Gallstone ileus is a mechanical intestinal obstruction caused due to impaction of a large gallstone within the bowel. The ideal treatment of gallstone ileus remains controversial, with the main dilemma being between a one-stage and a two-stage surgical procedure. A 69-year old male patient presented with gallstone ileus. A one-stage procedure with enterolithotomy and primary closure of duodenal fistula was done. His immediate postoperative recovery was uneventful, but after 3 weeks of surgery, he developed respiratory complications and expired of multi-organ failure. In gallstone ileus, patient presents with symptoms of intestinal obstruction. Enterolithotomy alone remains the most common operative method, but the definitive surgical management is still under research. An intraoperative dilemma between a one-stage or two-stage surgery is difficult to resolve in absence of clear guidelines. Hence, more studies are required to come to a consensus in deciding its definitive management.
International Journal of Case Reports and Images (IJCRI) is an international, peer reviewed, monthly, open access, online journal, publishing high-quality, articles in all areas of basic medical sciences and clinical specialties.Aim of IJCRI is to encourage the publication of new information by providing a platform for reporting of unique, unusual and rare cases which enhance understanding of disease process, its diagnosis, management and clinico-pathologic correlations. This neoplasm is thought to arise from sebaceous glandsin the skin and, therefore, may originate anywhere in the body where these glands are found. This region is a common site of origin because the periocular region is rich in this type of gland. However, axilla has rich sebaceous gland as well which may give rise to carcinoma. Case Report: We hereby present a case of a 55-year-old female with sebaceous cell carcinoma of the axilla.
Conclusion:Though extra ocular sebaceous cell carcinoma is rare aggressive tumor.
Hydatid cyst of the psoas is uncommon to see. We hereby report a case of hydatid cyst of the psoas in a 22 years old female patient presented with pain and swelling in right lumber region. CECT abdomen revealed hydatid cyst indenting inferior pole of right kidney also indenting adjacent ascending colon and abutting right psoas muscle.
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