Spring active drain using bladder (50-60ml) syringe (De Adotey's drain).

Introduction: Closed active drainage system with a syringe is an accepted way to let out fluid in a surgical wound. We present a simple spring active (negative suction) drainage (SAD) system using locally improvised metallic spring and 60ml (bladder syringe); SAD of Adotey, a newly designed compression-expansion spring mechanism which serves especially in situations where an active drainage system is of utmost importance.

Conclusion: De Adotey's drain is a 60ml bladder syringe with spring mechanism which is used to provide a negative pressure as an active drain.

Abdominal injuries in university of port harcourt teaching hospital.

Background: Abdominal injury is relatively common in both civilian and military casualties and remains a major source of morbidity and mortality. The mechanism of injury may be blunt or penetrating. Some would require operative intervention, whereas others may be managed conservatively.

Ileosigmoid knotting in patients under 25 years of age: A report of two cases.

Introduction: Ileosigmoid knotting is a rare cause of acute abdomen with high morbidity and mortality. Its diagnosis is infrequently made before surgery because of its varying ways of presentation and rarity.

Presentation Of Case: The first was a 21-year-old male who presented with a history of sudden generalized abdominal pain and progressive abdominal distension.

Gastric outlet obstruction from duodenal lipoma in an adult.

The duodenum is a rare site for gastrointestinal lipoma with less than 230 cases reported in the literature. Although, peptic ulcer disease remains the most common benign cause of gastric outlet obstruction (GOO), duodenal lipomas remain a rare, but possible cause of GOO and could pose a diagnostic challenge, especially in countries where access to endoscopy and modern imaging techniques poses a challenge. The authors present a case of GOO in a 40-year-old male, secondary to a duodenal lipoma.