Gastric necrosis is a rare entity mainly due to the rich collateral blood flow the stomach is supplied by. Acute gastric dilation is one of the described underlying causes, and although not fully understood, many potential alterations, such as vascular compression, herniation, volvulus, acute necrotizing gastritis, complications after abdominal surgery, anorexia, bulimia nervosa, trauma, exposu...

Situs inversus totalis is a rare anomaly that is characterized by mirror image anatomy of the abdominal and thoracic organs. This anomaly is often discovered incidentally in adults during an emergent surgical procedure or by radiologic investigations performed for other medical reasons. Cecal volvulus is a surgical emergency requiring urgent laparotomy. Coexistence of these two abnormalities po...

Intussusception of the caecum occurs about twenty times less frequently in adults as compared to children and in 90% of these cases is caused by intestinal tumors. Intussusception of the ileum usually causes intestinal obstruction which requires urgent surgical intervention. So far only a few cases of intussusception due to the presence of endometrial tumor have been described. The clinical cou...

Immunosuppressed patients are susceptible to complicated diverticulitis, but reports of this complication are scarce in heart graft recipients. To estimate the prevalence of acute diverticulitis in heart graft recipients, we retrospectively reviewed the cases of diverticulitis in a series of 143 patients who underwent orthotopic heart transplantation in a period of 10 years. Six (4%) of these d...

Introduction Lymphangioma is a rare benign tumor found in gastrointestinal tract. Most lymphangiomas can occur at any age and but mostly are found in children and infants. They are mainly due to malformation of the lymphatic system. They occur mainly in the head, neck and oral cavity, but less commonly develop in the abdominal cavity. Colonoscopy and endoscopic ultrasonography are frequently us...

Received November 17, 2007, Accepted March 13, 2008 Correspondence to: Pyong Wha Choi, Department of Surgery, Inje University College of Medicine, Ilsan Paik Hospital, 2240, Daehwa-dong, Ilsanseo-gu, Goyang 411-706, Korea Tel: +82-31-910-7622, Fax: +82-31-910-7319 E-mail: [email protected] The case of sigmoid volvulus combined with a transomental hernia is reported. A 70-year-old man was adm...

INTRODUCTION Although a majority of ingested foreign bodies (FBs) pass down the gastrointestinal tract spontaneously, those that are sharp, pointed or large in size need removal to avert serious complications. We highlight the urgent need and utility of endoscopic accessories and technical artistry in safe retrieval of FBs in children. CLINICAL PICTURE Four children had accidentally swallowed...

Idiopathic spontaneous intraperitoneal haemorrhage is a rare and potentially fatal condition. Pre-operative diagnosis is difficult or rarely possible. Urgent surgical exploration is the treatment of choice. We report a case of spontaneous intraperitoneal haemorrhage that was observed undergoing sudden deterioration of her condition while in a hospital ward. She was attending to her child admitt...

The decrease in the number of cadaveric donors has proved a limiting factor in the number of liver transplants, leading to the death of many patients on the waiting list. The living donor liver transplantation is an option that allows, in selected cases, increase the number of donors. One of the most serious complications in liver transplantation is hepatic artery thrombosis, in the past consid...

Foramen of Winslow hernia (FWH) are considered rare even among other internal hernias. It was first described in 1834 and historically had a mortality rate close to 50%. With modern advancement availability cross-sectional imaging, this number has improved dramatically 5%. Operative management is required for all patients which can be performed with either an open or laparoscopic approach. Prev...