Use of a standardized reporting template: can we improve report quality in pancreatic and peri-ampullary malignancy?

Background: Accurate pancreatic and periampullary cancer staging with resectability assessment is vital to optimize surgical management and improve patient outcomes. The aim of this study is to assess the usefulness of a standardized reporting template.

Methods: Retrospective review of all surgically managed patients with pancreatic or periampullary malignancy between January 2018 and June 2019.

The combined uro-radiological "Rendezvous" procedure, and an unusual CT and cystoscopic finding.

The ureteric "rendezvous" procedure is an interventional procedure involving both uro-radiological and cystoscopic techniques to manage complex ureteric stenoses or fistulae. We present a case in which this procedure was utilised, with an unusual intra-procedural finding. Macroscopic visualisation of lipids within the urinary tract is an unusual finding at CT, and rarely seen at cystoscopy.

Bascule caecal volvulus: a rare cause of intestinal obstruction.

Caecal volvulus is a rare cause of intestinal obstruction, with the bascule subtype accounting for <10% of all cases of caecal volvulus. It is associated with significant morbidity and mortality if left undiagnosed. We present the case of a 58-year-old female who presented to our surgical department with symptoms of intestinal obstruction.

De Garengeot's hernia: diagnosis and surgical management of a rare type of femoral hernia.

De Garengeot's hernia is quite rare and is a femoral hernia that contains a vermiform appendix and can present as a painful, tender swelling or an asymptomatic lump. We present the case of a 70-year-old patient who presented to our surgical unit after being referred for diagnostic imaging of an asymptomatic groin lump which was found to be a De Garengeot's hernia. She had an open repair of her femoral hernia and laparoscopic appendicectomy.

Neutropenic enterocolitis affecting the transverse colon: an unusual complication of chemotherapy.

A 66-year-old woman presented with a 1-day history of sudden onset of generalised abdominal pain associated with fever and vomiting. She was previously diagnosed with left breast cancer 2 months ago and completed a course of chemotherapy 1 week prior to presentation. She was clinically unwell with generalised tenderness in her abdomen.