Spontaneous Intratumoral Haemorrhage : A case report of a Meningioma

Antonythomas*, Tharun krishna, Matthew Kolling, Lizet Louw

Laparoscopic excision of mesenteric cysts

Nigel Bascombe*, Varoon Pandohie, Dave Harnanan, Dilip Dan

Design and Methods: TF, a 12-year-old male, presented to the surgical outpatient clinic with a 3 month history of abdominal pain and distention. Examination of the abdomen revealed mild tenderness in the epigastric region and an abdominal mass. CT scan of the abdomen and pelvis showed two mesenteric cysts with the largest being 15cm x 10cm x 6 cm. 
Results: Both cysts originated from the small bowel mesentery and they were resected laparoscopically, placed in an endocatch bag and removed by way of the 12mm umbilical port site. Histologic evaluation of the specimen confirmed cystic lymphangioma.
Conclusion: Minimally invasive surgery has been found to be an excellent approach in the surgical management of mesenteric cysts. The operation was executed without complications, an unremarkable recovery, short hospital stay and quick return to normal activity. The laparoscopic approach should always be considered as a feasible option for this pathology.

Double pylorus; a Rare Disorder Presenting with Gastrointestinal Bleeding

Onur Cengiz, Barış Sevinç*

Introduction: Double pylorus is a condition defined as two pyloric openings between gastric antrum and duodenal bulb. The condition can be congenital or acquired. 
Case: In this report we present a case with double pylorus deformity, admitted to hospital with gastrointestinal bleeding. 
Conclusion: Double pylorus is a very rare condition. Ulcer causing the condition can be presented with gastrointestinal bleeding. Treatment of the condition is mostly medical.

Functional Results after Cataract Surgery by Small Incision in North Benin

Assavedo CRA Alfa Bio A*, Coulibaly YN, Sounouvou I, Tchabi Hounnou S, Doutetien Gbaguidi C

Introduction: Cataracts, real public health problem especially in developing countries, are the leading cause of blindness worldwide. Its treatment is surgical AIM. To study the results of cataract surgery by phacoalternative procedure by small incision. 
Patients and Methods: He acted in a cross-sectional study with descriptive and analytical covered with a prospective collection of given over a period of 02 months (18 May to 18 July 2015) in adults at the Ophthalmologic Hospital Saint Andre de Tinré (OHSAT). Sociodemographic, clinical and treatment were evaluated. 
Result: The prevalence of cataract was 17.6%, with a male predominance (59.3%). The mean age was 61.7 ± 12.9 years with the most represented slice of 51-65 years. 95% of patients were in a state of blindness at the entrance. Functional results indicate that 19.9% of patients had good visual acuity without correction (≥3 / 10), 70.1% had a mean acuity (1 / 10- <3/10) and 10% poor acuity ( <1/10). These results improve with the correction TS and pass respectively 44.8%, 49.3% and 5.9%. The main complications were intraoperative capsular rupture (2.7%) and vitreous loss (2.3%). The postoperative complications were hyphema (3.5%) and corneal edema (1.7%).
Conclusion: Cataract remains a leading cause of blindness and poses management problems in developing countries. Adequate technical equipment would be an asset to improve business results.

Nutritional management in a neonate with Short Bowel Syndrome: a case report from NICU, Tata Main Hospital, Jamshedpur

Lalat Barun Patra, Asit Kumar Mishra*, Md Waseem Uddin, Kriti Sunder Rana, M. Abhitej Reddy, Tarun Kumar

Short bowel syndrome (SBS) is a condition in which nutrients are not properly absorbed because a large portion of the small intestine is missing. The major causes of short bowel in neonates are necrotizing enterocolitis, gastroschisis, intestinal atresia and intestinal malrotation / volvulus. Factors that usually determine the subsequent survival of the neonate are remaining length of intestine after surgical resection, presence of ileocecal valve and colon, duration of parenteral nutrition and associated medical and surgical conditions. The incidence of SBS varies inversely with gestational age. Here we present a rare case of short bowel syndrome, following surgical resection for NEC in a term good weight (3.5kg birth weight, admission weight 4.3kg) male baby who presented on 29th day of life, with only 1/6th(45cm) of small intestinal length remaining after surgery.