A congenital diaphragmatic hernia is very uncommon among adults. primarily acute in onset and it usually identified after trauma. It occurs mostly on the left side. We would like to report a 68-year-old male who presented with 4-day history of intestinal obstruction background change bowel habit for month secondary right hernia. He did not have any Clinical examination revealed distended abdome...

INTRODUCTION Endometriosis is usually a disease involving women of reproductive age. Colonic endometriosis is a rare sequelae. It usually presents vaguely with nonspecific abdominal pain, dyspareunia, fecal tenesmus, rectal bleeding or painful defecation. There are very few case reports of sigmoid endometriosis in the literature, more so ones involving post-menopausal women. Our report highligh...

BACKGROUND Patients with anxiety and depression often have bowel symptoms. Until now, studies investigating a link between altered bowel habit and psychological illness have focused on patients with disturbed defecation presenting to gastroenterologists. AIMS To determine whether patients with anxiety and depression have objective evidence of abnormal intestinal transit irrespective of any bo...

31 BACKGROUND ON CURRENT IBS TREATMENT IBS is defined as “a functional bowel disorder in which abdominal pain and/or discomfort is associated with defecation or a change in bowel habit, with features of disordered defecation and distention” (5). It is one of the most common disorders diagnosed by gastroenterologists and accounts for up to 12% of total visits to primary care providers (3). Altho...

CLINICAL SCENARIO You are a family physician seeing a 47year-old woman and her husband of the same age. They are concerned because a friend recently found out that she had bowel cancer and has urged them both to undergo screening with fecal occult blood tests (FOBTs) because, she says, prevention is much better than the cure she is now undergoing. Both your patients have no family history of bo...

Case history A 68 year old Caucasian woman presented with a lump in her right groin and lower abdominal pain. No changes in bowel habit or other bowel symptoms were reported. Previous medical history included endometrial cancer diagnosed at age 57, treated by hysterectomy and bilateral salpingo-oophorectomy. The family history was negative for desmoids, colon polyps and cancer. By CT scan, a 4 ...

BACKGROUND AND AIMS Inflammation may play a role in the pathogenesis of irritable bowel syndrome in some individuals, such as in those who develop symptoms following a dysenteric illness. Persisting inflammation, resulting from an imbalance of cytokines regulating the inflammatory response, is one possible mechanism. As the elaboration of cytokines is under genetic control, this study was desig...

We report the case of a 77 year-old Caucasian woman with a past medical history of breast cancer who presented to our institution with a five-week history of progressive shortness of breath associated with abdominal distension, anorexia, change in bowel habit and cough. She had an ejection systolic murmur and a pansystolic murmur radiating to the axilla, a raised jugular venous pressure, abdomi...

We describe the first case of a patient presenting with multicentric carcinoid occurring in the lung and subsequently in the rectum, with chronic psoriatic arthritis. Although reports have been published regarding carcinoid syndrome occurring alongside rheumatoid arthritis, no reports have been made on such a case. Initial presentation of carcinoid syndrome in this patient was insidious and aty...