Isolated duodenal injury presenting as Fournier's gangrene: A case report.

Isolated duodenal injury is rare as they are usually associated with other visceral injuries. Diagnosis of a duodenal injury is difficult, and its management is challenging. Hence, it is important to timely recognize such injuries for better outcome.

An unusual cause of large bowel obstruction: To keep an open mind.

Enterolithiasis or formation of gastrointestinal concretions is an uncommon medical condition that develops in the setting of intestinal stasis due to various pathologies. Its prevalence ranges upto 10% and can present in different clinical pictures to challenge a clinician.

When a patient walks in with a knife in his back: A scene from the movies.

Stab injury is a relatively common assault mode especially in developing countries. Having a preset protocol to follow with multidisciplinary departmental involvement whenever necessary helps with better management and outcome. It is important to rule out injury to the major neurovascular structures in such a presentation both clinically and by investigations.

Type Va extrahepatic bile duct duplication: a case report.

Background: Extrahepatic bile duct duplication is an extremely rare congenital anomaly in which two common bile ducts exist. There are five different types of this anomaly and we present an unusual variant of duplication of an extrahepatic biliary system of type Va variety.

Case Presentation: This case report describes a 63-year-old women from rural Nepal who presented with type Va of duplicated extrahepatic bile duct, with chronic calculous cholecystitis and choledocholithiasis.

Gallbladder perforation: a case report in Nepal.

Gallbladder perforation has a high morbidity and mortality especially because of delayed diagnosis. Also, most of these cases are diagnosed only during surgery. Although a rare cause, it should be ruled out in cases where other causes of peritonitis cannot be established.

Recurrent pain abdomen following appendectomy: Stump Appendicitis, a surgeon's dilemma.

Although there are many causes of pain right lower abdomen, stump appendicitis should always strike a clinician in postappendectomy patients even if it is a rare diagnosis. Here, we are discussing a 35-year female with stump appendicitis who underwent completion appendectomy.