Attitude of Swiss physicians towards opioid-induced constipation: a national survey.

Background: Opioid-induced constipation is a severe complication affecting up to 90% of chronic pain patients treated with opioids, causing considerable suffering and non-adherence to treatment.

Objective: To examine the attitude of Swiss practising physicians towards opioid-induced constipation awareness and management.

Methods: A total of 961 Swiss practising physicians were surveyed by questionnaire concerning their experience of and perspective on the prevalence and symptoms of opioid-induced constipation, time of development, treatment, impact on quality of life (QoL) and adherence to opioid treatment.

Severe potential consequences of delayed diagnosis in patients with hip claudication.

Delayed diagnosis in patients with hip claudication can lead to severe consequences. We report on patients with ischaemic hip claudication which had primarily been attributed to coxarthrosis. One patient went through a variety of treatments including hip arthroplasty.

[Mesenteric cyst as the etiology of abdominal pain--a case report].

Introduction: Mesenteric cysts are part of the differential diagnosis of abdominal tumors. We want to remember this diagnosis with the following case report.

Case Report: A 35-year-old woman was admitted for abdominal pain that had begun two weeks previously.

[Krukenberg syndrome in metastatic gallbladder adenocarcinoma with unknown primary tumor].

The casuistic describes a female patient, in whom a metastatic adenocarcinoma of the ovary was diagnosed 3 years after cholecystectomy due to cholecystolithiasis, which was compatible with metastases of a carcinoma of the gallbladder or the bile ducts. While clinical and imaging results suggested a primary ovarian carcinoma with inapparent primary tumor, the final diagnosis was obtained on the basis of histological findings. The case demonstrates that an ovarian metastasis can simulate a primary tumor according to clinical and imaging results.