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2.
J Coll Physicians Surg Pak ; 26(6 Suppl): S19-20, 2016 06.
Article in English | MEDLINE | ID: mdl-27376207

ABSTRACT

Intra-abdominal drains have been used since long to prevent intra-abdominal collection, and detect any anastomotic leaks. We report a case of left sided fallopian tube herniation from a left lower abdominal drain site in a 27-year female who underwent caesarian section for breach presentation. Several complications related to drain usage has been described but left sided fallopian tube prolapse through drain site has not been reported in literature.


Subject(s)
Cesarean Section/adverse effects , Device Removal/adverse effects , Drainage/adverse effects , Fallopian Tube Diseases/etiology , Fallopian Tubes/surgery , Adult , Fallopian Tube Diseases/diagnosis , Fallopian Tube Diseases/surgery , Female , Humans , Postoperative Care , Postoperative Complications , Pregnancy , Treatment Outcome
3.
J Coll Physicians Surg Pak ; 26(1): 66-7, 2016 Jan.
Article in English | MEDLINE | ID: mdl-26787035

ABSTRACT

Rectovaginal fistula following sexual intercourse is rarely reported. It is a social stigma; and without adequate treatment and social support, the patient may end-up in isolation. A thorough knowledge of the problem and management is essential for successful outcome. We report a case of low rectovaginal fistula in a newly married female managed trans-vaginally with prior defunctioning colostomy.


Subject(s)
Coitus , Fecal Incontinence/etiology , Rectovaginal Fistula/surgery , Rectum/surgery , Vagina/injuries , Colostomy , Female , Humans , Lacerations/etiology , Lacerations/surgery , Rectovaginal Fistula/etiology , Treatment Outcome , Vagina/surgery , Young Adult
4.
J Coll Physicians Surg Pak ; 25 Suppl 2: S89-90, 2015 Oct.
Article in English | MEDLINE | ID: mdl-26522213

ABSTRACT

Primary Segmental Infarction (PSI) of the greater omentum is rare. It usually presents as acute appendicitis and the diagnosis is made per operatively. We report a case of 22 years male who presented with history and clinical features suggestive of acute appendicitis. Laparoscopic appendicectomy was planned but during diagnostic laparoscopic phase, omentum was found infarcted in the right lower abdomen and the appendix was normal. Laparoscopic omentectomy of the infarcted segment was done and the patient had smooth recovery.


Subject(s)
Abdominal Pain/etiology , Infarction/diagnosis , Laparoscopy , Omentum/blood supply , Appendicitis/diagnosis , Diagnosis, Differential , Female , Humans , Infarction/surgery , Male , Omentum/pathology , Omentum/surgery , Peritoneal Diseases/diagnosis , Peritoneal Diseases/etiology , Peritoneal Diseases/surgery , Torsion Abnormality , Treatment Outcome , Vomiting/etiology , Young Adult
5.
J Coll Physicians Surg Pak ; 25 Suppl 2: S91-2, 2015 Oct.
Article in English | MEDLINE | ID: mdl-26522214

ABSTRACT

Sub-costal port site abscess and sinus formation secondary to spilled gallstones during laparoscopic cholecystectomy is extremely rare, however such complications at umbilical port site has been described in literature. We present one such case in an elderly diabetic female. Spilled stones migrating to the port site should be kept in mind in a patient presenting with chronic discharging sinus at any of the laparoscopic port sites after laparoscopic cholecystectomy.


Subject(s)
Abdominal Abscess/etiology , Cholecystectomy, Laparoscopic/adverse effects , Gallstones/surgery , Postoperative Complications , Female , Gallbladder/injuries , Gallstones/complications , Humans , Middle Aged , Time Factors , Treatment Outcome
7.
J Coll Physicians Surg Pak ; 24(1): 62-3, 2014 Jan.
Article in English | MEDLINE | ID: mdl-24411547

ABSTRACT

The finding of an appendix in the hernial sac is a rare entity known as Amyand's hernia. It is even more rare when it occurs on the left side. We report a rare presentation of Amyand's hernia, where the appendix was found inflamed during surgery for a left sided obstructed inguinal hernia in a 40 years old male. The patient underwent appendicectomy and repair of the hernial sac and had an uneventful recovery. The possibility of the presence of a situs inversus or malrotation, as an underlying cause for the observed pathology, was excluded by X-ray examination.


Subject(s)
Appendicitis/complications , Appendix/abnormalities , Hernia, Inguinal/complications , Adult , Anti-Bacterial Agents/therapeutic use , Appendectomy , Appendicitis/drug therapy , Appendix/surgery , Cefuroxime/therapeutic use , Hernia, Inguinal/diagnosis , Hernia, Inguinal/surgery , Humans , Male , Treatment Outcome
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