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its about one disease in surgery.. helpful to all persons. This book is dedicated to my late grand father Author: Anupama 48yr old female patient came to OPD with chief complaints of vomitings occasionally since 3months. Vomitings - are occasional and bilious in nature and Loss of appetite since 1 month. H/o abdominal pain since 15 days in infraumbilical region, dull aching type, intermittent, no radiation of pain. H/O constipation present since 15 days, passes stool once in 2-3 days. No H/O abdominal distension, jaundice, fever, weight loss. Past history: No history of similar complaint in the past. No H/O DM, HTN, asthma, TB, epilepsy, CAD. H/O of fever 2 months back for 1 week which is diagnosed as typhoid and treated in private hospital. H/O hysterectomy done for DUB(dysfunctional uterine bleeding) 4 yrs back at piduguralla private hospital. patient takes mixed diet. Bowel and bladder habits are regular. Drug history: No H/O intake of any drugs.