Editor-in-Chief & Deputy Editor 2019-2021





Deputy Editor:




A case of intestinal obstruction caused by a peritoneal loose body mimicking gallstone ileus

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Peritoneal loose bodies (also known as peritoneal mice) are usually small in size, ranging from 0.5 to 2.5 cm, and asymptomatic. They have been reported to grow to larger dimension causing symptoms such as acute urine retention (1-2), and abdominal pain (3-4). We report a rare case presenting initially as gallstone ileus. Final diagnosis at exploratory laparotomy was a peritoneal loose body causing intestinal obstruction. [Product Details...]

Cutaneous metastases from carcinoma of the bile duct

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To the Editor, A 68-year-old woman was admitted because of painless obstructive jaundice of three days duration when she noticed yellow colored sclerae and dark colored urine. Two months before presentation, she noticed a reddish, gradually enlarging, skin nodule at the neck above the left supraclavicular area whereas a second lesion was noticed on the chest above the xyphoid 20 days before her admission. On physical examination the skin and sclerae appeared yellow. The nodule at the neck was well circumscribed with erythema, measuring approximately 2 cm in diameter (Fig. 1A) whereas the chest lesion was a 0.8-cm red papule (Fig. 1B). Both lesions were asymptomatic, hard on palpation, not fixed to the underlying tissues and non-tender. Abdominal examination revealed mild tenderness in the right upper abdominal quadrant but no mass was palpable. There were no enlarged neck, axillary or inguinal lymph nodes. [Product Details...]

Giant appendix as result of chronic appendicitis : report of a case

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To the Editor, During operations, surgeons often find a wide range of appendix sizes in patients with varying body dimension (1). The appendix length of male patients is longer than those of females with a mean of 7.5 cm and 6.5 cm respectively1. Anyway, it is rare that the appendix matches the caecum and ascending colon in length, and, even if some appendices of more than 22 cm in length are described in literature, the only works available are too old or based on non-scientific references (2). [Product Details...]

Protein-losing enteropathy caused by spontaneous superior mesenteric artery dissection with thrombosis

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To the Editor, Protein-losing enteropathy (PLE) is a rare clinical condition caused by continuous protein leakage into the digestive tract, resulting in hypoproteinemia, which can be complicated by edema, ascites, and malnutrition (1). It is observed in association with various disorders. However, its association with isolated spontaneous dissection of the superior mesenteric artery with thrombosis (DSMAT) has not been reported before. We describe a patient who exhibited PLE due to DSMAT, and discuss the possible mechanisms and trea [Product Details...]

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