A case study that's a reminder of an important clinical lesson

The clinical case of a 60-year-old patient who presented predominantly with urological symptoms. CECT revealed an appendiceal lesion infiltrating and projecting into the urinary bladder.

Hemobilia is a rare but potentially life threatening problem, which can be difficult to diagnose and treat. The aim of this study was to analyze the etiology, clinical features, management and outcome of major hemobilia in a tertiary referral centre from western India.

Mycobacterium abscessus is a rare cause of human infection and is difficult to diagnose unless it is suspected. We believe that this is the first documented case of surgical site infection by M abscessus in a liver transplant recipient.

Technical difficulties usually arise in infants when the vein size is too small for stenting. In 14 children with Budd-Chiari syndrome, we could perform radiological intervention successfully in 11; the procedure failed due to small vessel size in 3 patients.

ALA presenting as liver failure is rare and is not because of hepatocyte dysfunction, but due to compromised blood flow either from portal vein, hepatic vein or IVC compression, as was seen in our patient. Literature is scarce in the form of clinical case reports or imaging studies, documenting portal vein thrombosis in an ALA as a cause of liver failure.

Chronic mesenteric ischaemia is not an uncommon disorder. It is associated with high morbidity and mortality. We report two cases of chronic mesenteric ischaemia managed effectively with endovascular therapy with no morbidity and good long term pain relief.

We report a 5-year-old girl with congenital hepatic fibrosis who presented with clubbing and cyanosis. Four weeks after living-related liver transplantation, she had normal blood gases and reduction in shunting to 7% on macroaggregated albumin scan.

This review discusses anatomical facts that are of relevance to the performance of a safe cholecystectomy. Including newer insights into the role of anatomic illusions as well as the role of a system-based approach to preventing injuries.

A 59-year-old lady presented with iron-deficiency anemia secondary to occult gastrointestinal bleeding, which had needed multiple transfusions over five years. Bowel resection was performed. The patient continues to be well two months after the surgery without bleeding or drop in hemoglobin.