Inguinal hernias are a common presentation to surgical admission units throughout the world. The majority of presentations are due to hernias containing either fat or small bowel. However, a wide range of intra-abdominal viscera have been demonstrated in inguinal hernias. We report a case of an 87-year-old man who presented with gastric outlet obstruction secondary to an incarcerated inguinal h...

A 65-year old man with advanced pancreatic cancer with a combination of malignant biliary obstruction and gastric outlet obstruction was referred to our hospital. Given the presence of periampullary cancerous lesions, the endoscopic placement of a duodenal stent and endoscopic ultrasound (EUS)-guided hepaticogastrostomy (HGS) were performed simultaneously, using a single convex-array echoendosc...

An 89-year-old woman was admitted with complaints of nausea, vomiting, and epigastric pain after having meals. A computed tomography scan of the abdomen showed a 12.5-cm mass in the fundus of the stomach, which extended to the duodenum (Figure 1). Upper gastrointestinal endoscopy showed a polypoid lesion with a thick and long stalk that originated from fundus and extended to the duodenum. The h...

CONTEXT Endosonography-guided biliary drainage has been used over the last few years as a salvage procedure when endoscopic retrograde cholangiopancreatography fails. Malignant gastric outlet obstruction may also be present in these patients. We report the results of both procedures during the same session in patients with duodenal and biliary obstruction due to malignant disease. METHODS A r...

CONTEXT Squamous cell carcinoma of the pancreas is an unusual tumor due to the absence of squamous cells in the normal pancreas. Its clinical presentation is similar to that of adenocarcinoma of the pancreas and is usually diagnosed intraoperatively or at autopsy. CASE REPORT We report a 50-year-old male who presented with obstructive jaundice and symptoms suggestive of gastric outlet obstruc...

Infantile hypertrophic pyloric stenosis (IHPS) is a common cause of gastric outlet obstruction in infant. The prevalence of IHPS ranges from 1.5 to 4.0 in 1000 live birth1. But the incidence of IHPS has been increasing approximately from 1.5 to 4.0 in 1000 live birth to 1:1502. Though pyloric atresia is a very uncommon cause of gastric outlet obstruction in infant but atresia in this region occ...

Percutaneous endoscopic gastrostomy (PEG) is a well-recognized procedure for providing enteral feeding and long-term enteral nutritional support. Although it is mostly well tolerated, complications, sometimes mechanical in nature, do occur. Rare, and often initially unrecognized, late complications of PEG tube placement are gastric outlet obstruction and duodenal obstruction. Simple adjustment ...

this accident. Experiments have shown, however, that halothane of less than 7% concentration in 70% nitrous oxide with 30% oxygen cannot be ignited by a power source of 80-120 J, which is much greater than that used in surgical diathermy (10 J).' The presence of other gases, such as hydrogen and methane, would make an explosion possible. We postulate that fermentation can occur in an obstructed...

BACKGROUND Ectopic biliary drainage is a rare congenital anomaly on which we have scarce data in the current literature. METHODS The data were collected from the records of 400 endoscopic retrograde cholangio-pancreatography (ERCP). In this report, we present 10 cases (male/female: 9/1, mean age 54 years, range 38-74) with ectopic biliary openings into the duodenum and/or stomach diagnosed by...