Appendicular Neuroendocrine Neoplasm is Associated with Acute Appendicitis - Don't Miss the Boat.

Appendicular neuroendocrine neoplasms (ANEN) are rare tumours diagnosed incidentally on histology after an appendicectomy carried out for acute appendicitis. Five years survival rate of node-negative an early ANEN is over 90%. However, the growing interest, among clinicians, to treat appendicitis by antibiotics only, could potentially miss these indolent tumours.

A Rare Pathology of Difficult Laparoscopic Cholecystectomy: Xanthogranulomatous Cholecystitis.

Xanthogranulomatous cholecystitis (XGC) is a rare inflammatory condition of the gallbladder (GB). Preoperatively, it is a diagnostic challenge. One thousand and seventy nine laparoscopic cholecystectomy (LC) patients from September 2012 to June 2015 were retrospectively reviewed.

Duodenal biopsies for the diagnosis of coeliac disease: are we adhering to current guidance?

Background: The British Society of Gastroenterology guidelines recommend taking at least four duodenal biopsy specimens at the time of upper gastrointestinal (UGI) endoscopy if coeliac disease (CD) is suspected and it has been shown to increase the diagnostic yield of CD. We assessed the compliance to these guidelines within our institution. We then applied measures to improve our compliance rate and assessed the resulting impact on our diagnostic rate of CD.

Acalculous Phrygian cap cholecystitis.

We report a case of a 53-year-old Caucasian woman who presented with symptoms of cholecystitis; an ultrasound and CT scans showed a mass lesion associated with the gallbladder and no gallstones. Laparoscopic cholecystectomy and further histological analysis confirmed acalculous cholecystitis in a Phrygian cap gallbladder.

Support expectations of cancer patients.

Patients' satisfaction is a paramount in the delivery of health care provisions, particularly in patients with poor prognosis. Effective communication with such patients helps in achieving a better satisfaction score. A survey was conducted on upper gastrointestinal cancer patients to assess their perceived satisfaction regarding the healthcare received.

Abdominal compartment syndrome--a fatal complication from a rectus sheath haematoma.

Rectus sheath haematoma is increasingly being seen in patients with anticoagulation therapy. Abdominal compartment syndrome is a rare complication of rectus sheath haematoma with only two cases reported in literature. The authors report a case of a young male who developed abdominal compartment syndrome from a rectus sheath haematoma secondary to anticoagulation therapy.

Endoscopic management of migrated biliary stent causing sigmoid perforation.

Endoscopically deployed biliary stents are a well established method for dealing with biliary diseases. Perforation of the gut secondary to migrated biliary stent is reported in less than 1% cases. The authors present the first case of a colonic perforation from migrated biliary stent which was managed endoscopically.

Laparoscopic enterolithotomy is a valid option to treat gallstone ileus.

Gallstone ileus is a well-recognized clinical entity. It usually affects elderly female patients, and very often diagnosis can be delayed resulting in high morbidity and mortality. An abdominal x-ray and computed tomographic (CT) scan of the abdomen may show classical radiological features of small bowel obstruction, pneumobilia, and an ectopic gallstone.

Laparoscopic excision of heterotopic pancreas of stomach.

Heterotopic pancreas (HP) in stomach is a rare pathological entity that poses clinical dilemma for diagnosis and management. It carries a risk of developing serious benign and malignant complications. This is a case of 37-year-old lady who presented with dyspeptic symptoms and was found to have a 1.

Gallstone Ileus Associated with Synchronous Carcinoid Strictures of the Small Bowel.

Introduction: Gallstone ileus and synchronous two carcinoids of small bowel, both pathologies have no known pathological reasons to be associated with each other and are not known to be together in one patient.

Case Report: We present a case of a 72-year-old lady who presented with small bowel obstruction as an emergency. At laparotomy we found gall stones entrapped between two carcinoid strictures in ileum.