To cite: Schols RM, Stassen LP, Keymeulen KB, et al. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/bcr-2012008304 DESCRIPTION An 83-year-old woman presented with decreased appetite and weight loss. Upon physical examination a palpable swelling in the lower abdomen was detected. The radiologist was consulted regarding the possible presence of a malignancy. A CT showe...

BACKGROUND Omentum is well known for its immunocompetence and good blood supply; and therefore, is being used in various complex thoracic procedures. Specially, in situations when staplers, sealants and total parenteral nutrition may not be used because of financial constraints, omentum may prove very helpful in preventing post-operative fatal complications. METHODS A retrospective review of ...

PURPOSE To evaluate macro and microscopically the late evolution of autotransplants of fragments of spleen in the greater omentum, mesenterium and peritoneal cavity, after 24 weeks of observation. METHODS Fifty two Wistar rats were used, males and adults, submitted to total splenectomy and divided in four groups. The group I--seventeen animals with implant of spleen fragment in the peritoneal...

INTRODUCTION The aim of our study is to present our experience from the management of six patients with deep sternal wood infection and mediastinitis after aortocoronary by pass grafting. CASE SERIES Five Caucasian Greek male patients and a Caucasian Greek female were subjected to aortocoronary by pass grafting. Mean time of sternal dehiscence and mediastinitis was 9-17 (mean 11) days. We man...

A 70 year old male patient was admitted to the outpatient clinic because of chronic fatigue, weight loss, generalised joint aching, arthritis of the ankles, and renal insufficiency. His medical history was unremarkable. At physical examination, increased central venous pressure, subfebrile temperature of 38.4 C̊, tender and swollen ankles, and painful flexion and extension were observed. Laborat...

Abstract Obturator hernia is a very rare type of abdominal wall hernia, accounting for less than 1% all hernias. They can be confused with femoral hernias as well they arise simultaneously, just like in this clinical case. A 82 year old female, multiple comorbidities including right inguinal hernioplasty, was brought to our emergency department complaining pain, distension and vomiting the last...

THE patient was a woman of 62 years of age. The personal history revealed nothing relevant. The present affection dates back about eight months,. and was attributed by the patient to a fall. Following this fall she had pain in the epigastrium and had vomited frequently. The vomiting increased in frequency, and recently had been very copious. She was conscious of many gurgling and splashing soun...