A Rare Case of Pancreaticopleural Fistula That Presented as a Recurrent Pleural Effusion at a Regional Hospital in Guyana.

Pancreaticopleural fistula is a rare complication of pancreatitis. We present a rare case of pancreaticopleural fistula in a 43-year-old alcoholic male. He presented with recurrent episodes of left pleural effusion that were managed with aspiration and chest tube placement. An MRI of the chest and upper abdomen revealed a pancreaticopleural fistula. The patient underwent distal pancreatectomy with splenectomy and Roux-en-Y pancreaticojejunostomy. The surgical approach was our first-line management due to the unavailability of octreotide and endoscopic retrograde cholangiopancreatography. His recovery was complicated by an empyema that was managed by tube thoracostomy and IV antibiotics. There was no issue detected at his 3-month follow-up clinic visit.

An unusual case of gastrointestinal perforation caused by trans-abdominal penetration of sewing needles.

Trans-abdominal penetration by foreign bodies causing bowel injury is uncommon. We present a case of injury to the caecum caused by deliberate trans-abdominal placement of hand sewing needles. The patient was managed successfully by urgent laparotomy with right hemicolectomy and primary anastomosis.

A case of concomitant intussusception and appendicitis managed at a regional hospital in Guyana.

Appendicitis and intussusception are two potentially fatal surgical pathologies occurring at different peak age groups. Simultaneous presentation of both is rare. We present such a case in an eight-month-old infant who required successful emergency laparotomy with right hemicolectomy and primary anastomosis. Appendicitis was confirmed histologically.