No abstract

Perforated diverticulitis is a rare cause of Fournier’s gangrene. Management for these conditions separately is well established, however no clear guidelines exist for operative management when they present in combination. This case provides a suggested management approach for managing the two conditions concurrently, in a peripheral hospital.

No abstract

Choledocholithiasis is known to pass spontaneously in a large proportion of patients. This case report documents extensive choledocholithiasis and hepatolithiasis presenting as gallstone pancreatitis in a 37-year-old female. All ductal stones (>15 stones measuring up to 10 mm) had passed spontaneously at the time of endoscopic retrograde cholangiopancreatography, 10 days after presentation. No previous case reports document this number, size and location of ductal stones passing spontaneously.

Pancreatic pseudocysts are a common complication of pancreatitis affecting up to 40% of chronic cases. Typically, they are located within or abutting the pancreas and are self-limiting with the majority been smaller than 6cm, asymptomatic and resolving with conservative management. Here we present an unusual multiloculated giant pancreatic pseudocyst that originated at the pancreatic tail and extended through the lateral thoracoabdominal walls into the subcutaneous plane in a male with chronic alcohol pancreatitis. A literature search revealed no previous documented cases of this specific complication.