introduction: in ramadan, healthy adult muslims are obliged to fast. prolonged fasting increase gastric acid and pepsin levels, which promote the risk of duodenal ulcer perforation (dup). effects of ramadan fasting on dup have not been thoroughly studied yet, and the limited number of studies investigating the impact of ramadan fasting on dup yielded discrepant results. this study aimed to eval...

conclusions in humans, rhodotorula species have been recovered as commensal organisms from the nails, the skin, and the respiratory, gastrointestinal (gi), and urinary tracts. due to their presence in the gi flora, broad-spectrum antibiotics could contribute to their overgrowth in the gi tract. localized infections, such as peritonitis, due to rhodotorula species following infected peritoneal d...

background foreign body ingestion is a relatively common in children. most ingested foreign bodies spontaneously pass out of the body via the gastrointestinal (gi) system but sharp materials may perforate the gi tract and need to surgical intervention. case presentation  the patient was a 9-year-old girl with progressive abdominal pain for one month and admitted with acute abdomen impression. s...

Duodenal perforation in childhood is a rare condition with a high mortality rate if not treated surgically. Primary gastroduodenal perforation is frequently associated with peptic ulcer and exhibits a positive family history. Helicobacter pylorus is the most significant agent. Secondary gastroduodenal perforation may be a finding of specific diseases, such as Crohn disease, or more rarely may b...

Iatrogenic duodenal perforation associated with endoscopic retrograde cholangiopancreatography (ERCP) is a very uncommon complication that is often lethal. Perforations during ERCP are caused by endoscopic sphincterotomy, placement of biliary or duodenal stents, guidewire-related causes, and endoscopy itself. In particular, perforation of the medial or lateral duodenal wall usually requires pro...

Gastric perforation (GP) in neonates is a rare entity with high mortality. Although the etiology is not completely understood, it mostly occurs in premature neonates on assisted ventilation. Combination of duodenal atresia and gastric perforation is very rare. We present a case duodenal atresia who developed gastric perforation after operetion for duodenal atresia. Analysis of the patient medic...

Gut perforations during ERCP and stenting or due to migration of stents are very rare complications, with an incidence of well below 2%. Moreover, direct duodenoscope-induced lateral or medial duodenal wall perforation is much less common, accounting for 0.1% of patients who undergo ERCP, but tends to be large and further away from the ampulla. Duodenal perforations from the superior duodenal a...

We report a rare case of incomplete congenital duodenal obstruction (Type 1 duodenal atresia) in association with situs inversus totalis presenting with gastric perforation in a neonate. The infantogram was suggestive of perforation with air under diaphragm along with dextrocardia. On exploration, a pin point perforation at fundus near lesser curvature along with situs inversus was noted. Prima...

Laparoscopic repair of perforated duodenal ulcers is safe and effective in centers with experience and increasingly performed by laparoscopic surgeons. However, the role of laparoscopy for the management of large duodenal perforations (>1 cm) is unclear. To date, no experience has been reported with emergency laparoscopic repair of large perforations for gastroduodenal ulcers. The commonest rea...

Endoscopic retrograde biliary drainage (ERBD) is useful for the palliative decompression of biliary obstruction. However, the complications of ERBD include cholangitis, hemorrhage, acute pancreatitis, obstruction of the stent, and duodenal perforation. Pressure necrosis on the duodenal mucosa by the stent may contribute to perforation. Although duodenal perforation following ERBD is very rare c...