INTRODUCTION Dermatomyositis is an autoimmune disease characterized by proximal myopathy, cutaneous Gottron papules and heliotrope rash; intestinal involvement associated to acute vasculitis is less common but could be a life-threatening condition. METHODS A 21-year-old woman, affected by dermatomyositis, presented to our attention with a three-day story of severe abdominal pain, no bowel mov...

intra-abdominal hernias are rare conditions usually secondary to congenital defects, with pericecal hernias accounting for a minority of them. they can be difficult to diagnose due to non-specific presentations but may lead to strangulation and thus require early management. we herein report a rare case of pericecal hernia with gangrenous appendicitis in an 88 year-old lady presenting with feat...

BACKGROUND Severe acute pancreatitis (SAP) is still related to high mortality rates. This study evaluated the various surgical strategies for treatment of suspected infected necroziting pancreatitis (INP). METHODS This retrospective study included 212 patients with SAP and INP, who had surgical treatment during the period between January 2000 - December 2012 at the Ist Surgical Clinic. Surgic...

Aim: The aim is to shift the 5 mm port from the right upper abdomen to the umbilicus in threeport laparoscopic cholecystectomy to obtain better cosmetic results. Methods: The three ports in conventional three-port laparoscopic cholecystectomy were placed in a 10 mm epigastric incision, a 5 mm umbilical incision and a 5 mm right upper abdominal incision. Our modified method involved movement of ...

pneumatic rectosigmoid rapture is usually occurred following the inappropriate fun by direct entering a high volume of the air through the pneumatic device to the anus. such an event was reported for the first time in 1904 by stone. diagnosis and treatment of such injuries are often delayed because of some social limitations and preventing the patient form explaining the event. colon sigmoid ru...

aggressive fibromatosis or desmoid tumors, histologically indicated by small bundles of spindle cells in a fibrous background, are uncommon benign tumors without metastasis. they are recurrent and aggressive and their recurrence and severity is exacerbated following surgical operation. based on previous reports, these tumors rarely present as intra-abdominal abscesses. herein, a 54-year-old wom...