HighlightsPneumatosis intestinalis is a poorly understood phenomenon with a multitude of causes.It may mimic other gastrointestinal conditions ranging from benign to life threatening ones.A high index of suspicion is required to reach the correct diagnosis in order to provide optimal care for the patient.G.I amyloidosis is among the rare causes for secondary pneumatosis intestinalis.
<b><i>Background:</i></b> Adhesive small bowel obstruction (ASBO) is one of the leading reasons for emergency surgical admissions. Current guidelines recommend the conservative approach, unless operative intervention is indicated. <b><i>Case:</i></b> Here, we present a case of a young male who underwent early laparoscopic adhesiolysis for ASBO. <b><i>Discussion:</i></b> Nonoperative management resolves majority of ASBO cases but has high recurrence. Early surgical management (ESM) has been shown to reduce recurrence rate and long-term health consequences. <b><i>Conclusion:</i></b> ESM can be considered for recurrent ASBO in younger patients with fewer comorbidities.
HighlightsPericardio-diaphragmatic should be suspected in high-velocity blunt thoraco-abdominal trauma.Pericardial rupture can be managed in an open or laparoscopic approach.
Pilonidal sinus is a common problem encountered in proctology clinics. It has a wide spectrum of clinical picture ranging from a single asymptomatic pit to a more complex disease with multiple sinuses and secondary openings. Hence, the treatment options could range from observation or simple excision to a more radical approach like flap surgeries. Ultrasonographic assessment could help in mapping the extent of the pilonidal sinus. It can also identify whether the sinus is infected or has formed an abscess. With the above-mentioned information provided by the point of care ultrasound, the surgeon can tailor the surgical approach to each individual case and improve the overall outcome. In this article, we are highlighting some examples of cases managed in our proctology unit where ultrasound was done preoperatively and guided the management.
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