The over-the-scope clip (OTSC) is a useful tool recommended as first-line endoscopic treatment for endoscopic acute iatrogenic perforation [1]. A retrospective study documented that OTSCs can avoid emergency surgical repair, allowing, in some cases, completion of the primary endoscopic procedure. As documented only once in the literature, its use could allow subsequent endoscopic procedures to ...

Acute gastric dilatation due to superior mesenteric artery syndrome in healthy individuals is extremely rare. A 17-year-old girl who complained of epigastric pain for two days following excessive eating was admitted to our hospital. She was nauseated but was unable to vomit. Succussion splash was positive. Bedside ultrasonography revealed a hyperactive duodenum, a distended stomach compressing ...

ADVANTAGES OVER EXISTING TECHNOLOGY Video capsule endoscopy (VCE) was first developed in 1999 and has been in widespread use since the late 2000s. It is primarily used for investigation of the small bowel and has the advantage of being able to accurately examine the small bowel which cannot be easily reached by standard endoscopy methods. The major advantages are that it is non-invasive, safe, ...

Perforations of the duodenum are a significant source of morbidity in clinical practice. Surgical repair is usually mandated, but it is associated with significant morbidity and mortality. Until recently, there has been no technique available which reproducibly and safely allowed endoscopic closures of penetrating defects within the digestive tract. With the new over-the-scope clipping system",...

A 76-year-old man was found lay down on the floor. After an acute alcohol intake he started vomiting. In the Emergency Room he was disoriented with lividity. Vital observation revealed low blood pressure and tachycardia, subcutaneous emphysema and basal rales on auscultation. Chest radiography with shadowing in the left lower zone. A water-soluble contrast esophagogram (Gastrograffin) revealed ...

CASE REPORT A 33 year-old male with no past medical history was admitted with a three day history of central abdominal crampy pain radiating towards the right iliac fossa. At that stage he made no mention of abdominal trauma. Clinically he was tender with rebound in the right iliac fossa. Haematological and biochemical investigations were normal apart from a raised white cell count of 14.7x109/...

INTRODUCTION This report calls attention to small bowel necrosis resulting as a complication of formation of an obstructive loop of small bowel around a band of Meckel's diverticulum. CASE PRESENTATION We report a case of an adult in his 5th decade presenting with sharp, colicky abdominal pain. On presentation his vitals were within normal limits, abdomen was non-distended but tender and rigi...

Emergency surgery for malignant large bowel obstruction has high morbidity and mortality [1]. Alternatively, SEMSs may palliate an obstruction or act as a “bridge to surgery” [2]. Stent placement has a complication rate of around 25% [3]; complications include perforation, migration, and blockage [4,5]. An 84-year-old woman was referred with constipation. A computed tomography (CT) scan demonst...