Laparoscopic management of heterotopic pregnancy--a rare cause of acute abdomen in women.

Heterotopic pregnancy is a rare condition of coexisting intrauterine and extrauterine pregnancy and can present as an acute abdomen. The management can be challenging as the diagnosis is difficult to establish preoperatively. We report a case of a 31-year-old female presenting with acute abdominal pain and a mass in the right iliac fossa at 22 weeks of gestation.

Ileocolic Intussusception - A rare cause of acute intestinal obstruction in adults; Case report and literature review.

Colonic Intussusception although common in children, is a rare cause of acute intestinal obstruction in adults. The etiology, clinical presentation and management of this condition is different in adults as compared to children. Pre-operative diagnosis is usually difficult due to the non specific and intermittent nature of the symptoms.

Laparoscopic versus open appendectomy: the risk of postoperative infectious complications.

Background: Despite the reported advantages of laparoscopic appendectomy (LA), ongoing debate exists about a possible increase in postoperative infectious complication rates especially intraabdominal infections and wound infection, unless wound protection is utilized.

Methods: All consecutive appendectomies (open and laparoscopic) performed over 4 months were included in this prospective study. Demographic details, operative time, time to conversion, infective postoperative complications, and delay in discharge were recorded.

Four percent of patients undergoing colorectal cancer surgery may have synchronous appendiceal neoplasia.

Purpose: An individual with colorectal cancer has a 3 percent risk of synchronous colonic neoplasia and further 2 to 3 percent risk of metachronous cancer, a risk that has prompted colonic surveillance. The appendix has a similar mucosal pattern to the colon and it has been hypothesized that appendicular adenocarcinoma may account for 1 percent of all colorectal malignancies. A special interest of the senior author in appendiceal and rectal cancer has prompted routine removal of the appendix in all cases undergoing surgery for colorectal cancer.