BACKGROUND Plasmacytoid is a rare histological variant of urothelial carcinoma (UC). Since the first reported case of plasmacytoid urothelial carcinoma (PUC), in 1991, only about 100 cases have since been reported, with most cases involving the bladder. Urothelial carcinomas of the upper urinary tract represent only 5% of urothelial cancers. To the best of our knowledge, there has only been 1 r...

absractwe are presenting a case of abdominal tuberculosis who had peritonitis and twolarge enteroliths were removed from the small intestine during laparotomy. followinga full course of medical treatment, she developed small bowel obstruction andtreated by laparotomy & enterolysis but showed no evidence of stricture. we had adiagnostic and management challenge which will be discussed along with...

Small bowel obstruction is a common cause of an emergency admission in the surgical wards. Acute appendicitis presenting with small bowel obstruction due to appendiceal knotting is a very rare and unsuspected condition in an emergency scenario. We report a case of acute small bowel obstruction in a 26-year-old male who, on exploration was found to have small bowel strangulation due to appendice...

he incidence of the diverticulum of the small bowel varies from 0.2-1.3% in autopsy studies to 2.3% when assessed on enteroclysis. it occurs mostly in patients in the 6th decade of their life. of all the small bowel diverticuli, jejunal diverticulum is the most common type. this rare entity is usually asymptomatic. however, they may cause chronic non-specific symptoms for a long period of time ...

BACKGROUND Volume-to-outcome data have been studied in several complex surgical procedures, demonstrating improved outcomes at higher volume centers. Laparoscopic lysis of adhesions (LLOA) for small bowel obstruction (SBO) may result in better outcomes, but there is no information on the learning curve for this potentially complex case. This study evaluates the effect of institutional procedura...

BACKGROUND Closed loop bowel obstruction is a specific type of mechanical obstruction with a high risk of strangulation and bowel infarction, especially in the small bowel. It is associated with a high mortality rate. Hence, it is important for emergency physicians to identify the presence of strangulation, while making the diagnosis of closed loop small bowel obstruction. METHODS We reported...

ted for elective laparoscopic repair of a recurrent ventral hernia. She had undergone open cholecystectomy and gastric bypass for obesity in 1990. Three years later a ventral hernia developed. This was repaired with mesh. When the hernia recurred, she was referred for laparoscopic repair. Once the hernia was reduced, polypropylene mesh was placed intraperitoneally and extracorporeally sutured w...

BACKGROUND AND OBJECTIVES There are still concerns about the comparative outcomes of operative treatment (OT) and conservative (nonsurgical) treatment (CT) for small bowel obstruction (SBO), especially that caused by single adhesive bands. We performed a retrospective study to compare surgical with nonsurgical outcomes. METHODS A total of 62 patients were enrolled. The OT group underwent lapa...

Abstract Aim Small bowel obstruction (SBO) is the most common indication for laparotomy in UK. While general surgeons have become increasingly subspecialised their elective practice, emergency admissions frequently remain undifferentiated. This study aimed to assess temporal trends management of adhesional SBO and explore influence subspecialisation. Method Data was collected patients admitted ...

A validated questionnaire to assess the impact of small bowel obstructions (SBO) on patients' quality of life was developed and validated. The questionnaire included measurements for the impact on the patients' quality of life in respect to diet, pain, gastrointestinal symptoms and daily life. The questionnaire was validated using 149 normal subjects. Chronbach alpha was 0.86. Test retest relia...