Evaluation of role of hyperbilirubinemia as a new diagnostic marker of complicated appendicitis.

Background: In appendicitis, elevated intra-luminal pressure and ischemic necrosis of mucosa causes tissue gangrene or perforation. This leads to cytotoxin facilitated progressive bacterial invasion or translocation into the hepatic parenchyma through portal system. This phenomenon interferes with the bilirubin excretion into the bile canaliculi.

Laparoscopic Cholecystectomy Without Prophylactic Antibiotics: A Prospective Study.

Laparoscopic cholecystectomy has become the new gold standard for management of symptomatic gallstones. Prophylactic antibiotics are used in elective surgery by the majority of surgeons, and their role in biliary tract surgery has been well established for a subpopulation of high-risk patients. This consensus has been derived from multiple studies involving biliary tract surgery before and in the era of laparoscopic cholecystectomy.

Jejunogastric intussusception--a rare variety of intussusception.

Jejunogastric intussesception is a rare entity in surgical practice. Here a case of a middle aged male patient is reported who was admitted with pain abdomen, vomiting and constipation with surgical history of gastrojejunostomy 22 years back and found to have jejunogastric intussesception. Still now nearly 200 cases have been reported in the literature.

Complete transection of common bile duct after blunt trauma abdomen--a case report.

Isolated injury to the extrahepatic biliary system after blunt trauma is rare, Complete transection of the common bile duct is also a rare entity. Here a case of a 45-year-old male admitted with the history of blunt trauma abdomen with features of peritonitis and jaundice, found to have complete transection of common bile duct and there was no other visceral injury is reported. Cases of isolated complete transection of common bile duct in blunt trauma abdomen are rarely reported in the literature.