UNLABELLED Meckel's diverticulum is the most common congenital malformation of the gastrointestinal tract. It can cause complications in the form of ulceration, hemorrhage, intussusception, intestinal obstruction, perforation and, very rarely, vesicodiverticular fistulae as noted in six previously reported cases. 66-year-old woman was presented with an enterovesical fistula. Exploratory laparot...

Sir, Meckel’s diverticulum (MD) is one of the common entities tackled by a general surgeon. Although it has an array of clinical presentations, we came across an unusual intraoperative finding that surprised us on the operating table during an emergency abdominal exploration. The purpose of this paper is to make the surgical fraternity aware of such an atypical, however, clinically relevant fin...

Nontraumatic rupture of the bladder is less widely recognized than traumatic rupture, with a challenging early diagnosis due to high variability in clinical presentations. We report a case of extraperitoneal rupture of a bladder diverticulum in a patient with diabetes mellitus who presented with paralytic ileus. Despite conservative management, the patient developed sepsis requiring surgical tr...

INTRODUCTION Meckel's diverticulum (MD) commonly presents as gastrointestinal bleeding in the pediatric population and intestinal obstruction in adults. There is no consensus for surgical excision of an incidentally diagnosed MD. We present a hitherto unreported vascular cause of intestinal gangrene due to MD. CASE PRESENTATION A 16year old boy was referred as an acute abdomen for tertiary ho...

Although a Meckel’s Diverticulum is the most common congenital malformation of the gastro-intestinal tract, it mostly is discovered by chance and remains asymptomatic. However, a Meckel’s Diverticulum can cause multiple complications with an incidence range of 4-16 per cent. In this case report, we present a patient at the emergency ward with symptoms of acute abdominal pain in the epigastric r...

Nephrogenic adenoma is an uncommon benign lesion of the urinary tract induced by chronic irritation of the vesical mucosa, due to infection, trauma, surgery, calculi, foreign bodies and chemical agents. A 68-year-old male was admitted to our linic for a periodical cystoscopic evaluation as part of a follow-up initiated due to a past transitional cell carcinoma. The scheduled cystoscopy revealed...

Persistent mechanical or functional dysphagia is the most common clinical indication for endoscopic gastrostomy (PEG), however less common conditions may justify prolonged enteral feeding to avoid malnutrition and prevent aspiration. The authors report the case of a 76 year old man referred to the artificial feeding outpatient clinic presenting dysphagia, malnutrition and several episodes of as...

A 4-year old boy presented with pain abdomen, bilious vomiting and constipation for three days. On examination, abdomen was distended and tender. X-ray abdomen revealed multiple air-fluid levels suggestive of intestinal obstruction. Ultrasonography abdomen revealed dilated bowel loops with minimal free fluid in peritoneal cavity. On exploration, there was a band causing obstruction of terminal ...