Traumatic cloaca is a devastating condition usually secondary to massive obstetric injury with perineal diastasis. Primary repairs are rarely performed and often fail when performed due to hematoma, infection or excessive tissue tension. Methods: We present a case of immediate repair of traumatic cloaca in a 22 year old female with a history of self inflicted traumatic cloaca sustained 8 hours ...

Abstract The management strategy of common bile duct stone will depend on personal experience, equipment availability, time and the availability other departmental expertise. For a distally impacted (CBD) in low resource setting, an open approach entail either leaving where it is carry out choledochoduodenostomy, or removing through transduodenal sphincteroplasty. latter has significant risk ca...

Endometriosis is defined as the presence of endometrial tissue apart from its usual location (endometrium). It is the second most prevalent benign gynecologic disease after the presence of fibroids in women of childbearing age (incidence of 10% 25%). Endometriosis predominantly locates on peritoneal surfaces, but it also affects the vagina, vulva, recto-vaginal septum and perineum, usually seco...

The traditional mother-daughter system employs a duodenoscope that allows a baby cholangioscope (Fig. 1) to pass through its large instrument channel into the bile duct. This usually requires a sphincterotomy or sphincteroplasty to allow biliary access with the cholangioscope. Two endoscopists are typically required for this procedure, which is limited by the extreme fragility of the cholangios...

Situs Inversus Totalis (SIT) is a rare entity with complete transposition of all viscera, making endoscopic and surgical procedures challenging and complicated. We describe a rare case of a 55 years old man with SIT and ampullary diverticulum presenting with cholangitis and deranged liver function tests due to common bile duct stones. Therapeutic Endoscopic Retrograde Cholangiopancreatography (...

Minimal invasive endoscopic technologies are used in the treatment of patients with biliary pancreatitis complicated cholangitis and sepsis. 56 were treated for period 2014 - 2018, aged 65.5 ± 15.18 years. ERCP was performed 31 (55,3%) patients, 13 (23,2%) surgical intervention without contrast extrahepatic bile ducts. Papillotomy 52 cases (96,4%) by string papilloma 4 (7,1%) needle. In all cas...

Minimal invasive endoscopic technologies are used in the treatment of patients with choledocholithiasis complicated cholangitis and biliary sepsis. 56 were treated for period 2014 - 2018, aged 65.5 ± 15.18 years. ERCP was performed 31 (55,3%) patients, 13 (23,2%) surgical intervention without contrast extrahepatic bile ducts. Papillotomy 52 cases (96,4%) by string papilloma 4 (7,1%) needle. In ...