Torsion of the ovary is a common gynaecological surgery emergency. It is important to distinguish torsion of ovary from torsion of ovarian cyst as their sequelae and management are different as seen in the lower salvage rate of the former. A history of previous episodes may suggest spontaneously resolving torsion.
The anal sphincters may be divided by direct anal trauma or by severe pelvic injuries. The preoperative clinical assessment may correlate well with intra-operative assessment. As long as about half the sphincter ring remains active there is a good chance of restoring satisfactory faecal continence following a sphincteroplasty.
Being of embryonal tissue origin, the teratomas are rare in adults, typically occurring either in the gonads or in the sacrococcygeal region in infancy and childhood. We present a case of a teratoma in the lesser sac of an adult female managed by en-bloc resection with the infiltrating stomach segment.
We present herein a hepaticoduodenotomy performed for a retained, impacted distal CBD stone in a low resource setting with a good outcome. This impacted stone had complicated an open cholecystectomy for acute cholecystitis by causing the dehiscence of the cystic duct stump as a result of distal biliary obstruction.
We present a case of obstructive jaundice without biliary stones. This was due to a sclerotrophic gallbladder causing compression (Mirizzi’s syndrome) or adhesions to the extrahepatic biliary tree, pain and recurrent cholecystitis. The jaundice resolved following cholecystectomy. Mirizzi’s syndrome should be suspected in a patient with cholecystitis and obstructive jaundice after a thorough clinical assessment have excluded the usual causes of these symptoms.