Inguinal hernia repair in patients under and over 65 years of age: a district general hospital experience.

Aim: The aim of this study is to compare outcomes of laparoscopic and open hernias in the over and under 65s at a district general hospital.

Methods: Data were collected retrospectively on patients who underwent a unilateral inguinal hernia repair from 2012 to 2016. Only open mesh Lichtenstein repairs and laparoscopic transabdominal pre-peritoneal (TAPP) mesh inguinal hernia repairs were included.

NSAID-induced diaphragmatic disease of the colon.

One of the rare side effects of chronic usage of non-steroidal anti-inflammatory drugs is colopathy, which is characterised by colonic inflammation, ulceration and formation of diaphragms in late stages. We treated a case of colonic diaphragm disease with similar findings in our unit recently. We present the case herewith, followed by a discussion of the management of this interesting rare but benign condition.

Lead shot incarceration in appendix: an unusual cause of appendicular foreign body.

A previously fit man was investigated for right-sided abdominal pain and an appendicular foreign body (FB) caused by ingested lead shot was found. He had associated urinary tract infection causing his symptoms and hence was treated conservatively. We present this rare case, followed by discussion of the causes, investigations, clinical significance and management of appendicular FBs.

Diaphragmatic disease of the colon: systematic review.

Aim: Diaphragmatic disease is rare. This review aims to increase awareness of this condition and its management.

Method: A literature search was conducted using the key terms 'colon' or 'colonic' in combination with 'diaphragm' or 'diaphragm disease' for publications until August 2012.

Submucosal lipoma of the large intestine masquerading as a colonic malignancy.

Lipomas of the alimentary tract are rare tumours that can mimic malignant lesions. They are often small and asymptomatic although larger tumours can present with intusussception or as abdominal masses. We present a case of a transverse colon submucosal lipoma masquerading as a colonic adenocarcinoma leading to resection.