Spontaneous perforation of the common bile duct in an adult.

Spontaneous perforation of the bile duct is a rare disease in children and even rarer in adults. Although diagnostic techniques have advanced over the past years, yet most cases are diagnosed at operation. A 44-year-old woman presented with epigastric pain and vomiting of one-day duration.

Tube sigmoidostomy: a valuable alternative to sigmoidopexy for sigmoid volvulus.

Objective: To compare the effectiveness of tube sigmoidostomy and sigmoidopexy as effective treatment options for patients with acute uncomplicated sigmoid volvulus.

Methods: The records of 72 patients with acute uncomplicated sigmoid volvulus with obstruction who were treated by tube sigmoidostomy (Group I: n=32) and sigmoidopexy (Group II: n=40) were reviewed retrospectively. Follow-up period was 22 months (range: 6-51 months).

Large mucinous adenoma of pancreas presenting with recurrent pancreatitis.

Cystic pancreatic tumors are an unfamiliar and rare entity even after the advent of modern abdominal imaging. Mucinous pancreatic tumors presenting with features of pancreatitis is a rare phenomenon moreover it creates a diagnostic dilemma and can lead to mismanagement. We report here such a case of mucinous cyst adenoma presented as recurrent pancreatitis and mimicking as a pancreatic pseudocyst.

Successful removal of an impacted metallic arrowhead penetrating up to the brainstem.

A case of impacted metallic arrowhead in the brain through an unusual route of the neck and behind the external carotid artery to the base of the skull up to the brainstem is reported. Review of the literature reveals no previous reports of this type of injury. A 35-year-old man was admitted to the hospital after 36 h of injury, being fully conscious and with partial facial palsy.