RESUMO
Colorectal malacoplakia with ulcerative colitis is a rare clinical entity. This is a case report of a woman, 35 years of age, who presented with bleeding per rectum, lower abdominal pain and painful defecation for 02 months duration. A tender circumferential mass was found on digital rectal examination and incisional biopsy showed malacoplakia. CT scan revealed rectal mass extending up to rectosigmoid junction; infiltrating the pelvic wall and encasing the right lower ureter, though her CEA level was normal. DJ stenting was done for ureteric obstruction and quinolone therapy was instituted. Despite this, surgical debulking [abdominoperineal resection] was carried out for aggravation of her symptoms. The histopathology report revealed it to be a malacoplakia with ulcerative colitis
RESUMO
To report the experience of one year audit of general surgical procedures and comparison of results with other audit data. This study was carried out from January 2005 to December 2005 in the Department of Surgery, unit II, of Abbasi Shaheed Hospital, Karachi. Total numbers of patients were 881, majority of them were between 16 to 50 years of age group [73.4%]. Elective surgeries were performed in 449 [50.9%] cases whereas 315 [35.7%] cases underwent emergency surgical procedures. Rest of the patients were managed conservatively i.e. 117 [13.2%] cases. The most frequent region was gastrointestinal tract [36.1%], in which appendiceal pathologies were commonly encountered. Average duration of stay was 12 days. There was an overall mortality of 1.2% and a complication rate 5.9%. We conclude that audit is essential for better health practice and should be perform yearly. Moreover, there should be proper audit program and committse for this purpose