Author Bios
Articles by this author:
Gastric volvulus is a rare condition. Organoaxial gastric volvulus (along longitudinal axis of stomach) occurs acutely, has characteristic symptoms and may be easily detected with upper gastrointestinal (GI) contrast studies. In contrast, subacute, intermittent cases present with intermittent vague symptoms from episodic twisting and untwisting. The main aim of this report was to highlight the fact that early diagnosis and treatment of gastric volvulus should be undertaken to prevent fatal outcome in patients with chronic vague abdominal symptoms.
Intestinal obstruction is a common surgical condition. It may be small bowel or large bowel obstruction. Small gut volvulus is rare in adults and usually presents with acute intestinal obstruction. We here report two cases with primary small bowel volvulus who presented with acute intestinal obstruction. The gangrenous gut was resected and end to end anastomosis done at laparotomy.
Typhoid and intestinal infestation with parasites are common and may co-exist especially in the tropics. Their synergistic acute abdominal presentation is rare. We here report a 38-year-old male who presented with complaints suggestive of enteric fever and signs of peritonitis. Following baseline investigations, laparotomy was performed which proved to be a surgical surprise. A live tape worm was seen pouting out of the terminal ileal perforation. The clinical presentation and the stringent attention to preventive measures are discussed.
