Spontaneous rupture of the spleen as a result of primary splenic lymphoma.

Spontaneous rupture of the spleen is a true surgical emergency that requires immediate management to prevent rapid exsanguination. It occurs mostly as a result of splenic infiltration by infectious or haematological diseases. We present a case of a 79-year-old male who was admitted to our emergency department with 3 days history of feeling unwell, abdominal pain, and dizziness, with no history of trauma.

Antibiotic therapy for prophylaxis against infection of pancreatic necrosis in acute pancreatitis.

Background: Pancreatic necrosis may complicate severe acute pancreatitis, and is detectable by computed tomography (CT). If it becomes infected mortality increases, but the use of prophylactic antibiotics raises concerns about antibiotic resistance and fungal infection.

Objectives: To determine the efficacy and safety of prophylactic antibiotics in acute pancreatitis complicated by CT proven pancreatic necrosis.

An unusual Spigelian hernia involving the appendix: a case report.

Introduction: Spigelian herniae are uncommon and frequently pose a diagnostic challenge.

Case Presentation: We report the case of a 71-year-old man in whom an ischaemic appendix was found within the sac of a Spigelian hernia during emergency repair.

Conclusions: There are very few reported cases in which an appendix has been found within a Spigelian hernia, in the absence of inflammatory bowel disease.