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BMJ Case Rep

January 2025

Northern Beaches Hospital, Frenchs Forest, New South Wales, Australia.

Littré hernia is the rare protrusion of a Meckel's diverticulum (MD) through a hernia sac. We present a rare case of strangulated MD in a woman patient in her 90s, which required a small intestine resection. She presented with 1 day of groin swelling, no features of bowel obstruction and an irreducible hernia on examination.

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A woman in her early 90s presented to the acute surgical take with a 3-day history of worsening reflux, vomiting, epigastric pain and constipation. Subsequent imaging demonstrated two large, impacted gallstones in the pylorus and proximal jejunum secondary to a cholecystoduodenal fistula. A diagnosis of Bouveret syndrome was made, and endoscopic attempts to break down and remove the stones were unsuccessful.

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Article Synopsis
  • A study investigates the clinical effectiveness of a new digital design method for creating custom transtibial prosthetic interfaces using MRI or CT scans of amputated limbs.
  • The new design approach aims to enhance comfort and reduce pain compared to traditional methods, which often lack scientific backing and rely on standard sizes.
  • Results show that the novel interfaces significantly lower pain during walking and reduce pressure at specific limb areas, although thermal differences and some pressure results were not statistically significant.
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Obturator hernia is a rare condition. Preoperative diagnosis is difficult to achieve because the hernia swelling is rarely palpable. Diagnosis is often delayed, and the hernia can become fatal if intestinal strangulation occurs, especially in older patients.

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was first isolated and reported in Korea in 2007. We report a rare case of nontuberculous mycobacterial (NTM) pulmonary disease caused by . A woman in her mid-90s was referred to our hospital due to bloody sputum.

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