Acute necrotizing gastritis with gangrene of the stomach wall is a rarely encountered condition. This often a fatal condition if is attributed to vascular occlusion, chemical and mechanical injuries or infectious etiologies. We review the available literature with a case of acute necrotising gastritis with unknown etiology. Case was managed successfully with emergency partial gastrectomy.

INTRODUCTION

INTRODUCTION

Paraduonenal hernia constitutes more than 50% of internal hernia cases. It can result in perilous sequelae like gut ischemia and perforation. We report a case of a patient who presented with acute intestinal obstruction and peritonitis and was diagnosed as a case of complicated paraduodenal as an incidental finding on laparotomy.A 26-year-old male patient presented with three days history of continuous severe incapacitating diffuse abdominal pain. The pain was associated with multiple episodes of bilious vomiting and absolute constipation. Patient had signs and symptoms of shock. Abdomen examination showed generalized peritonitis. Patient had deranged laboratory investigations. Abdominal X-ray showed acute intestinal obstruction. Patient was resuscitated and taken up for emergency laparotomy. Intraoperatively there was a long segment of gangrenous small bowel entrapped in the paraduodenal sac. Gangrenous gut was released from the sac and excised with proximal and distal ends fashioned as stoma through separate sites. Patient was managed with intravenous fluids with total parental nutrition. Patient gradually started on oral diet and jejunostomy output was refed through the distal stoma. Patient was discharged on postoperative day 14. Patient had uneventful early stoma closure at postoperative day 45 and now is on regular follow-up in the outdoor department.Paraduodenal hernias are one of the rare causes of intestinal obstruction that is difficult to diagnose. Radiologic investigation like abdominal computed tomography (CT) scan can aid in diagnosis of paraduodenal hernia. Surgeons should have clear knowledge about abnormal anatomy of internal hernias and complications they can face during surgery.

Scrotal trauma is a rare surgical emergency. Blunt trauma scrotum is a common mode of scrotal injury which may result in testicular rupture, haematocele, testicular dislocation and hematoma. Testicular injuries are managed both conservatively as well as surgically. Surgical exploration becomes a must in case of testicular rupture and large haematoceles.

Amoebic colitis is a common infection in all population groups across all geographical barriers and is an easily treatable disease in its routine manifestations. However, he has its set of complications that carry poor prognosis. Amoebic liver abscess is a common complication but its association with caecal perforation is rare, and carries worst prognosis. No survivors have been documented in the available literature and the result was pretty much the same in our study.

INTRODUCTION

Background: Liver abscess is an ancient disease bothering mankind since ages and continues to be a common health problem in India. Both of its subtypes i.e., amoebic and pyogenic, continues to pose serious challenge to the Indian health care system.Aims and objectives: To determine the demographic profile of patients, to assess type of liver abscess prevalent in the region and to assess etiological factors of the disease.Methods: Study was conducted in two tertiary care and referral hospitals in the Indian national capital region and a govt. hospital in Punjab from 01 July 2016 to 31 December 2019 and the patients were followed up till June 2020 with the last recruited patient getting a six month follow up. Diagnosis was confirmed by sonography and examination of aspirate. Positive routine bacteriological culture of the pus and a positive response to routine antibiotics made up for the pyogenic liver abscess category.Results: Liver abscess commonly affects middle aged males of low socioeconomic status. Diabetics and alcohol (both Indian made foreign liquor and the local country liquor) are biggest risk factors. Majority have raised leukocyte counts while Alkaline phosphatase is the most commonly deranged liver function test marker, raised to more than twice of the normal range in most cases. Right lobe involvement, right sided pleural effusion and raised right hemidiaphragm are seen in plain chest X-ray. Fever and pain abdomen are the most common presenting complaints. USG abdomen is an effective diagnostic modality that also serves to guide intervention procedures.Conclusions: Early diagnosis and timely intervention produces best results.International Journal of Human and Health Sciences Vol. 05 No. 04 October’21 Page: 473-477