Transvaginal evisceration 20 years after hysterectomy. Case report and literature review.

Unlabelled: Vaginal evisceration is a rare emergency complication which needs prompt surgical treatment. We report a rare case of a seventy-three year old patient presented with late onset of transvaginal intestinal evisceration, 20 years after hysterectomy. A short review of the literature focused on the last 10 years.

Does hip osteoarthritis have a protective effect against proximal femoral fractures? A retrospective study.

The inverse relationship between proximal femoral fracture incidence and hip osteoarthritis remains controversial. However, femoral neck fractures rarely occur in patients with hip osteoarthritis, suggesting a protective effect of osteoarthritis. We sought to determine if the severity of osteoarthritis influenced fracture type.

Medial neck femoral fractures: algorithm of treatment and the use of f.g.L. ™ memory shape stem.

Background And Aim Of The Work: We treat undisplaced or minimally displaced medial neck femoral fractures with screws in both young and elderly patients with good activity of daily living, without severe comorbidity. Total hip replacement is preferred in middle-advanced age, with good level of functional activity. Bipolar hemiarthroplasty is performed on patients who may require early mobilization to avoid deterioration due to existing comorbidities.

Adjusting CA19-9 values to predict malignancy in obstructive jaundice: influence of bilirubin and C-reactive protein.

Aim: To find a possible relationship between inflammation and CA19-9 tumor marker by analyzing data from patients with benign jaundice (BJ) and malignant jaundice (MJ).

Methods: All patients admitted for obstructive jaundice, in the period 2005-2009, were prospectively enrolled in the study, obtaining a total of 102 patients. On admission, all patients underwent complete standard blood test examinations including C-reactive protein (CRP), bilirubin, CA19-9.

Appendicular tuberculosis: the resurgence of an old disease with difficult diagnosis.

Gastrointestinal tuberculosis (TB) is quite rare, representing only 3% of all extra-pulmonary cases. Blind gut and ileum are the most common gastrointestinal localizations, while appendix involvement is infrequent. Appendix involvement is usually related to symptoms of acute appendicitis since the caseous necrosis may lead to adhesions and surgical complications such as perforation.