We all learned that causes of bowel obstruction may be defined as in the wall, inside the lumen and outside the wall. Here is a collection of cases where the causes and consequences are slightly more unusual than adhesions, hernia and carcinoma… ——————————————————————————————————– Imaging the acute abdomen invariably reveals surprising diagnoses. Here are some exceptional […]
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Biliary disease: The hot rim sign on hepatobiliary scintigraphy (HIDA) with CT correlation
How is the biliary tree best imaged? Here is a case where multiple modalities are used to demonstrate acute cholecystitis where the diagnosis is initially in doubt. Seema Biswas Editor-in-Chief The hot rim sign on hepatobiliary scintigraphy (HIDA) with CT correlation […]
Biliary disease: Asymptomatic omental granuloma following spillage of gallstones during laparoscopic cholecystectomy protects patients and influences surgeons’ decisions
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: Intra and extra-hepatic cystadenoma of the biliary duct
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 […]
Flail chest from blunt thoracic trauma
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 […]
46 XY gonadal dysgenesis in adulthood ‘pitfalls of late diagnosis’
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 […]
Global Health: Kneeling delivery in America 2000 years ago
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 […]
Global Health: Acute hypokalaemic quadriparesis in dengue fever
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 […]
Global Health: An elderly woman with Prevotella bacteraemia secondary to pyometrium
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 […]
Global Health: PCR negative cerebral malaria in a traveller returning from Mumbai
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 […]