HighlightsEndometriosis can cause complete bowel obstruction.Must be considered in the diagnosis of bowel obstruction.It can present with un typical symptoms of endometriosis.Surgical resection is the choice in case of complete obstruction.In case of bowel endometriosis Uterus and ovaries should be inspected.
Background Intestinal fistula is an irregular opening that enables the contents to flow out. Surgical procedures, diverticular illness, inflammatory bowel disease, cancer, radiation, and injury from trauma or foreign bodies are all common causes of intestinal fistulas. Aims The goal is to see if smoking is a risk factor for relapsing in patients with intestinal fistula, as well as to learn more about the most common cause of perianal abscess or fistula, which will provide us with more information about risk factors that can be avoided and early diagnostic investigations that will help us detect the disease early and limit its progression. Methods Patients who presented to Damascus Hospital with complaints of intestinal fistula symptoms and were diagnosed and treated in the general surgery and gastroenterology divisions between 2015 and 2022 and met admission requirements were included in the retrospective analysis. Results Out of 104 cases of fistula, the average age was 34.96, with a male-to-female ratio of 67–33%. The overall percentage of smokers in the sample is 59%, and the pathological history includes 43 cases of Crohn's Disease and eight cases of colon cancer. A history of surgery was found in 63% of the participants. Surgical treatment was used on 53% of the fistulas, whereas conservative treatment was used on 47%. The proportion of patients who relapsed was 77% in smokers and 31% in nonsmokers, with a statistically significant difference. In addition, when we looked at the occurrence of perianal abscess or fistula in patients with Crohn's disease, we discovered that 96 percent of patients with perianal fistula have Crohn's disease, indicating a statistically significant relationship between these two conditions. Conclusion Smoking and Crohn's disease have a statistically significant relationship with relapsing and the development of a perianal abscess or fistula.
Introduction: Sudden abdominal pain in toddlers is a taxing challenge, the only symptoms that a two years old toddler can present are crying in pain, it represent a great problem for young mother who never experienced such event before, as a little girl she can't complain verbally except crying and occasionally vomiting. Case presentation:We present a case of a two years old girl suffered from severe abdominal pain associated with vomiting. She was referred to our clinic for surgical consultation, with three days history of abdominal pain, vomiting .Following her visit to the general practitioner, Full blood count revealed notable leukocytosis 24800, with normal urinalysis, the abdomen was rigid, with guarding mainly in the right lower quadrant with absent bowel sounds, since the child was extremely agitated and un cooperating, abdomen X ray , Echo, CTor MRI were omitted. Despite its rarity we were in doubt of adnexal involvement. Through a 25 mm, lower abdomen Rt sided skin crease Incision, the diagnosis of Rt sided Ovary and Uterine Tube Hemorrhagic infarction was confirmed clinically, the appendix appeared to have reactive inflammation. Resection of Rt Uterine Tube and Ovary, as well as appendectomy performed. Her post-operative course was uneventful. The Histology report confirmed the Diagnosis of Hemorrhagic Infarction of Rt Tube and Ovary, Appendix Reactive Inflammation and benign Lymphoid Hyperplasia. Conclusion:Abdominal pain in toddler should be regarded as real emergency, and in females. Torsion of Ovary and Tube should always be kept in mind in the deferential diagnostic process.
Abstractpelvic congestion syndrome PCS occur due to ovarian varicosities and causes a chronic recurrent lower abdominal discomfort, sometimes this pain increases with menstruation, there is various managements choices, here we report a case of PCS that was diagnosed and managed by conventional surgery.
When conservative treatment fails, many invasive techniques developed to treat hemorrhoids. This study aims to compare the results of method designed by the author. (Disconnection of Systemic from Visceral Circulation at the anal canal DSVC) with the classical surgery known as Milligan & Morgan approach M&M. We conducted controlled, non-blinded, randomized study, involved 72 patients, took place under the supervision of one surgeon (the author) in Damascus hospital in Syria. For DVSC the mean procedures time (10 +/-0) minutes (ranged between 8-21 minutes) and duration of hospitalization 4 ± 2 hours post operatively.The mean procedures time for M&M (20 ± 0) minutes (ranged between 18-35 minutes) and hospitalized for two day post-operatively. We recommend DSVC method for 2 nd , 3 rd degree and prolapsing hemorrhoids, it is easy to perform, not associated with serious complications and has a good and satisfactory results. Compared to other surgical procedures, less painful, blood stained anal discharge but no actual bleeding , and does not require specific device (Doppler sounder), or Stapler, and satisfy the patient.
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