Surgical complications of typhoid fever usually involve the small gut, but infrequently typhoid fever also involves the gallbladder. Complications range from acalculous cholecystitis, gangrene to perforation. Here, we present a case of enteric fever with concomitant complication of multiple ileal perforations at its terminal part with acalculous cholecystistis with gangrenous gall bladder. The primary closure of the perforations and cholecystectomy was performed. Post-operatively patient developed low-output faecal fistula that was managed conservatively.
HighlightsMeckel’s diverticulum (MD), a remanant of omphalomesenteric duct, is the most common congenital malformation of GIT.Most patients are asymptomatic. Patients develops symptoms due to its complications like bowel obstruction, hemorrhage, diverticulitis, Littre’s hernia or perforation.Case presented with persistent features of subacute intestinal obstruction due to herniation of bowel loops through unusual mesentery of Meckel’s diverticulum extending from base of diverticulum to the band which was running from it’s tip to adjacent mesentry encircling the herniated loops of intestine forming a complete hernial sac; a rarest way of presentation.Limitation of imaging modalities in diagnosis of complications of diverticulum.Surgical intervention indicated for patients with intestinal obstruction or high risk of incarceration. The treatment option is surgical resection with diverticulectomy and reduction of internal herniation.
HighlightsA case of internal abdominal herniation through a defect in transverse mesocolon with congenital abnormality of hands and feets.Reduction along with derotation of gut with closure of the rent and fixation of the caecum to lateral peritoneum done.Due to the risk of strangulation of the hernial contents, even small internal hernias are dangerous.Herniation through transverse mesocolon is very rare and preoperative diagnosis of mesenteric defect is difficult.Surgical decision-making is on the basis of clinical findings of intestinal strangulation or ischemia.
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