The encouraging results of percutaneous abscess drainage (PAD) in simple intra-abdominal abscesses have led us to employ this method in patients with more complex abdominal inflammatory disease, such as those with multiple enteric communicating or multilocular abscesses and patients in whom the percutaneous approach requires puncture routes traversing uninvolved organs. Cure was achieved in 74 ...

A 38-year-old male presented at the emergency unit with acute abdominal pain and massive hematuria after a fall in the stairs of his home. At physical examination, tenderness was found in the hypogastric area and in both right and left iliac regions. The first radiological investigation performed was ultrasonography (Fig. A). Free liquid was found in the Morisson pouch, in the perihepatic-space...

A man presented to the emergency department with a stab wound to his right upper quadrant. His vital signs were in the normal range. Examination revealed a 1.5 cm wound at the junction of the subcostal margin and the linea semilunaris. There was localised peritonitic tenderness. Lactate was elevated at 4.3 mmol/l. FAST ultrasound (focused assessment with sonography for trauma) was performed. In...

A 70-year-old man with chronic hepatitis C, alcohol abuse, and an active cigarette smoking habit presented to our clinic with left shoulder pain and a soft tissue mass without history of prior trauma. Physical examination revealed a disheveled man, scleral icterus, palmar erythema, and abdominal shifting dullness. Neurological exam was significant for right arm weakness. Laboratory studies show...

INTRODUCTION Bile and gallstones are spilled during 13% to 40% of all laparoscopic cholecystectomies. They can act as a septic focus and cause complications. We present 2 cases of perihepatic abscess formation due to dropped gallstones presenting some years later. Delayed diagnosis resulted in unnecessary investigations and had negative economic consequences. CASE DESCRIPTION In 1 patient a p...

BACKGROUND A common intraoperative complication during laparoscopic cholecystectomy is gallbladder perforation with spillage of gallstones. The undesirable consequence of spilled gallstones is the formation of abscesses months or years after an operation. CASE DESCRIPTION Our clinical report describes an intraabdominal abscess formation in an 82-year-old man that developed 8 years after a lap...

AIM Gastrointestinal spontaneous hematomas (GSHs) represent 5-10% of patients with acute abdomen. Conservative treatment is the most common approach but the bowel perforation can be a fatal complication. In patients with spontaneous rectal wall hematoma, high comorbidity and abdominal signs of acute abdomen but without radiological signs of intestinal perforation, an early exploratory laparotom...

INTRODUCTION Spontaneous intraperitoneal rupture with biliary peritonitis in a case of hepatic hydatid cyst is extremely rare but serious complication. It is a surgical emergency with high morbidity and mortality rates. Very few cases have been reported in the literature. CASE PRESENTATION We report an unusual case of a biliary peritonitis due to spontaneous rupture of hepatic hydatid cyst in...

OBJECTIVES To analyze strategies of operative management (OM) and non-operative management (NOM), mortality, and morbidity of hepatic trauma patients. METHODS We retrospectively reviewed 296 consecutive patients with hepatic trauma at the Department of Hepatobiliary Surgery, 101st Hospital of PLA, Wuxi, Jiangsu, China a single level one trauma center between January 2003 and December 2012. Da...

BACKGROUND Blunt injuries to the gallbladder occur rarely, and the incidence of isolated damage to the gallbladder is even smaller. We report a case of delayed presentation of isolated rupture of the gallbladder following blunt trauma to the abdomen. CASE PRESENTATION A 65 year old lady presented through the Emergency Department with a 1 week history of blunt trauma to her abdomen. She compla...