An 88 year old woman presented with a painful, irreducible right femoral hernia and small intestinal obstruction. At laparotomy, some distal small intestine was found to have twisted around an uninflamed appendix which was acting as a 'band', with its tip fixed in the femoral hernia sac. Although the association between the appendix and femoral hernia is well recognized, the production of small...

on Intestinal Obstruction in this Society, I reported five cases of laparotomy for intestinal obstruction, which were published in the November number of the Edinburgh Medical Journal. Since reporting these cases, all of which proved fatal, I have successfully operated on one patient, whose case I now beg to lay before you. The case has been written out for me by Dr Alex. Miles, who was my hous...

Transection of gut due to adhesive band is an unusual complication of adhesive bowel disease. A 2-year old female presented with signs and symptoms of intestinal obstruction. Eight months earlier she underwent laparotomy for excision of duplication cyst of ileum. Exploratory laparotomy performed during current admission showed complete transection of gut.

Trichobezoar is a rare condition in which concretions accumulate in gastro-intestinal tract because of ingested hairs from head that may pose a diagnostic challenge. Patients often have an underlying psychiatric illness and history may not be easily forthcoming. This condition should be entertained especially in adolescent females. Futile complications can occur if there is delay in diagnosis a...

OBJECTIVE To document the epidemiologic profile and management outcome of patients with abdominal tuberculosis in a tertiary care setup. METHODS This descriptive case series was conducted at the Department of Surgery, Pakistan Institute of Medical Sciences (PIMS), Islamabad, between January 2003 and December 2008. All adult patients of either gender who presented with abdominal tuberculosis a...

INTRODUCTION Enteroliths are an uncommon entity in humans and form a rare cause of subacute intestinal obstruction. They occur proximal to stricture or in a diverticulum or a blind loop due to stasis. CASE DESCRIPTION 40 years male presenting with intermittent right lower abdominal pain since 1 year. Barium meal follow-through and CT abdomen diagnosed as a case of subacute intestinal obstruct...

Hyperemesis gravidarum can cause various vitamin deficiencies. Vitamin K deficiency can lead to coagulopathy or hemorrhagic diathesis. A nulliparous Japanese woman with hyperemesis gravidarum at 10(5/7) weeks was admitted with giant myoma, intestinal obstruction, and abdominal pain. Treatment for a degenerative myoma was instituted with intravenous antibiotics. The abdominal pain ameliorated, b...