The diagnosis of acute appendicitis still represents a considerable problem for surgeons, with relatively high rate false positive findings present. Thus, the aim our study was to evaluate diagnostic accuracy Alvarado scoring system based on prospectively included subjects who presented emergency department suspected appendicitis. From June 2018 May 2020, 176 adult patients examined in Emergency surgical University Hospital Sveti Duh suspicion were study. decision need surgery all made by...

To explore the prevalence of amebiasis in inflammatory bowel disease (IBD), Crohn's and ulcerative colitis, patients Clinical hospital Mostar (Bosnia Herzegovina, region Herzegovina).In this study, Entamoeba histolytica/dispar was investigated fresh faeces by native microscopy immunochromatographic rapid assay "RIDA(®)QUICK test", 119 cases new found IBD patients, 84 colitis 35 control group who had also didn't have any gastrointestinal complaints. diagnosis established standard diagnostic...

Background: To explore corellation of anxiety, depression ant type personality in inflammatory bowel disease (IBD) and compare with peptic ulcer (PU).Subjects methods: In this study, prevalence was investigated 362 cases divided into three groups: 112 IBD patients, 122 patients 128 control group who didn't have any gastrointestinal or psychic complaints. diagnosis were established by standard diagnostic procedures (anamnesis, clinical manifestations, laboratory, endoscopy biopsy upper...

The objective of this study was to investigate the relationship between asymmetric dimethylarginine (ADMA), an endogenous nitric oxide synthase inhibitor, oxidative-nitrosative damage, and glucoregulation in acute pancreatitis (AP).The evaluated serum levels ADMA, nitrotyrosine, urinary 8-hydroxydeoxyguanosine 40 male patients hospitalized for AP at baseline 2 10 days treatment, respectively. were classified into a mild moderately severe group (MAP MSAP, respectively) according Atlanta...

<p><strong>Aim<br /></strong> Colorectal carcinoma is one of the most common neoplasms, especially in Western countries and those with westernisation. On other hand, high rate metabolic syndrome (MetSy) has also been noticed, as well countries. It seems like these two conditions are somehow connected. In this study, we wish to explore some characteristics colorectal its correlation MetSy. <br...

Less than 2% of all symptomatic multiple myeloma (MM) has immunoglobulin D (IgD) as monoclonal protein. Biclonal gammopathy is much rarer. At the time diagnosis, disease often in advanced stage, including renal failure, anemia, hypercalcemia and lytic bone lesions. Due to rarity itself, but also due fact that anti-IgD antisera not used routine practice, there are only a few reports IgD MM described literature. This case report describes patient with lambda anemia failure. Anemia, > 80...

Upper gastrointestinal bleeding due to primary aortoesophageal fistula is a rare clinical condition burdened with high mortality rate. However, the outcomes are closely related level of awareness, complementary and multidisciplinary approach during diagnostic workup, selected treatment option.

Endoscopic retrograde cholangiopancreatography (ERCP) is an important technique for treating biliary obstruction. A case report of a 75-year-old male with diagnosed choledocholithiasis and cholangitis was presented. He had history hepatic surgery 45 years ago, during the ERCP, unusual clinical scenario encountered. Retained extraction basket ERCP rare but known complication there are no standard recommendations to manage it. To our knowledge, this first described in literature retention...

BACKGROUND Pancreatic resection is still associated with high morbidity rates and delayed postpancreatectomy hemorrhage (PPH) the most feared complication as it may lead to hemorrhagic shock or serious septic complications. Today, endovascular approach represent safe efficient method for minimally invasive management of extraluminal PPH. CASE SUMMARY We describe four patients whose postoperative recovery after pancreatic was complicated by fistula (POPF) visceral artery hemorrhage. In all...

Diverticulitis is a relatively common condition in gastroenterology. It most often presented by inflammation of one or more diverticula, depending on their presence the colon, and abdominal pain bleeding. Bleeding from diverticulum has wide range clinical manifestations, which certain percentage cases can have very unfavorable course prognosis. Situs inversus totalis (SIT) congenital with multiple, predominantly positional abnormalities organs relation to anatomical positions. Unlike...

Distant abscesses are uncommon during the episode of acute pancreatitis (AP). However, these possible sequalae necrotizing and should be treated appropriately to prevent serious septic complications. We demonstrate a case 56-year-old male patient who presented with severe distant retroperitoneal abscess that reached femoral region was detected on diagnostic imaging scans. Combination surgical supportive therapy employed, recovered well no permanent consequences. Our article highlights...

Introduction: Hernia surgery is one of the most common operative procedures, performed in about 20 million cases per year all over world, with ventral hernia accounting for 30% cases. Although introduction anterior component separation (ACS) method, popularized primarily by Oscar Ramirez, has greatly facilitated closure largest abdominal wall defects, 30-year experience this technique pointed to risk ischemic skin complications consequential major subcutaneous tissue dissection required. The...

Solitary bone metastasis of colorectal carcinoma (CRC) without other sites is extremely rare and can be found in less than 1% patients with CRC.In the present study, we report first case a solitary tibia its pathologic fracture as presenting feature adenocarcinoma.A 78-year-old female patient presented to our emergency department due atraumatic pretibial swelling. Plain radiography did not detect any pathology. The swelling was incised serous-bloody collection evacuated, discharged. On 17th...

Acute decompensation (AD) disposes important prognostic potential in cirrhotic patients, but the relation with significant mortality predictors has not been fully investigated. We aimed to evaluate influence of AD on independent one-year mortality.  In 71 patients we analyzed between and scores indicators. evaluated association several variables survival their value for mortality, before after adjustment status.  (32) had significantly higher values CTP, MELD, SOFA, SAPS II scores,...

Aim: To explore corellation of anxiety, depression ant type personality in inflammatory bowel disease (IBD) and compare with peptic ulcer (PU).Subjects methods: In this study, prevalence was investigated 362 cases divided into three groups: 112 IBD patients, 122 patients 128 control group who didn't have any gastrointestinal or psychic complaints. diagnosis were established by standard diagnostic procedures (anamnesis, clinical manifestations, laboratory, endoscopy biopsy upper ulcer)....

First described by Barbette in 1674, intestinal intussusception represents a telescoping of proximal bowel segment into the lumen adjacent aboral segment. Adult comprises only about 5% all intussusceptions. We present case 28-year male patient who complained colicky, intermittent epigastric pain for last one month. Imaging detected specific signs intussusception. Laparotomy revealed enteric jejunum caused an intraluminal tumour, confirmed to be benign lipoma on histology. Small obstruction...