When acute appendicitis is present and lately treated, further complications will occur against patients. This case report describes an unusual presentation of acute appendicitis in a young patient and demonstrates a unique late complication of perforated appendicitis. A 15 year old female acute appendicitis patient had laparatomy accompanied systemic inflammatory response syndrome (SIRS) sympt...

Iatrogenic vascular injury during lumbar disc surgery is a rare but serious complication. This paper reports a patient who sustained an injury to the iliac artery while undergoing intervertebral disc surgery at the lumbar region. He suffered from massive bleeding and shock. An urgent laparatomy was performed under cardiopulmonary bypass, and the vascular injuries were repaired successfully. Thi...

PURPOSE To determine the anatomical landmark within the internal oblique muscle. MATERIALS AND METHODS In a prospective study, the abdominal wall was examined for internal oblique muscle land marks in 900 patients undergoing laparatomy. RESULTS There was a fat line at anterior superior iliac spine level to access the underlying layers and then to the abdominal cavity. CONCLUSION A fat tri...

A thirty eight year old female with a long standing history of a chronic duodenal ulcer presented at the Nyeri Provincial General Hospital with vomiting, abdominal pain and abdominal distension. Oesophago-gastro-duodenoscopy revealed a tight pyloric stenosis while abdominal ultrasonography showed ascites. At laparatomy, she was coincidentally found to have pneumatosis cystoides intestinalis (PC...

A 30 years old grandmultiparous woman presented with 6 month history of severe abdominal pain and 4 month history of progressive abdominal swelling associated with multiple swellings on her abdomen and her breasts. She had laparotomy two years earlier for a suspected fibroid. A repeat laparatomy discovered a huge left ovarian tumour; which are multilobulated and hard. She had Total Abdominal Hy...

The aim of this presentation is to report an asymptomatic missing intrauterine contraceptive (IUD) found in the omentum at surgery for cholecystectomy. Patient presented with clinical features of chronic calculus cholecystitis. Missing IUD was found at exploratory laparatomy for cholecystectomy. Excision of omentum was done and the patient did well. IUD providers should not only screen potentia...

Isolated torsion of the fallopian tube without ovarian involvement and associated pathology is a rare event. We report an 18-year-old single female who presented with acute lower abdominal pain during menstruation after a minor trauma of the pelvis. It was diagnosed as isolated torsion of normal right tube during laparatomy due to herniation of the tube through a tear in the broad ligament.

We present the case of a 36-year-old woman with primary infertility of six-year duration who had IVF/ICSI on account of male factor infertility. Transvaginal scanning done on the 30th day following embryo transfer revealed an empty uterine cavity with two gestational sacs containing active fetal echoes in the right adnexum. Patient reluctantly had right salpingectomy via open laparatomy. The pa...

A 27 year old patient was admitted with heterotopic pregnancy. Ultrasound scan done by her general practitioner had shown a 14 week viable intra-uterine pregnancy and fluid in the paracolic gutters. An exploratory laparatomy was done and she was found to have a ruptured right-sided ectopic pregnancy. Right partial salpingectomy was done. She had an uneventful post operative course. Ultrasound s...

A 45 year old male patient was referred to hospital after syncope during defaecation. Rapid peranal blood loss occurred shortly after admission. Gastroscopy and coloscopy performed as first line diagnostic measures failed to detect the source of haemorrhage. Ultrasound (US) revealed a hypoechoic and hypervascularized tumor mass in the right lower abdomen. A gastrointestinal stromal tumor (GIST)...