We have all wondered about the consequences of spilling gallstones into the abdomen during cholecystectomy. Here the authors describe an unusual complication.

Seema Biswas
Editor-in-Chief

Asymptomatic omental granuloma following spillage of gallstones during laparoscopic cholecystectomy protects patients and influences surgeons’ decisions: a review

Biliary disease

We have chosen a series of cases that reflect the broad range of presentations and complications arising from biliary pathology. The cases are a mixture of unusual lesions, complicated anatomy that makes intervention a challenge, novel techniques and unusual findings.

In this paper the authors describe a case of painless obstructive jaundice in a 62 year old woman caused by an uncommon benign neoplasm of the biliary system.

Seema Biswas
Editor-in-Chief

Intra and extra-hepatic cystadenoma of the biliary duct. Review of literature and radiological and pathological characteristics of a very rare case.

Rarely are we in a position to show such spectacular video images in disease. We present video footage of flail segment excursions following blunt trauma and invite a discussion around the physiology involved and the management of this patient.

Seema Biswas
Editor-in-Chief

Flail chest from blunt thoracic trauma

Imagine being a young man appearing for an examination to enter the Police force and getting debarred due to birth certificate entry that mentions you are a female. This is what happened to the young man in this meticulously excellent presentation. Read on…

Rakesh Biswas
Deputy Editor

46 XY gonadal dysgenesis in adulthood ‘pitfalls of late diagnosis’

The kneeling delivery of a child is pictured on a piece of Tumaco-La Tolita pottery from South America crafted 2000 years ago. What can we learn from these pre-Columbian Indians?

Seema Biswas
Editor-in-Chief

Kneeling delivery in America 2000 years ago

Here are two cases of hypokalaemic quadriparesis complicating Dengue fever in India. The authors discuss the neurological complications arising from this virus transmitted by mosquitoes in the sub-tropical regions of the world where over 2.5 billion people (two fifths of the world’s population) are at risk.

Seema Biswas
Editor-in-Chief

Acute hypokalaemic quadriparesis in dengue fever

Here an 87 year old lady with an abdominal mass present for 20 years presents with sepsis and vaginal discharge in Spain. With the help of some eye-catching images the authors discuss the aetiology and natural history of pyometrium.

Seema Biswas
Editor-in-Chief

An elderly woman with Prevotella bacteraemia secondary to pyometrium

A 21 year old man returns from India agitated, confused and nearly unconscious. He is intubated and empirically treated for bacterial meningitis and viral encephalitis. Three days later, with no improvement, intravenous quinine is started and the patient begins to recover…

The medical challenges of global travel…

Seema Biswas
Editor-in-Chief

PCR negative cerebral malaria in a traveller returning from Mumbai

The great mimick again…Here the authors present a stunning image of TB …this time as a cause of back pain in pregnancy.

Seema Biswas
Editor-in-Chief

Spinal tuberculoma in pregnancy: a rare cause of back pain

We learn as medical students to include TB in the differential diagnosis of virtually all conditions. In the current state of global health where reducing the global incidence of TB by 50% by 2015 is a millennium development goal, this report in our images in section illustrates, in spectacular fashion, this great mimicker of disease.

Seema Biswas
Editor-in-Chief

Mycobacterium TB: sometimes, a hidden culprit