Background. Superior mesenteric artery (SMA) syndrome is a rare condition of duodenal obstruction, caused by the overlying SMA. Aim. To report on our experience with the management of SMA syndrome, drawing the attention to its existence. Material and Methods. We reviewed our records to identify cases diagnosed with SMA syndrome, in the period from October 1995 to January 2012. Results. Seven pa...

In a 44-year-old female esophagomediastinal fistula was found secondary to tuberculous mediastinal lymphadenitis. Chest computed tomography revealed amorphous air collection in the subcarinal region of the mediastinum with mediastinal lymphadenopathy. Esophagography with gastrografin confirmed esophagomediastinal fistula. The patient was treated with antituberculous therapy with rifampicin, iso...

Vicarious renal excretion of iodinated contrast introduced into the bowel is a known phenomenon that has rarely been reported. In clinical settings like Crohn's disease in which evaluation for recto-vesical fistula is frequently requested, vicarious excretion can cause misapprehension and error in diagnosis. We present a case of Crohn's disease in which gastrografin enema was performed to evalu...

Abstract Background Small bowel obstruction (SBO) is associated with significant morbidity and mortality (90 day mortality: 13%). Common causes include: adhesions, hernias or tumours. Conservative management includes nil per oral, intravenous hydration naso-gastric decompression. If conservative fails (>72 hours) patients usually require surgery. Recent national international guidelines ...