02e7e51ae14266cc42000000

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This PDF is available for free download from a site hosted by Medknow Publications (www. medknow.com). 177 LETTERS TO EDITOR b`qqhdqr sn bghkcqdm vhsg Vhkrnm�r chrd`rd- Odch`sq nakhsdq`sdc khudq ctkkmdrr `mc `ardms anvdk Sq`mrok`ms 0888:291/0,4- rntmcr v`r mnsdc- A`rd,khmd gdl`snknfhb`k 4- Rbghkrjx LK- Vhkrnm chrd`rd9 Fdmdshb a`rhr ne dw`lhm`shnmr vdqd vhsghm mnql`k khlhsr bnoodq snwhbhsx `mc m`stq`k ghrsnqx- Rdlhm Khudq dwbdoshmf lhkckx q`hrdc aknnc tqd` '25 lf$+ m Chr 0885:05972,84- , 05,17 lf.$( `mc rdqtl bqd`shmhmd '0-3 lf $+ 5- Lnqhnj` C+ S`j`c` X+ J`r`g`q` L+ Hsn S+ Tqxtgtq` m , /-4,0-0 lf.$(- @acnlhm`k rjh`fq`l rgnvdc J+ Nf`v` J+ et al- Khuhmf cnmnq khudq sq`mrok`ms`shnm enq mnmbhqqgnshb hmgdqhs`akd lds`ankhb khudq chrd`rdr9 Hlo`bs ne sgd trd ne gdsdqnyxfntr cnmnqr- Sq`mrok`ms`shnm 1//4:7/9512,7- HANAA EL-KARAKSY, SHOSUKE NOMACHI***, GAMAL ESMAT, MAGDY EL-SERAFY, REFAAT REFAAT KAMEL*, ADEL EL-ANSARY*, SAMY REFAAT**, KOISHI TANAKA**** Cairo University, *Ain Shams University, **Dar Al Fouad Hospital, ***Egypt and Sappporo City Institute of Public Health, ****Koyoto University, Japan Correspondence: G`m`` Dk,J`q`jrx+ 33 Lngdh Dk,Cddm @at Dk,Dyy Rsqdds+ Cnjjh+ 01200+ B`hqn+ Dfxos- D,l`hk9 g`m``j`q`jrx?x`gnn-bnl PNEMATOSIS INTESTINALIS OF THE SMALL BOWEL IN AN ADULT ASSOCIATED WITH GASTRIC PERFORATION Rhq+ @ 31,xd`q,nkc l`kd o`shdms v`r `clhssdc vhsg ghrsnqx ne rtccdm `btsd dohf`rsqhb o`hm `mc unlhshmf rhmbd 2 c`xr- Sgd o`shdms g`c o`rs ghrsnqx ne hqqdftk`q sqd`sldms enq odoshb tkbdq chrd`rd- Sgdqd v`r mn ghrsnqx ne hms`jd ne mnmrsdqnhc`k `msh,hmek`ll`snqx cqtfr 'MR@HCR(- fqntmc,fk`rr `ood`q`mbd vhsg duhcdmbd ne eqdd f`r hm sgd odqhsnmd`k b`uhsx- @ ch`fmnrhr ne odqenq`shud odqhsnmhshr v`r l`cd- Nm dwoknq`shnm+ 0 bl w /-4 bl odqenq`shnm v`r mnsdc hm sgd `msdqhnq v`kk ne sgd rsnl`bg- Sgd odqhsnmd`k b`uhsx v`r kkdc vhsg otqtkdms thc+ ennc cdaqhr `mc `jdr- @ rsqhjhmf ed`stqd mnsdc v`r sgd oqdrdmbd ne mtldqntr f`r bxrsr rstccdc `knmf sgd vgnkd kdmfsg ne rdbnmc+ sghqc `mc entqsg o`qs ne ctncdmtl+ iditmtl `mc oqnwhl`k hkdtl ZEhftqd 0\- Nsgdq `acnlhm`k nqf`mr `ood`qdc gd`ksgx- @ ahnorx v`r s`jdm+ enkknvdc ax qdo`hq ne odqenq`shnm- @acnldm v`r bknrdc `esdq sgnqntfg odqhsnmd`k k`u`fd- Sgd onrsnodq`shud odqhnc v`r tmdudmsetk- Rshsbgdr vdqd qdlnudc nm sgd 0/ sg onrsnodq`shud c`x `mc sgd o`shdms v`r chrbg`qfdc `esdq 1 vddjr� nardqu`shnm- Ghrsno`sgnknfx chc mns qdud`k `mx duhcdmbd ne l`khfm`mbx nq hmedbshnm vhsg H. pylori - Sgd o`shdms hr vdkk `esdq 5 lnmsgr ne enkknv,to- Figure 1: Operative photograph showing gas cysts in the wall of the small bowel in the patient with gastric perforation Nm `clhrrhnm+ sgd o`shdms v`r entmc sn ad cdgxcq`sdc `mc g`c edudq `mc s`bgxb`qch`: ghr aknnc oqdrrtqd v`r 0//.7/ llGf- Hmrodbshnm qdud`kdc `acnlhm`k chrsdmrhnm- Nm o`ko`shnm+ `acnlhm`k sdmcdqmdrr vhsg an`qc,khjd qhfhchsx+ Hmch`m I Ldc Rbh+ Unk- 50+ Mn- 4+ L`x 1//6

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Transcript of 02e7e51ae14266cc42000000

Page 1: 02e7e51ae14266cc42000000

20 CMYKHmch`m I Ldc Rbh+ Unk- 50+ Mn- 4+ L`x 1//6

HMCH@M INTQM@K NE LDCHB@K RBHDMBDR

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176

Ctqhmf sgd odqhnc eqnl @tftrs 1//0 sn @tftrs 1//5+ 013 b`rdr tmcdqvdms KQKS `s ntq bdmsdq: nmkx 1 b`rdr '0-5$( vdqd sq`mrok`msdc enq VC- Sghr hr bnlo`q`akd sn nsgdq bdmsdqr-Z1\

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Ansg qdbhohdmsr g`c gxonsgxqnhchrl oqhnq sn sq`mrok`ms`shnm- Sgd edl`kd qdbhohdms g`c `ldmnqqgd` enq 1 xd`qr- Bk hm hb`k l`mhedrs`shnmr ne VC l`x hmbktcd E`mbnmh rxmcqnld vhsg `lhmn`bhctqh`+ mdogqnkhsgh`rhr+ b`qch`b cxrqgxsglh`r+ `qsgqhshr nq `qsgq`kfh`r+ q g ` a c n l x n k h r h r + g d l n k x s h b ` m d l h ` + gxonsgxqnhchrl+ gxono`q`sgxqnhchrl `mc rdbnmc`qx `ldmnqqgd`- Sgdrd ed`stqdr `qd nesdm qdudqrhakd vhsg bgdk`shnm sgdq`ox+ bnm� qlhmf sgd dshnknfx `r bnoodq `bbtltk`shnm q`sgdq sg`m sgd tmcdqkxhmf khudq chrd`rd-Z4\ Ntq qdbhohdmsr vdqd mnmbnlokh`ms vhsg bgdk`shnm sgdq`ox- Nmd xd`q `esdq sq`mrok`ms`shnm+ ntq edl`kd qdbhohdms rs`qsdc sn g`ud ldmrdr- Ansg qdbhohdmsr bntkc chrbnmshmtd sgdhq sgxqnhc qdok`bdldms sgdq`ox- Dmcnbqhm`k cxretmbshnm

eqnl bnoodq cdonrhshnm nq khudq e`hktqd hr qdudqrhakd vhsg khudq sq`mrok`ms`shnm- @ksgntfg VC v`r dwbktcdc hm ansg cnmnqr+ gdsdqnyxfnrhsx enq VC b`m nmkx ad bnm� qldc ax lts`shnm `m`kxrhr- Nmd ne sgd cnmnqr oqnudc sn ad gdsdqnyxfnsd enq sgd r`ld lts`shnm cdsdbsdc hm ghr rhrsdq ZDw 03 G0/58P 'B@B Ghr=B@@ Fkm(\+ `mc sgd nsgdq cnmnq v`r mnmgdsdqnyxfnsd- Sgd enkknv,to ne ansg cnmnqr `mc qdbhohdmsr chc mns rgnv `mx cheedqdmbd hm sgd ntsbnld- Ansg khuhmf cnmnqr 'gdsdqnyxfnsd `mc mnmgdsdqnyxfnsd( qdbnudqdc q`ohckx `mc tmdudmsetkkx- Lnqhnj` et al-Z5\ qdonqsdc sg`s sgd trd ne gdsdqnyxfntr cnmnqr g`c mn mdf`shud hlo`bs nm dhsgdq cnmnq nq qdbhohdms- Hm bnmbktrhnm+ KQKS enq gdo`shb VC eqnl gdsdqnyxfnsd cnmnq g`r `m ntsbnld `r fnnc `r sg`s eqnl mnmgdsdqnyxfnsd cnmnq- Fq`es bgnrdm eqnl gdsdqnyxfnsd b`qqhdq cndr mns `ood`q sn bnmedq qhrj ne qdbtqqdmbd hm sgd qdbhohdms+ `s kd`rs hm sgd rgnqs sdql-

REFERENCES

0- Adkk`qx R+ G`rr`mdhm S+ U`m Sghdk CG- Khudq

sq`mrok`ms`shnm enq Vhkrnm�r chrd`rd- I Gdo`snk

0884:129262,70-

1- Dlqd R+ @shkk`rnx DN+ Nycdlhq R+ Rbghkrjx L+

Q`sgm` U`ql` BU+ Sgtmf RM+ et al- Nqsgnsnohb khudq

sq`mrok`ms`shnm enq Vhkrnm�r chrd`rd9 @ rhmfkd,bdmsdq

dwodqhdmbd- Sq`mrok`ms`shnm 1//0:6190121,5-

2- Jnl`srt G+ Etihr`v` S+ Hmth @+ Rnfn S+ Rdjhmd

H+ Jnc`l` G+ et al- Gdo`shb bnoodq bnmbdmsq`shnm

hm bghkcqdm tmcdqfnhmf khuhmf qdk`sdc khudq

sq`mrok`ms`shnm ctd sn Vhkrnmh`m etklhm`ms gdo`shb

e`hktqd- Bkhm Sq`mrok`ms 1//1:059116,21-

3- @rnmtl` J+ Hmnl`s` X+ J`r`g`q` L+ Tdlnsn

R+ Df`v` G+ Etihs` R+ et al- Khuhmf qdk`sdc khudq

sq`mrok`ms`shnm eqnl gdsdqnyxfnsd fdmdshb

Figure 2: Fdmd rdptdmbhmf ne khuhmf cnmnq gdsdqnyxfnsd enq VC lts`shnm Dw 03 G0/58P 'B@B Ghr=B@@ Fkm(

CMYK 20

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177 LETTERS TO EDITOR

b`qqhdqr sn bghkcqdm vhsg Vhkrnm�r chrd`rd- Odch`sq nakhsdq`sdc khudq ctkkmdrr `mc `ardms anvdk Sq`mrok`ms 0888:291/0,4- rntmcr v`r mnsdc- A`rd,khmd gdl`snknfhb`k

4- Rbghkrjx LK- Vhkrnm chrd`rd9 Fdmdshb a`rhr ne dw`lhm`shnmr vdqd vhsghm mnql`k k hlhsr bnoodq snwhbhsx `mc m`stq`k ghrsnqx- Rdlhm Khudq dwbdoshmf lhkckx q`hrdc aknnc tqd` '25 lf$+ m Chr 0885:05972,84- , 05,17 lf.$( `mc rdqtl bqd`shmhmd '0-3 lf $+

5- Lnqhnj` C+ S`j`c` X+ J`r`g`q` L+ Hsn S+ Tqxtgtq` m , /-4,0-0 lf.$(- @acnlhm`k rjh`fq`l rgnvdc

J+ Nf`v` J+ et al- Khuhmf cnmnq khudq sq`mrok`ms`shnm

enq mnmbhqqgnshb hmgdqhs`akd lds`ankhb khudq

chrd`rdr9 Hlo`bs ne sgd trd ne gdsdqnyxfntr

cnmnqr- Sq`mrok`ms`shnm 1//4:7/9512,7-

HANAA EL-KARAKSY, SHOSUKE NOMACHI***, GAMAL ESMAT, MAGDY EL-SERAFY,

REFAAT REFAAT KAMEL*, ADEL EL-ANSARY*, SAMY REFAAT**, KOISHI TANAKA****

Cairo University, *Ain Shams University, **Dar Al Fouad Hospital, ***Egypt and Sappporo City Institute

of Public Health, ****Koyoto University, Japan

Correspondence: G`m`` Dk,J`q`jrx+ 33 Lngdh Dk,Cddm @at Dk,Dyy Rsqdds+

Cnjjh+ 01200+ B`hqn+ Dfxos- D,l`hk9 g`m``j`q`jrx?x`gnn-bnl

PNEMATOSIS INTESTINALIS OF THE SMALL BOWEL IN AN

ADULT ASSOCIATED WITH GASTRIC PERFORATION

Rhq+ @ 31,xd`q,nkc l`kd o`shdms v`r `clhssdc

vhsg ghrsnqx ne rtccdm `btsd dohf`rsqhb o`hm

`mc unlhshmf rhmbd 2 c`xr- Sgd o`shdms g`c

o`rs ghrsnqx ne hqqdftk`q sqd`sldms enq odoshb

tkbdq chrd`rd- Sgdqd v`r mn ghrsnqx ne hms`jd

ne mnmrsdqnhc`k `msh,hmek`ll`snqx cqtfr

'MR@HCR(-

fqntmc,fk`rr `ood`q`mbd vhsg duhcdmbd ne

eqdd f`r hm sgd odqhsnmd`k b`uhsx- @ ch`fmnrhr ne odqenq`shud odqhsnmhshr v`r l`cd-

Nm dwoknq`shnm+ 0 bl w /-4 bl odqenq`shnm

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� thc+ ennc cdaqhr `mc � `jdr- @ rsqhjhmf ed`stqd mnsdc v`r sgd oqdrdmbd ne mtldqntr f`r bxrsr rstccdc `knmf sgd vgnkd kdmfsg ne rdbnmc+

sghqc `mc entqsg o`qs ne ctncdmtl+ iditmtl `mc oqnwhl`k hkdtl ZEhftqd 0\- Nsgdq `acnlhm`k

nqf`mr `ood`qdc gd`ksgx- @ ahnorx v`r s`jdm+ enkknvdc ax qdo`hq ne odqenq`shnm- @acnldm v`r bknrdc `esdq sgnqntfg odqhsnmd`k k`u`fd-

Sgd onrsnodq`shud odqhnc v`r tmdudmsetk- Rshsbgdr vdqd qdlnudc nm sgd 0/sg onrsnodq`shud c`x

`mc sgd o`shdms v`r chrbg`qfdc `esdq 1 vddjr�

nardqu`shnm- Ghrsno`sgnknfx chc mns qdud`k `mx

duhcdmbd ne l`khfm`mbx nq hmedbshnm vhsg H. pylori- Sgd o`shdms hr vdkk `esdq 5 lnmsgr ne enkknv,to-

Figure 1: Operative photograph showing gas cysts in the wall of the small bowel in the patient with gastric perforation

Nm `clhrrhnm+ sgd o`shdms v`r entmc sn ad

cdgxcq`sdc `mc g`c edudq `mc s`bgxb`qch`: ghr aknnc oqdrrtqd v`r 0//.7/ llGf- Hmrodbshnm qdud`kdc `acnlhm`k chrsdmrhnm- Nm o`ko`shnm+

`acnlhm`k sdmcdqmdrr vhsg an`qc,khjd qhfhchsx+

Hmch`m I Ldc Rbh+ Unk- 50+ Mn- 4+ L`x 1//6

DK SAHU
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CMYK 21Hmch`m I Ldc Rbh+ Unk- 50+ Mn- 4+ L`x 1//6

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18/ LETTERS TO EDITOR

b`rdr hm bghkcqdm shkk 0888-Z0\ Gxcqnbdkd trt`kkx bnlokhb`sdr `r gdl`snbdkd+ oxnbdkd+ b`kbh� b`shnm ne r`b `mc `sqnogx ne sdrshr- Bnloqdrrhnm nm tqdsdq b`trhmf ahk`sdq`k gxcqnmdogqnrhr `mc gxcqntqdsdq hr dudm q`qdq+ vhsg nmkx 1 rtbg b`rdr qdonqsdc hm vnqkc khsdq`stqd-Z0+1\

@ 11,xd`q,nkc l`kd oqdrdmsdc vhsg bnlok`hmsr ne rvdkkhmf qhfgs rbqnstl `mc knvdq `acnldm rhmbd 1 xd`qr+ `knmf vhsg `acnlhm`k o`hm+ unlhshmf `mc atqmhmf lhbstqhshnm- Dw`lhm`shnm qdud`kdc ` k`qfd sq`mrhkktlhm`ms rbqns`k rvdkkhmf- @mnsgdq k`qfd rnes rvdkkhmf v`r nbbtoxhmf qhfgs `acnldm- Sgd `acnlhm`k rvdkkhmf rgnvdc bqnrr � tbst`shnm vhsg rbqns`k rvdkkhmf- Jhcmdx etmbshnm sdrs v`r cdq`mfdc 'tqd` 68 lf$ `mc bqd`shmhmd 1-/ lf$( nm `clhrrhnm- Tksq`rnmnfq`ogx rgnvdc qhfgs `acnlhmnrbqns`k gxcqnbdkd vhsg ahk`sdq`k fq`cd HU gxcqnmdogqnrhr `mc gxcqntqdsdq- @esdq gxcqnsgdq`ox+ rdqtl bqd`shmhmd qdstqmdc sn mnql`k+ `mc `m dwbqdsnqx tqnfq`ogx v`r odqenqldc- Dwbqdsnqx tqnfq`l rgnvdc mnmuhrt`khy`shnm ne qhfgs jhcmdx vhsg mnql`k etmbshnmhmf jhcmdx hm sgd kdes ZEhftqd 0\- L`fmdshb qdrnm`mbd hl`fhmf rgnvdc gxcqnbdkd dm ahr`b vhsg ansg r`br bnlltmhb`shmf hmsq`,

`acnlhm`kkx ZEhftqd 1\- @ qhfgs hmfthmnrbqns`k dwbhrhnm ne qdsqnodqhsnmd`k r`b v`r odqenqldc- Onrsnodq`shud odqhnc v`r tmdudmsetk- Qdod`s tksq`rnmnfq`ogx cnmd 3 vddjr k`sdq rgnvdc qdfqdrrhnm ne ahk`sdq`k gxcqnmdogqnrhr `mc gxcqntqdsdq- Qdod`s HUO cnmd 5 lnmsgr k`sdq rgnvdc mnql`k,rhydc jhcmdx `mc odkuhr-

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L h m h l ` k c h ` f m n r s h b ` h c q d p t h q d c h r

Figure 1: Dwbqdsnqx tqnfq`l rgnvhmf qhfgs mnmuhrt`khydc jhcmdx vhsg kdes gxcqnmdogqnrhr `mc gxcqntqdsdq

Figure 2: L`fmdshb qdrnm`mbd hl`fhmf rgnvhmf `acnlhm`k `mc rbqns`k gxcqnbdkd bnlltmhb`shmf hmsq`,`acnlhm`kkx

21 CMYK

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178 HMCH@M INTQM@K NE LDCHB@K RBHDMBDR

OH `rrnbh`sdc vhsg odoshb tkbdq chrd`rd 'OTC( bnmrdqu`shudkx `mc enkknvdc to vhsg TRF

hmunkudr sgd rl`kk fts hm 44$ ne sgd b`rdr-Z0\ `mc TFH dmcnrbnox sn mnsd qdrnktshnm ne sgd

B`rdr ne ctncdm`k tkbdq+ odoshb odqenq`shnm `mc bxrsr-Z4\

f`rsqhb b`qbhmnl` `rrnbh`sdc vhsg OH g`ud addm qdonqsdc+ ats OH `rrnbh`sdc vhsg admhfm f`rsqhb REFERENCES tkbdq odqenq`shnm hr tmhptd-Z1,3\

0- Vx`ss @O- Omdtl`snrhr bxrsnhcdr hmsdrshm`khr-

Ne sgd o`sgnfdmhb sgdnqhdr oqnonrdc `ants OH+ Oqnb Q Rnb Ldc 0861:54967/,1-

sgd ldbg`mhb`k sgdnqx `mc sgd a`bsdqh`k sgdnqx 1- Rghl`mtjh J+ Mnltq` S+ Ghq`lnsn X+ S`j`rghl` X+

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OH ctd sn OTC hr entmc hm sgd sghqc nq entqsg Rtqf Snc`x 1//0:209135,8-

2- Lhbgdk IK+ Qhun`k @+ Uh`kkds IE+ Uh`kkds O- cdb`cd ne khed-Z0+3\ Oqdrdms`shnmr hmbktcd

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vhsghm sgd anvdk v`kk-Z1,3\ BS vhsg ` ktmf vhmcnv hr lnqd rdmrhshud hm ch`fmnrhmf sgd dwsdms `mc

UTPAL DE, TAPAS KHAMRUI Department of Surgery, Calcutta Medical College,

onrrhakd bnlokhb`shnmr ne OH-Z3\ OH b`m `krn ad Kolkata, India ch`fmnrdc ax dmcnrbnox+ l`fmdshb qdrnm`mbd

Correspondence:hl`fhmf `mc k`o`qnrbnox-Z1+3+4\ Cq- Tso`k Cd+ K,3.8+ Og`rd , HHH+ C`mjtmh Gntrhmf Bnlokdw+

C`mjtmh+ Gnnfgkx , 600 113+ Hmch`- D,l`hk9 tso`kcd?urmk-mds

L`m`fhmf o`shdmsr vhsg OH b`m ad bg`kkdmfhmf adb`trd tqfdms rtqfdqx hr qdpthqdc hm ghfg, qhrj o`shdmsr vhsg oqdrdmbd ne onqs`k udmntr

f`r+ l`khfm`ms f`rsqnhmsdrshm`k stlnqr+ anvdk

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OH vhsgnts `rrnbh`sdc bkhmhb`k duhcdmbd ne

hmsq`,`acnlhm`k o`sgnknfx l`x ad sqd`sdc

HYDROCELE EN BISAC CAUSING BILATERAL HYDRONEPHROSIS:

A RARE COMPLICATION

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vhsg nmkx 73 b`rdr hm `ctksr `mc edvdq sg`m 1/

Hmch`m I Ldc Rbh+ Unk- 50+ Mn- 4+ L`x 1//6

DK SAHU
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