A 14yr old boy presented to the emergency department with a 24 hr history of increase abdominal pain. The pain localized to the right iliac fossa and a diagnosis of acute appendicitis was made.At operation the appendix was found to be normal and the anomaly shown..was found to be loop of bowel.diagnose?

A 34 year youg lady presented with sever pain in rif since 2to 3days with fever and vomiting she has tenderness and garding in rif lookiing to the organ give your diagnosis and rx which surgery is ideal or prefferable

A 25 years old male presented in casualty with severe pain in abdomen with distention with Jo passage or stool and flatus. x-ray s.o multiple air fluid levels in central abdomen. intra operative pictures attached. kindly give diagnosis of the condition and cause of acute obstruction .

55 year old male patient came to casaulty with chief complaints of pain in left iliac fossa which was of sudden in onset, associated with vomiting since last 6 hours. on examination patient was tachypneic , pulse rate was 120 per minute. BP was 80/ 60 , RBS was 400 , patient was a chronic bidi smoker in past, no other significant medical history in past, x ray abdomen in standing position was taken and it was suggesting perforation, how would you proceed further? ??

A 12 yr old girl c/o Abdominal pain since 5 to 6 days vomiting 2 time Usg report here please suggest diagnosis and treatment