Left paraduodental hernia causing acute small bowel obstruction

Paraduodenal hernias are rare fascinating variety of hernias that arise in the potential spaces and folds of the posterior parietal peritoneum adjacent to the ligament of Treitz. These may present with chronic intermittent abdominal pain, acute small bowel obstruction of bowel ischaemia. Treatment is by surgery. We present a case of a 32-year-old male who had previously presented to us on multiple occasions with abdominal pain that had always relived by its own. Only this time he presented with acute intestinal obstruction. The anatomy, management and significance of considering this uncommon diagnosis while examining a patient with acute small bowel obstruction are discussed

Foreign bodies in the rectum: a report on three cases including a bullhorn in the rectum

Foreign bodies in the rectum [FBR] are not rare. In the majority of cases these are self inserted by children and young adults as a result of sexual gratification, in psychiatric patients or inserted forcibly in victims of assault. Due of vague history, varied symptomatology and the variety of objects including different sizes and shapes, these often pose management problems. Management depends on the characteristics of the object and on the presence of peritonitis or pelvic abscess. Approach to management should be stepwise. Only three cases of cattle horn in rectum have been described so far; we report herewith on a fourth one. We describe three patients with different FBR treated in our institution along with review of the relevant literature

Massive intrahepatic subcapsular collection associated with parenchymal dehiscence in the case of amoebic liver abscess

We present a case of an amoebic liver abscess that revealed an unusual finding on abdominal computed tomography [CT] scan, an abscess involving the right lobe of the liver and a massive collection almost all around the liver that caused severe indentation of underlying parenchyma. The large amount of subcapsular collection was found to be communicating with the main abscess cavity through a focal parenchymal dehiscence in the supero-posterior region. Glisson's capsule was intact. Open surgical drainage was performed after a failed attempt of catheter drainage. Such a massive intrahepatic subcapsular collection [41] in the case of an infection with Entamoeba histolytica is unusual, which, along with the difficulty experienced in treating this case, led us to report it