Volvulus of splenic flexure: an autopsy case.

OBJECTIVE: The definition of volvulus is an axial twist of a portion of the gastrointestinal tract along its mesentery. The involved bowel is obstructed partially or completely with a variable degree of arterial and venous occlusion. The colon is the most common site for volvulus. The splenic flexure is the least common site of colonic volvulus. Splenic flexure volvulus (SFV) is a very rare cause of colonic obstruction, constituting 1-2 % of colonic volvulus. Mortality rate of the SFV cases is low. CASE REPORT: We experienced a SFV case who was a 20-year-old male soldier. The case had come to the state hospital with complaints of severe left abdominal and lumbar pain and a medical history of relapsing urinary infection and nephrolithiasis. The doctor had hospitalized him with the diagnosis of paralytic ileus caused by nephrolithiasis. He had died after 14 hours and 35 minutes from hospitalization. Autopsy findings showed out that the death cause was generalized peritonitis due to gangrenous SFV. CONCLUSION: In this paper, we presented this case and discussed its properties in the light of the literature data (Fig. 2, Ref. 7).

Strangulated intestinal obstruction due to forgotten eroding laparotomy pad.

Small-bowel obstruction from impacted intraluminal foreign body after laparotomy is encountered but rarely. This report presents a case in which a laparotomy pad left in the abdomen caused strangulated intestinal obstruction after cholecystectomy.

Hydatid disease of the kidney: evaluation and features of diagnostic procedures.

We discuss 8 patients with hydatid cystic disease of the kidney. Diagnostic procedures included eosinophil count, Casoni's skin test, Ghedini-Weinberg complement fixation test, abdominal x-ray, excretory urogram, ultrasonography and computerized tomography. The combined findings of these different modalities aid greatly in establishing the correct diagnosis.

Hydatid disease of the kidney.

OBJECTIVE: To define the clinical manifestations of echinococcal involvement of the urinary tract and to propose guidelines for treatment. PATIENTS AND METHODS: A positive diagnosis of hydatid disease was made in seven patients and in all of these the cyst was located in the kidney only. The patients included four males and three females whose ages ranged from 6 to 56 years (mean 33.3). RESULTS: Surgical treatment involved total nephrectomy in six patients and partial nephrectomy in one patient. There was no operative or post-operative mortality and all patients were cured of the disease. CONCLUSION: Despite its rarity, hydatid disease should be considered in the differential diagnosis of space-occupying lesions of the urinary tract.