CrossRefPubMed 30. Devereaux

BM, Sherman S, Lehman GA: Sphincter of Oddi Ro 61-8048 (pancreatic) hypertension and recurrent pancreatitis. Curr Gastroenterol Rep 2002, 4:153–159.CrossRefPubMed 31. Gralnek IM, Barkun AN, Bardou M: Management of acute bleeding from a peptic ulcer. N Engl J Med 2008, 359:928–937.CrossRefPubMed 32. Schwartz MP, Samsom M, Smout AJ: Manometric artefacts suggesting compression of the duodenum by the superior mesenteric artery in healthy humans. Neurogastroenterol Motil 2001, 13:143–149.CrossRefPubMed 33. Tsuei BJ, Schwartz RW: Management of the difficult duodenum. Curr Surg 2004, 61:166–171.CrossRefPubMed 34. Beris P, Munoz M, Garcia-Erce JA, Thomas D, Maniatis A, Van der Linden P: Perioperative anaemia management: consensus statement on the role of intravenous iron. Br J Anaesth 2008, 100:599–604.CrossRefPubMed 35. Mazaki T, Ebisawa K: Enteral versus parenteral nutrition after gastrointestinal surgery: a systematic review and meta-analysis of randomized controlled trials in the English literature. J

Gastrointest Surg 2008, 12:739–755.CrossRefPubMed 36. Jeejeebhoy KN: Enteral nutrition versus DNA Damage inhibitor parenteral nutrition – the risks and benefits. Nat Clin Pract Gastroenterol Hepatol 2007, 4:260–265.CrossRefPubMed Competing interests There are no competing interests. The authors have no actual or potential political or financial interest in the publication of this paper in terms of material, information or techniques described. Rolziracetam The authors have received no financial incentive to contribute to this paper. The authors certify no commercial associations that may pose a conflict of interest in connection with the submitted article. Authors’ contributions PP – Study conception and design, analysis and interpretation of data, drafting of manuscript, critical revision. WD – Acquisition of data, analysis and interpretation of data,

drafting of manuscript. KL – Analysis and interpretation of data, critical revision. CAH – Analysis and interpretation of data, drafting of manuscript, critical revision. All authors read and approved the final manuscript.”
“Background Many pathological conditions of spleen predispose it to spontaneous rupture, diagnosis of which can be delayed due to its unusual presentation. Splenectomy is often required for splenic rupture, both for its acute and chronic presentations. Chronic splenic rupture may be associated with dense peri splenic adhesions making this surgery a difficult one. In such a scenario, avoidance of iatrogenic trauma to neighboring organs is of paramount Ipatasertib purchase importance. Sub capsular Splenectomy (from within the pseudo capsule formed due to inflammation) is an alternative technique and allows a safe splenectomy in cases having dense peri splenic adhesions. Case report KSM, a 50 year old man presented with severe pain over left hypochondrium and left lower chest wall, moderate fever on and off for one month. Pain increased on deep inspiration and radiated to left shoulder.