Local/regional flaps for extensive abdominal wall defects: Case series.

Introduction: Extensive abdominal wall defects requiring reconstruction with flaps are best done with free flaps. However, free flaps are not readily available in many countries. Free flaps are associated with long operative hours, technically demanding and are prone to complications.

Isolated duodenal perforation at D4 following blunt abdominal trauma.

Introduction: Isolated duodenal injuries are particularly rare in blunt abdominal trauma as the duodenum is at a deep and relatively well-protected anatomical site.

Case Presentation: We present a case report of a 22-year-old male patient who presented to an accident and emergency department at a tertiary training hospital within four hours of sustaining blunt abdominal trauma. His vital signs were stable at this point and was found to have slight abdominal tenderness in the epigastric area with no abdominal rigidity and normal bowel sounds on auscultation.

Intra- abdominal sepsis from a perforated duodenal ulcer-Management of a difficult surgical abdomen.

Introduction: Peptic ulcer perforation is a common surgical emergency that is a complication of 9% of patients with peptic ulcer disease (Kjetil et al., 2015 [1]). Despite advances in the management of peptic ulcer disease, the number of acute complications have remained constant.