Introduction Prophylactic octreotide is controversial in pancreatic surgery in prevention of complications and severity of post-operative pancreatic fistula. We aimed to investigate the influence of prophylactic Octreotide in patients undergoing Pancreaticoduodenectomy and evaluate the cost effectiveness. Methods Prospectively collected data from patients undergoing pancreaticoduodenectomy rese...

OBJECTIVE To evaluate the incidence of Frey syndrome (auriculotemporal nerve syndrome) after parotidectomy with and without placement of a subcutaneous implant and to examine the relationship between different implants and postoperative wound complications (hematoma, seroma, salivary fistula). DESIGN A prospective nonrandomized controlled trial. SETTING A primary care and referral universit...

This is the first reported case of an enterocutaneous fistula as a late complication to reconstruction of the pelvic floor with a Permacol™ mesh after a perineal hernia. A 70-year-old man had a reconstruction of the pelvic floor with a biological mesh because of a perineal hernia after laparoscopic abdominoperineal resection. Nine months after the perineal hernia operation, the patient had mult...

Empyema necessitans (EN) is a rare long-term sequela of poorly or untreated empyema thoracis, characterized by the dissection pus through soft tissues and skin chest wall, ultimately forming fistula between pleural cavity. We herein present male patient in his late 30s, known case tuberculosis (TB) on anti-tubercular therapy (ATT) under directly observed treatment short-course (DOTS), who recen...

Background: Acute appendicitis is the acute inflammation of appendix accounting to 7-10% abdomen cases. The complications vary from surgical site infection enterocutaneous fistula and stump appendicitis. infections after appendicectomy are postoperative nosocomial affecting incision site, deeper tissues organs at operative within 30 days surgery. study was aimed predicting subcutaneous fat thic...

To cite: Sutton PA, JennerO’Brien M, Monk D. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/bcr-2013200333 DESCRIPTION A 50-year-old woman presented generally unwell and septic with some vague abdominal pain. She had a background of severe chronic obstructive pulmonary disease and bronchiectasis and was known to have a large incarcerated left-sided inguinal hernia. S...

A 30-month-old boy was brought in with the complaint of gradually increased size of his right lower extremity from birth. Soft tissue hypertrophy was detected in his right thigh, right dorsal region and scrotum. On the right leg, the skin had bluish discoloration. The leg was swollen and edeomatous. On plain radiography, we detected soft tissue hypertrophy, and there was length discrepancy betw...