A rare cause of jejunojejunal intussusception in an adult.

Jejunojejunal intussusceptions are not common in adults and unlike in children, a lead point is usually found. The clinical presentation in adults tends to be more chronic or intermittent and include abdominal pain, obstructive symptoms, gastrointestinal bleeding or palpable mass. These unspecific symptoms often lead to a late diagnosis.

Desmoplastic melanoma: a diagnostic dilemma.

Desmoplastic melanoma (DM) is an uncommonly encountered type of melanoma. A pigmentation is frequently absent, although a lentigo or lentigomaligna-like discolouration, adjacent to the nodule, is not uncommon. Hence, the clinical impression at presentation may vary from those of basal cell or squamous cell carcinomas, dermatofibromas or sarcomas to cysts and indurated plaque-like lesions which resemble scars.

Unicentric Mesenteric Castleman's Disease- A Diagnostic Quandary-A Case Report.

Castleman`s Disease (CD) is a rare lymphoproliferative disorder and a mesenteric location is unusual. The unicentric variety is more difficult to diagnose clinically and it requires a histopathological confirmation. The excision biopsy itself will help both in the diagnosis and in planning the treatment.

Strangulated Richter's Umbilical Hernia - A Case Report.

Richter's hernia is an abdominal hernia in which part of the circumference of bowel entrapped in the hernial sac. The segment of the entrapped bowel is nearly always the distal ileum but any part of gastrointestinal tract from the stomach to the colon may become incarcerated. The most common sites for Richter's hernia are the femoral ring (71%), deep inguinal ring (23%) and ventral or umbilical hernias (6%).

Spontaneous rupture of incisional hernia-a case report.

Spontaneous rupture of an abdominal hernia is very rare and usually occurs in incisional or recurrent groin hernia. The rupture of abdominal hernia demands emergency surgery, to prevent further obstruction, strangulation of bowel and to cover its contents. The hernial contents can be covered primarily by mesh repair if the general condition of the patient and local condition of the operative site allows or can be covered by skin followed by delayed mesh repair.