M triplehelices of similar stability. Biomacromolecules 2010; 11:34856; PMID:20025291; http://dx.doi. org

M triplehelices of comparable stability. Biomacromolecules 2010; 11:34856; PMID:20025291; http://dx.doi. org/10.1021/bm900894b 28. Yu Z, An B, Ramshaw JAM, Brodsky B. Bacterial collagenlike proteins that kind triplehelical structures. J Struct Biol 2014; http://dx.doi.org/10.1016/j. jsb.2014.01.003, In press; PMID:24434612. 29. Humtsoe JO, Kim JK, Xu Y, Keene DR, H k M, Lukomski S, Wary KK. A streptococcal collagenlike protein interacts with the 21 integrin and induces intracellular signaling. J Biol Chem 2005; 280:1384857; PMID:15647274; http://dx.doi. org/10.1074/jbc.M
Int Surg 2014;99:12631 DOI: ten.9738/INTSURGD1300057.Case ReportGossypiboma Presenting as Coloduodenal Fistula Report of a Rare Case With Review of LiteratureSarath Chandra Sistla1, Ananthakrishnan Ramesh2, Vilvapathy Sengutuvan Karthikeyan3, Duvuru Ram1, Sheik Manwar Ali1, Raghavan Velayutham Sugi SubramaniamDepartment of Surgery, Jawaharlal Institute of Postgraduate Health-related Education and Research, Puducherry, India2Department of Radiodiagnosis, Jawaharlal Institute of Postgraduate Healthcare Education and Analysis, Puducherry, IndiaDepartment of Urology, Jawaharlal Institute of Postgraduate Health-related Education and Investigation, Puducherry, IndiaThe term gossypiboma is utilised to describe a mass of cotton matrix left behind within a physique cavity intraoperatively. One of the most widespread site reported is the abdominal cavity. It could present with abscess, intestinal obstruction, malabsorption, gastrointestinal hemorrhage, and fistulas. A 37yearold woman presented with discomfort in the ideal hypochondrium for 2 months following open cholecystectomy. As she did not enhance with proton pump inhibitors, an esophagogastroduodenoscopy (EGD) was completed, which showed a achievable gauze piece stained with bile in the initial aspect of the duodenum. Contrastenhanced computed tomography (CECT) from the abdomen revealed an abnormal fistulous communication of the first portion of duodenum with proximal transverse colon, with a hypodense, mottled lesion inside the lumen of your proximal transverse colon plugging the fistula, suggestive of a gossypiboma. Excision of your coloduodenal fistula, main duodenal repair, and feeding jejunostomy was completed. The patient recovered effectively and is now tolerating typical diet plan. Coloduodenal fistula is usually caused by Crohn’s illness, malignancy, rightsided diverticulitis, and gall stone illness. Isolated coloduodenal fistula due to gossypiboma has not been reported within the literature so far for the finest of our understanding.2-(Aminooxy)ethanamine dihydrochloride Formula We report this case of coloduodenal fistula secondary to gossypiboma for its rarity and diagnostic challenge.2439223-60-4 Formula Essential words: Surgical sponges Intestinal fistula Multidetector computed tomographyReprint requests: Ananthakrishnan Ramesh, Jawaharlal Institute of Postgraduate Healthcare Education and Analysis, Puducherry 605006, India.PMID:23724934 Tel.: 9843134842; Email: [email protected] Surg 2014;GOSSYPIBOMA CAUSING COLODUODENAL FISTULASISTLAThe first report of a coloduodenal fistula was by Haldane in 1862, and it was malignant from the hepatic flexure.1 Coloduodenal fistula is caused by Crohn’s disease, malignancy, rightsided diverticulitis, and gall stone illness, but isolated coloduodenal fistula because of gossypiboma has not been reported within the literature to the most effective of our expertise. Gossypiboma is identified to present as intraabdominal abscess, intestinal obstruction, and fistulization, but coloduodenal fistula has not been reported as a mode of presentation. We report this case of coloduodenal.