Because the diagnosis is rarely suspected prior to surgery patients with an enlarged appendix with associated elevated CEA levels should have careful investigations to exclude malignancy.

Jejunouterine fistula is a rare type of fistulous communication between the small intestine and the genital tract. This fistula may result from pelvic tumours, obstetric or surgical intervention and inflammatory disease. Crosssectional imaging modalities, including ultrasonography, magnetic resonance imaging (MRI) and computed tomography (CT), are useful investigations which may demonstrate the site and track of the fistula. Traditional contrast investigations, including hysterosalpingography, are also helpful. Surgical resection of the fistula with primary anastomosis is curative in the majority of cases.

Trauma remains a challenging burden on the often under-funded

No abstract

Colorectal anastomotic leak rates at UHWI fell at the upper limit of leak rates typically quoted in the literature. No modifiable risk factor appeared to contribute to this leak rate. Early identification and intervention is critical in limiting mortality associated with colorectal anastomotic leakage.