Background: High serum amylase is frequently found in perforated duodenal ulcer (PDU) ,the rise in serum amylase occurs in cases of perforated peptic ulcer partly as a result of increase leakage of pancreatic enzymes rich fluid from the perforation site with subsequent absorption by peritoneal lymphatics & partly due to damage of pancreases by digestive enzymes that spilled through the perforat...

INTRODUCTION Duodenal diverticula are uncommon and usually asymptomatic. Complications like bleeding, perforation and biliary fistulae are rare. The management of a bleeding duodenal diverticulum can be challenging. With the improvement of endoscopic techniques, many of the cases reported in the literature were managed with endoscopic methods. We present a case report of bleeding duodenal diver...

A 39-year-old woman presented to our hospital with upper abdominal pain. She had been taking anti-tuberculosis medications for 3 months because of pulmonary tuberculosis. Esophagogastroduodenoscopy showed a creamy discharge from an opening in the duodenal bulb (Fig. 1), and abdominal computed tomography with coronal reformatting showed that the lymph nodes had eroded the adjacent duodenum, resu...

A 42-year-old woman was referred for resection of a sporadic, 60-mm, high grade tubulovillous adenoma in the descending duodenum (●" Fig.1). Submucosal injection of gelofusine, methylene blue, and diluted adrenaline (●" Fig.2) was followed by piecemeal endoscopic mucosal resection (EMR) using an EVIS EXERA II 180 duodenoscope (Olympus, Tokyo, Japan) and snare (SnareMaster SD-230U-20; Olympus). ...

The incidence of peptic ulcer perforation was found to be more common in the middle age, male and in nonvegetarians. Smoking, alcohol and NSAIDs use played significant role in peptic ulcer perforation. Perforation was commonest in “O” blood group cases. Degree of peritoneal contamination was a major contributing factor in morbidity and mortality. Mostly cases had anterior wall duodenal perforat...

CONTEXT Spontaneous intramural duodenal hematoma is uncommon and is usually associated with coagulopathy, anticoagulant therapy and endoscopic procedures. The aim here was to describe a case of intramural duodenal hematoma caused by chronic exacerbation of pancreatitis. CASE REPORT A 46-year-old male with chronic alcoholic pancreatitis was admitted to hospital due to abdominal pain, melena an...

Mycotic aortic aneurysms account for 1–3% of all aortic aneurysms. The management of this disease is controversial. Since open surgical repair is associated with high morbidity and mortality rates, endovascular aneurysm repair is an alternative treatment method with promising early and midterm outcomes, although its long-term durability is unknown.Secondary aortoenteric fistulas may occur iatro...

A 45-year-old woman with type 1 diabetes and chronic renal failure on dialysis underwent simultaneous pancreas-kidney transplantation from a brain dead donor. On postoperative day 15, acute generalized peritonitis was diagnosed and emergency laparotomy was performed. Perforation of the donor duodenum was found, which had apparently resulted from duodenal compression by the tip of the intestinal...