A 32-year-old Thai woman presented with acute severe lower abdominal pain and 8 weeks of amenorrhea. The patient was hypotension, had anemia and signs of lower abdominal peritonitis. Initial diagnosis was tubal pregnancy with rupture. Intraoperatively, there were hemoperitoneum and two fetuses were found in the pelvis. Final diagnosis of ruptured unilateral twin tubal pregnancy was achieved. A ...

objective: to detect whether the preoperative combined administration of rectal diclofenac and paracetamol is superior to placebo or rectal diclofenac alone for pain after abdominal hysterectomy. materials and methods: ninety female patients (american society of anesthesiologists (asa) physical status i-ii), scheduled for abdominal hysterectomy were recruited to this double blind trial and were...

undescended ovary is a rare entity and usually presentedas a case report. it is associated with urinary and uterine anomalies. symptomatic patients are diagnosed during surgery. most of the patients are asymptomatic and treatment is unnecessary. they are incidentally diagnosed during infertility evaluation and treatment such as ovarian hyperstimulation studies. a 15-year-old female patient pres...

although imperforate hymen is a rare condition, it is the most common obstructive anomaly of the female genital tract. the early diagnosis of this condition requires a high index of suspicion in newborns and in females without a history of menarche. hydronephrosis is a known but rare complication of an imperforate hymen. hereby we preset 2 cases of premenstrual adolescent with urinary retention...

background: pain control during and after surgeries can reduce subsequent complications, improve the recovery period of the patient after the surgery and immediately after discharge from the hospital, and shorten the length of stay in the hospital. objectives: the present research aimed to study the relationship between the depth of anesthesia and severity of pain after general anesthesia. meth...

a 19-year-old woman was referred to the emergency surgery department with severe abdominal pain, icterus, and anemia. the patient’s clinical and paraclinical findings in addition to her occupational and social history, convinced us to assay blood lead level (bll), which was 41/5 µg/dl. therefore toxicology consult was performed to treat lead toxicity. recheck of the bll showed the level as 53/7...

background: alterations in the neuromuscular control of the spine were found in patients with chronic low back pain (clbp). sudden loading of the spine is assumed to be the cause of approximately 12% of lower back injuries. however, some aspects of this problem, such as alterations in the sensory–motor control of the spine, remain questionable. this study investigated postural and neuro–motor c...

Introduction: Hcnoch-Schonlein purpura is an IgA mediated small-vessel vasculitis and it is so common in children. The classic term of signs and symbols include polpuble purpura, arthralgia/arthritis, abdominal pain and also renal disease. The incidence of HSP in older age of the entire gastrointestinal tract (gastric, small intestine and large intestine) without arthritis­/­arthralgia and kidn...

conclusions this study suggests that symptoms like chronic abdominal pain, and chronic constipation seem to put a heavy burden on the economy of the country, so training programs for pediatricians and general physicians that can well train them to handle such symptoms may decrease the number of clinical visits, repetitive investigation procedures, and utilizing multiple prescription drugs. also...

conclusions this study showed that abdominal pain, fever, leukocytosis, and wbcs in the stool were associated with gastroenteritis infection caused by campylobacter. results there were 36 positive cultures (8.6%) for campylobacter, with frequencies of 6.4% and 10.3% for boys and girls, respectively (p = 0.16). the highest frequency of positive culture belonged to the age group over six years (p...