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Introduction and Importance: Duodenal perforation, while uncommon, is a serious cause of acute abdomen in children. The causes of acute abdomen in children vary widely based on factors like geography and socioeconomic status. In developing countries, where infectious diseases are more prevalent, malaria can contribute to this condition., Case Presentation: A 4-year-old boy from a malaria-endemic area presented with fever, vomiting, and prostration. Investigations revealed Plasmodium falciparum malaria. After initiating antimalarial treatment, he developed acute abdominal pain and was found to have a duodenal perforation. Emergency surgery was performed, and the perforation was repaired., Clinical Discussion: Duodenal perforation in children, though rare, is a potentially life-threatening complication that can occur in the context of severe malaria. Prompt surgical management, typically involving omental patch repair of the perforation and treatment of the underlying malaria infection, is crucial for successful outcomes., Conclusion: Duodenal perforation in children following sever malaria attack is the rare which need urgent surgical and medical management., Competing Interests: Conflict of interest statement There are no reported conflicts of interest for the writers., (Copyright © 2024. Published by Elsevier Ltd.)

Introduction and Importance: Intussusception in the proximal bowel is extremely rare, with only a few reported cases of gastroduodenal intussusception (GDI). Gastrogastric intussusception is the rarest form of intussusception in adults. Here, we present an exceptionally rare case of gastro-gastric intussusception caused by a gastric Gastrointestinal Stromal Tumor (GIST)., Case Presentation: A 36-year-old male presented with acute abdominal pain, suggestive of intussusception. The preoperative evaluation was unable to pinpoint the exact location or cause of the intussusception., Clinical Discussion: Intraoperative diagnosis of gastro-gastric intussusception was made, and the patient was treated with a gentle reduction of the intussusception, followed by a distal gastrectomy with Billroth I anastomosis. He was relieved of his symptoms and has been recurrence-free for the past two years., Conclusions: Gastro-gastric intussusception is an exceedingly rare type of foregut intussusception, which presents with non-specific clinical presentation and commonly occurs in the presence of an underlying pathology. A delay in diagnosis and treatment may be fatal, so a high index of suspicion and early surgical management is paramount., Competing Interests: Conflict of interest statement We, the authors, declare that we had no competing interests., (Copyright © 2024 The Authors. Published by Elsevier Ltd.. All rights reserved.)

Introduction and Importance: Laparoscopic cholecystectomy has become the gold standard for treating symptomatic gallstones in recent years due to its minimally invasive nature, which results in less pain, scarring, and a faster recovery time compared to traditional open surgery. Port site infection is a rare complication of laparoscopic surgery, sometimes occurring early after the procedure or developing later and the cause of these infections can vary. Port site tuberculosis (TB) is a particularly uncommon type of port site infection and represents a rare form of extra pulmonary TB., Case Presentation: Three patients (a 63-year-old diabetic male, a 62-year-old hypertensive female, and a 34-year-old female) presented with port site discharge and pain after undergoing laparoscopic cholecystectomy at the same center during the same campaign. All patients initially received antibiotics for suspected port site infections, but these failed to resolve the symptoms. Subsequent fine needle aspiration cytology revealed port site tuberculosis (TB) in all three cases. After initiating anti-tuberculosis treatment, all patients showed significant improvement., Clinical Discussion: Port site tuberculosis, a rare and often overlooked extra pulmonary manifestation of tuberculosis, can present as a port site infection following laparoscopic procedures. It is characterized by prolonged wound healing and persistent discharge, can pose diagnostic challenges, often requiring careful evaluation and appropriate investigations to ensure timely and effective treatment. Port site tuberculosis can be transmitted to patients through two main routes: exogenous or endogenous ways. Once a diagnosis of port site tuberculosis is confirmed; the next step involves treatment with a standard anti-tuberculosis regimen., Conclusion: Port site tuberculosis (TB) after undergoing laparoscopic cholecystectomy at the same facility, suggesting inadequate instrument sterilization as a likely cause. This case underscores the importance of considering port site TB in post-laparoscopic patients, particularly in areas with high TB prevalence, after ruling out bacterial infections. Prompt and appropriate treatment is crucial for successful outcomes., Competing Interests: Declaration of competing interest All authors declare that they have no conflict of interest., (Copyright © 2024 The Authors. Published by Elsevier Ltd.. All rights reserved.)