ABSTRACT
Isolated tuberculous osteomyelitis involving flat bones such as the scapula is extremely rare. The diagnosis is generally delayed due to non-specific complaints and radiographs mimicking pyogenic osteomyelitis, especially in those with no lung involvement. The authors report a case of isolated tuberculous osteomyelitis of the scapula in a 44-year-old woman. A review of the English literature revealed only 11 cases of isolated tuberculous osteomyelitis involving the scapula. The management is outlined and the difficulties in diagnosis are highlighted.
Subject(s)
Osteomyelitis/microbiology , Scapula , Tuberculosis, Osteoarticular , Adult , Female , Humans , Osteomyelitis/diagnosis , Osteomyelitis/therapy , Tuberculosis, Osteoarticular/diagnosis , Tuberculosis, Osteoarticular/therapyABSTRACT
Veress needle, trocar insertion, pneumoperitoneum-related complications, biliary injuries apart from haemorrhage, intestinal injuries and lateral thermal injuries are all well described entities following laparoscopic cholecystectomy. The development of intestinal ischaemia following laparoscopic cholecystectomy is rare; this report describes a case of fatal small bowel ischaemia following laparoscopic cholecystectomy and discusses the various possibilities that led to this event.
