Rare case of eosinophilic cholecystitis

Eosinophilic cholecystitis is a rare form of cholecystitis. It is characterised by eosinophilic infiltration of the gallbladder. The etiology is not completely understood, but many hypotheses have been made. Presentation is similar to typical cholecystitis and histopathology remains the mainstay for diagnosis. Surgery is the treatment of choice. We report a case of eosinophilic cholecystitis presented as recurrent acute attacks of cholecystitis and laparoscopic holecystectomy was performed

rare large low rectal melanoma

Rectal melanoma is a very rare and fatal disease. In this report, we present the case of a 49-year-old lady who was presented with bleeding per rectum. Examination and investigations revealed a low rectal melanoma with metastasis. A wide local excision of the bleeding mass was done

Paraduodenal [treilz's] hernia: unusual cause for recurrent intestinal obstruction

Among congenital internal hernias, the paraduodenal hernia is the most common one and is known as Treitz's hernia [TH]. It results from an abnormal rotation of the midgut. Internal hernias overall, are difficult to be evaluated Clinically and radiologically and are usually diagnosed on exploratory laparotomy due to intestinal obstruction. We present in this report, a rare case of left paraduodenal hernia presenting as recurrent intestinal obstruction

Diagnostic computerized tomography sign in Petersen's space hernia after laparoscopic roux-en-Y gastric bypass

Petersen's space hernia [PSH] is a well-known complication of laparoscopic roux-en-Y gastric bypass [LRYGB] in up to 7% of cases. This led the surgeons to close this defect during surgery. We report the case of a young lady, 25 years old with a body mass index [BMI] of 55 kg/m[2] who had LRYGB in October 2004 with antecolic roux limb, without closing the Petersen's space [PS]. Two years later she presented with vague abdominal complaints, which drew our attention to the occurrence of this type of internal bowel herniation through the PS. routine laboratory investigation and upper endoscopy failed to reveal the problem. However, computerized tomography [CT] scan of the abdomen showed one of the major signs of internal herniation, namely, rotation by 180 degrees of the superior mesenteric vein [SMV] counterclockwise upon the superior mesenteric artery [SMA]. This hernia was reduced surgically through small laparotomy wound after a failed trial to do it laparoscopically. The PS defect was repaired and closed