A rare case of intestinal internal hernia beneath the external iliac artery following radical cystectomy.

Gastrointestinal complications following radical cystectomy (RC) are a common occurrence, with small bowel obstruction (SBO) a known complication. Limited cases have been reported of SBO following RC due to internal herniation of the small intestine around the ureter, ileal conduit, obturator nerve and, as a consequence of retroperitoneal lymphadenectomy, even the abdominal vasculature. We present a rare case in which intestinal herniation beneath the external iliac artery (EIA) resulted in a closed-loop SBO with ischaemia and necrosis.

A Tale of Two Meckel's: small bowel obstruction secondary to Meckel's Diverticulum.

We present two rare cases of small bowel obstruction (SBO) secondary to Meckel's diverticulum (MD) where the mechanism of obstruction was not readily apparent. Both were cases of virgin abdomen with pre-operative CT scans demonstrating SBO without a clear underlying cause or mass. Diagnostic laparoscopy was performed, which established the underlying cause to be MD, and laparoscopic-assisted resection was undertaken to resect small bowel and perform a side-to-side stapled anastomosis.

Torsion of the gallbladder: a rare but important differential to consider when treating acute cholecystitis non-operatively.

A 79-year-old woman presented with postprandial epigastric pain. She had normal vital signs, inflammatory markers and liver function tests. Ultrasound and CT of the abdomen demonstrated features consistent with acute cholecystitis.

AbSRiM: An Agent-Based Security Risk Management Approach for Airport Operations.

Security risk management is essential for ensuring effective airport operations. This article introduces AbSRiM, a novel agent-based modeling and simulation approach to perform security risk management for airport operations that uses formal sociotechnical models that include temporal and spatial aspects. The approach contains four main steps: scope selection, agent-based model definition, risk assessment, and risk mitigation.

A case report of primary necrotising fasciitis of the breast: A rare but deadly entity requiring rapid surgical management.

Introduction: Necrotising fasciitis of the breast is a rare entity with very few cases reported in the literature. It is rapidly progressive and can lead to sepsis and multi-organ failure without prompt medical and surgical management.

Presentation Of Case: We describe a case of a non-diabetic 23-year-old female with primary necrotising fasciitis of the right breast.

Surgical treatment of intramyocardial foregut cysts.

Intramyocardial foregut cysts have been identified as incidental findings at autopsies, but there have been no reports of surgical management of clinically significant cysts. We report 2 patients and provide recommendations for appropriate management.