Adhesive duodenal obstruction: a report of a previously undescribed pathology.

Adhesive small bowel obstruction is thought to be a disorder limited to the jejunum and ileum. As a result, the list of aetiologies for duodenal obstruction does not include adhesions. We report the case of a patient who presented with gastric outlet obstruction (GOO), but with no lesions identified on cross-sectional imaging or endoscopy.

Müllerian remnant leiomyomas in women with Mayer-Rokitansky-Küster-Hauser syndrome.

Background: Müllerian remnant leiomyomas occur in women with Mayer-Rokitansky-Küster Hauser syndrome in which leiomyomas arise in absence of a uterus. This is a rare condition and we present two unusual cases.

Cases: In the first case, a woman with Mayer-Rokitansky-Küster-Hauser syndrome diagnosed was found to have a pelvic mass and was scheduled for laparotomy.

Intrauterine insemination in Jamaica as a low-cost subfertility treatment in a low-resource region.

Objective: To determine the impact of intrauterine insemination on the management of subfertility in Jamaica.

Methods: The present study was a retrospective analysis of all intrauterine insemination cycles completed from May 1, 2002, to August 31, 2005, at the University of the West Indies, Mona, Jamaica. The cycle pregnancy rate (CPR), live-birth rate (LBR), and cumulative pregnancy rate were obtained and prognostic factors were reviewed.

Shoulder dystocia in a Jamaican cohort.

Objective: To assess the risk factors for shoulder dystocia in Jamaica.

Methods: A retrospective cohort analysis of all cases of shoulder dystocia, and birth weight-matched controls identified from January 1, 2000 to December 31, 2004. Multiple factors were analyzed individually and in combination to identify risk factors.