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Full-Text Articles in Medicine and Health Sciences

Sclerosing Peritonitis Presenting As Complete Mechanical Bowel Obstruction: A Case Report, Sabah Saqib, K. M. Inam Pal Oct 2019

Sclerosing Peritonitis Presenting As Complete Mechanical Bowel Obstruction: A Case Report, Sabah Saqib, K. M. Inam Pal

Section of General Surgery

Introduction: Sclerosing peritonitis or abdominal cocoon syndrome is characterized by small bowel loops completely encapsulated by a fibrocollagenous membrane in the center of the abdomen. Although cocooning of the abdomen is mostly seen in patients on peritoneal dialysis, it can occur de novo; it very rarely manifests as complete mechanical bowel obstruction.
Case Presentation: A 46-year-old Asian man presented with complete mechanical bowel obstruction. He had previous attacks of partial bowel obstruction during the past 6 to 8 months, which was misdiagnosed as abdominal tuberculosis because tuberculosis is very prevalent in the region in which he lives. He took anti-tuberculosis …


The Characteristics Of Appendicoliths Associated With Acute Appendicitis, Mohammad Shoaib Khan, Mustafa Belal Hafeez Chaudhry, Noman Shahzad, Muhammad S. Khan, Maryam Wajid, Wasim Memon, Abdul Rehman Alvi Aug 2019

The Characteristics Of Appendicoliths Associated With Acute Appendicitis, Mohammad Shoaib Khan, Mustafa Belal Hafeez Chaudhry, Noman Shahzad, Muhammad S. Khan, Maryam Wajid, Wasim Memon, Abdul Rehman Alvi

Section of General Surgery

Introduction: Differences between appendicoliths associated with appendicitis and those found incidentally have not been studied. The objective of this study was to determine the characteristics of appendicoliths that are associated with acute appendicitis.
Methods: A cross-sectional study of patients with appendicoliths identified on computed tomographic (CT) scan from January 2008 till December 2014 was conducted. Patients were divided into two group: appendicitis and appendicoliths (AA) and incidentally discovered appendicoliths (IA).
Results: Overall, 321 patients were included in the study. Of these, 103 (32%) patients were in the AA group while 218 (68%) patients were in the IA group. Both groups …


Template Operative Note: A Better Documentation, Fareed Ahmed Shaikh, Abdul Rehman Alvi, Noman Shahzad, Tanzeela Gala, Ghulam Murtaza Mar 2019

Template Operative Note: A Better Documentation, Fareed Ahmed Shaikh, Abdul Rehman Alvi, Noman Shahzad, Tanzeela Gala, Ghulam Murtaza

Section of General Surgery

Operative notes are a valuable part of patient's medical record, and carry the medico-legal significance. One way of improving it is to introduce the template form operative notes. Only few studies have been done worldwide to compare both the forms of operative notes. This cross-sectional study was conducted in the department of General Surgery, AKUH. This included the patients who underwent Laparoscopic cholecystectomy (Complying with inclusion criteria) from August 2013 till March 2014. Out of 24 patients, 19 were females. The completeness of data in template group was significantly better than traditional group (79.2% vs. 8.3%). There was no significant …