Amoebic liver abscess: a report of 100 cases

100 cases of Amoebic Liver Abscess with age ranging from 20 years to 70 years have been treated over a period of 5 years. Amoebic Liver abscess was found in 8% cases of amoebic colitis. Interesting clinical observations were, afebrile presentation in 14% and jaundice in only 9% cases. In most cases liver function tests were of no significance. Hepatic scan was useful diagnostic aid. Peritoneal rupture occurred in only five cases. Open Drainage was indicated if response to anti-amoebic therapy and aspiration failed or if secondary infection SUPERVENED. As such surgical open Drainage was our main approach in these cases

Carcinoma of gall bladder

Seventy cases of Carcinoma of the Gall Bladder were diagnosed in a group of two thousand patients who underwent the Hepatobiliary operations over a period of eleven years [1979-90], in the District Headquarter Teaching Hospital, Abbottabad arc reviewed. The data covering symptoms, preoperativc diagnosis, surgical treatment and prognosis were analysed and compared to the similar data in the literature. Both the results and the reasons for high mortality rate were discussed and importance of early diagnosis is stressed

Renal lithiasis

Two hundred and fifty patients with Urinary Tract Calculi, who were operated upon were studied in the period between 1986 to 1989. The maximum patients presented between thirty one and forty years of age. Male to female ratio was 4.6-8.1. One hundred and twelve patients had Renal and sixty patients had Ureteric Stones. Seventy eight patients had stone in the bladder and Urethra. the commonest symptom was pain, haematuria alone was present in twelve patients, and pyuria alone in six patients. Urinary tract infection was present in one hundred and eighty patients. The overall mortality rate was 1.6%. Only one patient had recurrence. Majority of the stones were calcium oxalate or calcium phosphate