Ingestion of gastrointestinal (GI) foreign bodies represents a challenging clinical scenario. The greater risk is at extremes of age, in those wearing dentures, alcoholics and mentally handicapped. We present a case of duodenal perforation caused by a bird feather. A 64-year-old man was presented with abdominal pain for 4 days. Abdominal examination showed signs of peritonitis. The erect abdomi...

The following case of perforated duodenal ulcer in an infant is reported, not only on account of the raritv of the condition, but also because the symptoms and course presented differ somewhat from those in previouslv reported cases. Peptic ulcers are evidently not very rare in infants under one year of age, but onlv a few have been recorded in England. In Welch's1 collection of 6074 cases of p...

Acute perforation is a grave complication of duodenal ulcer and its surgical treatment is one of the greatest urgency. The following case has so many unusual features that it seems worthy of record :? Mrs. K. B., aged 16, was admitted under my care with an ' acute abdomen \ History of present illness.?Just over two days ago, the patient complained of a sudden attack of severe pain over the pit ...

I. は じめに 腹 部鈍的外傷におけ る十二 指腸 の腹 膜後隙 内破裂 は従 来比較 的まれ とされ て きたが,最 近 の社 会の多様性 に併 い,交 通外傷,労 働 災害,ス ポー ツ外傷 などに よるその 告 も増 えつつ ある.最 近われわれ も2例 の同症例 に遭遇 し治癒せ しめたが,十 二指腸は膵 とともに深部臓器 と し て後腹膜に 固定す る とい う位置的特性 に より,そ の診断 お よび手術手技はむずか し く手術死亡 も高い1)2)3)4)5)6)7). そ こでわれわれは,自 験2例 を もとに文献的に病態診断 お よび手術手技について検討を試みたので ここに報告す る. II. 症 例 <症 例1>29歳,男 性 受傷機 転:泥 酔 状態 にて 自家用車運 転中,電 柱に 衝 突,ハ ン ドル で上腹部 を強打 を し,pre shok状 態 にて救...

Thyroid storm is a rare and life-threatening complication of thyrotoxicosis that requires prompt treatment. Thyroid storm is also known to be associated with precipitating events. The simultaneous treatment of thyroid storm and its precipitant, when they are recognized, in a patient is recommended; otherwise such disorders, including thyroid storm, can exacerbate each other. Here we report the ...

McKelvie M, et al. BMJ Case Rep 2017. doi:10.1136/bcr-2017-220648 Description A 45-year-old man presented with a 6-hour history of acute epigastric pain radiating to the back, following endoscopic retrograde cholangiopancreatography (ERCP), sphincterotomy and biliary stenting for obstructive jaundice secondary to choledocholithiasis. The patient was markedly tender in the epigastrium and right ...

Introduction: Isolated duodenal injuries are rare in blunt abdominal trauma. These present a significant challenge for management because of the associated and its difficult anatomical accessibility.&#x0D; Case presentation: A 20years male presented to Emergency department following bike accident sustaining injury over face, chest abdomen, 6hours after incident. His vitals were unstable so he w...