ABSTRACT
Gastrointestinal perforation is one of the common complications of various illness that is associated with high mortality and morbidity. The common sites of perforation in GIT (gastrointestinal tract) are stomach, duodenum, ileum and colon, but in dengue perforation in any of the above site is rare. Here we report an interesting case of gastric perforation that occurred in a young male patient post dengue fever. To our knowledge, this is the first such case of gastric perforation that occurred in our patient with dengue that we are reporting in the literature.
ABSTRACT
Laser ablation of fistula tract is a safe, effective, sphincter-preserving therapy that can be successfully performed by surgeons. Various studies and papers have been published advocating the use of lasers. However clinical experience and technical expertise is necessary for the use of lasers. Here we present a case of a 45 year old male presenting with acute abdomen following laser ablation of fistula in ano. The patients X-Ray abdomen showed free gas under the diaphragm and was explored. The exploration revealed a pyoperitoneum and a sigmoid perforation for which closure of perforation and a diverting colostomy was done. The patient was further operated for fistula excision and Seton suturing and is planned for colostomy closure.