Back pain is an extremely common symptom and is experienced by over half the adult population (Lawrence, 1969). In some cases, well-defined causes such as a prolapsed intervertebral disc or ankylosing spondylitis can be recognized, but in the majority no precise cause can be identified. In this paper, a series of studies of the structure of the intervertebral disc is reported, and possible mech...

Evisceration of the small bowel through a rectal perforation is rare. This is the case of a 66 year-old female presenting to the Accident and Emergency Department with transanal evisceration of her small bowel resulting from attempted digital reduction and subsequent tear of her chronically prolapsing rectum. Reduction of the prolapsed small bowel and primary repair of the rectal tear were carr...

A 12-hour-old male infant presented with prolapsed abdominal content through a defect on left side of chest wall with respiratory distress. A thorough clinical examination suggested absence of ectopia cordis, abdominal wall defect, and any bony anomaly. The child expired after 6 hours of admission because of respiratory distress and electrolyte imbalance. Is congenital defect of chest wall asso...

Sciatica is a common clinical presentation with a number of etiological factors. Many of them are innocuous like prolapsed intervertebral disc or peripheral compression in the sciatic nerve. Occasionally the cause could be of a more serious nature like a nerve sheath tumor or more infrequently, lymphomatosis. We describe recurrent lymphoma in a patient who had been in remission presented with s...

Eleven patients with fossa ovalis atrial septal defects and prolapse of the posterior cusp of the mitral valve are described. Six patients had clinical evidence of mitral regurgitation, and in 2 others the electrocardiogram was unusual for uncomplicated fossa ovalis atrial septal defects. The varied appearance of the prolapsed cusp was shown by left ventricular angiography. The principal signif...

We aim to identify factors predicting patient dissatisfaction 2 years after discectomy for lumbar disc herniation (LDH) in a Chinese older cohort. Preoperative and 2-year follow-up data for 843 patients were analyzed. After 2 years of discectomy, the patients rated their satisfaction by Patient Satisfaction Index (PSI), with response of 1 or 2 defining satisfaction and a PSI response of 3 or 4 ...