Abstract Aim NELA recommends rapid request, conduct and reporting of CT to reduce the delay in time theatre thus ultimately improving patient outcomes. Our aim was identify delays with regards scanning reporting. Methods Local Laparotomy Pathway standard that scans be performed within one hour being requested reported performed. data electronic records were reviewed over a 3 month period (Janua...

INTRODUCTION Gastroepiploic artery aneurysms are extremely rare, with few reported cases in the literature. The risk of rupture however, is high and thus warrants attention. PRESENTATION OF CASE Here we present a rare case of a women who presented to the emergency department in shock and was found to have a ruptured gastroepiploic artery aneurysm during surgical exploration. Suture ligation o...

introduction gastric emphysema or pneumatosis is a rare finding. early endoscopy and urgent laparotomy is advised in post trauma patients. case presentation a 29 year old man presented with blunt abdominal injury following a high-speed motorbike crash he complained of abdominal pain and abdomen was distended. ct abdomen revealed air in the gastric wall with disruption of gastric mucosa. he had ...

We describe a case of a patient with an intrathoracic gastric perforation, 6 months after she underwent a gastric banding procedure for the treatment of morbid obesity. After an urgent laparotomy during which the stomach was replaced and oversewn, she recovered uneventfully. The possible mechanism of this severe complication is discussed.

Brunner's gland hyperplasia is a very rare lesion of the duodenum, which is usually asymptomatic and diagnosed incidentally during upper gastrointestinal endoscopy. It can cause gastrointestinal bleeding but hemorrhagic shock is a rare clinical presentation of Brunner's gland hyperplasia. The authors present a case of a patient with hemorrhagic shock due to a bleeding Brunner's gland hyperplasi...

UNLABELLED A patient is described who presented with an intrathoracic stomach and spleen two weeks after aortic repair for an aortoduodenal fistula. At an urgent laparotomy the stomach was repositioned and the spleen removed. The patient recovered fully. The possible mechanism of this severe complication is discussed and relevant literature reviewed. KEYWORDS Aortoduodenal fistula; Complicati...

We report a 37 year old multi-parous lady, who in her third trimester of pregnancy, presented to the emergency room with acute diffuse abdominal pain and involuntary guarding. Findings on physical examination were consistent with peritonitis and a decision was made by the admitting team to perform an urgent laparotomy which surprisingly showed a stercoral perforation of the colon.

Laparotomy consists of surgical access to the organs abdominal cavity, when classified as urgent, it appears there is a need explore dimension injuries or investigate and treat unknown pathologies. Sometimes, this procedure presents complications where for relaparotomy. The aim study was describe occurrence emergency laparotomy risk factors associated with This retrospective, analytical quantit...

Intercostal artery injury may be life-threatening and usually presents as hemothorax. We report a unique case of penetrating injury, causing hemoperitoneum due to intercostal without thoracic involvement. During urgent laparotomy, no intra-abdominal organ was found. Hemostasis successfully achieved via suturing through an additional lateral 10cm incision the left thorax.

BACKGROUND There is increasing complexity in the management of patients with acute severe exacerbation of inflammatory bowel disease [IBD; Crohn's disease (CD), ulcerative colitis (UC)] with frequent requirement for urgent surgery. AIM To determine whether a weekend effect exists for IBD care in the United States. METHODS We used data from the Nationwide Inpatient Sample (NIS) 2007, the lar...