unusual presentation of jejunal stenosis: a case report

Late presentation of jejunal atresia or stenosis is very rare. All patients present within the 1[st] to 5[th] day of life. They present with symptoms and signs of intestinal obstruction. Bilious vomiting is one of the most important and diagnostic feature. Other symptoms and signs of intestinal obstruction are very rare. In patients with duodenal stenosis the presentation is usually late and their main presenting symptom is failure to thrive with or without symptoms of intestinal obstruction. Here we present a thirty one month female who was seen with symptoms and signs of chronic intestinal obstruction. Her main symptoms were bilious vomiting, abdominal distension and constipation. The condition started since birth. Pregnancy was uneventful and she was an outcome of spontaneous vaginal delivery with birth weight of 3kg

Lymphangioma circumscriptum A rare form Of lymphangiomas

Superficial lymphangiomas are either cavernous type, diffuse or circumscribed [circumscriptum]. Lymphangima circumscriptum [LC] is a rare benign condition characterized by the appearance of persistent clusters in the skin and subcutaneous tissue which may contain fluctuant cysts[1]. The first reported description of LC was done by Fox and Fox[2] in1878. They named it as lymphangiectodes[2]. The term LC is first used by Morris[3]in1889. Complete surgical excision is the main treatment. Here we are reporting a case of lymphangioma circumscritum of the thigh in a six-year old girl

Intra-abdominal lymphangioma with ascriasis as diagnostic predicament

Lymphangiomas are rare tumours. About 90% of lymphangiomas manifest in children at the age of three years1. The sex ratio is roughly equal in childhood2. In young patients lymphangiomas are preferentially located in head, neck and axilla, but they also occur sporadically in various parenchymal organs e.g. spleen, liver and bones. When it is diffuse as multifocal disease [lymphangiomatosis] during adulthood, it develops as superficial cutaneous lymphangioma or as intra-abdominal lymphangiomas. The male to female ratio for intra-abdominal lymphangiomas3 is 3:1. Here we present a case of intra-abdominal lymphangioma in a 14-year old boy who presented as a diagnostic dilemma

Gastrointestinal fistula: audit of management in a remote hospital

The management of gastrointestinal fistula continues to present considerable challenge to the surgeon in general and gastrointestinal surgeon in particular. To audit the management and report the outcome of the gastrointestinal fistula in a remote hospital. Eldamazeen Hospital is a regional hospital in the Blue Nile state, south east of Sudan. Retrospective analysis of demographic and clinical data of patients with gastrointestinal fistula admitted to the surgical department in the period from Feb 2003 through Feb 2008. 10 [83.3%] patients had high out-put fistula. Two fistulas were complex and 10 were simple. The small intestine was the commonest site of fistula followed by the large bowel. The commonest causes of the gastrointestinal fistula are emergency operations for stab wounds, laparotomy and caesarean section. The overall mortality rate is 2 [16, 7%] patients mainly due to inter-abdominal abscesses. Conservative treatment with nutritional support is the corner stay for successful treatment. However, early surgical management of septic foci should be considered