra-peritoneal air and echogenic (dirty) free fluid consistent with a surgical final diagnosis of a p...

background:   understanding the etiology of appendicitis is important for developing effective treatments the rela­tionship between parasitic appendicitis and various socio-cultural factors were examined, particu­larly with respect to the incidence of literacy. the aim of the article was to research the relations between para­sitic appendicitis and literacy ratio in population. methods : cases ...