Management of acute severe hyperlipidemic pancreatitis.

Background/aim: Hypertriglyceridemia is rare and can provoke acute severe hyperlipidemic pancreatitis when triglyceride levels exceed 11.3 mmol/l. In 10 patients we evaluated the therapeutic guidelines for severe hyperlipidemic pancreatitis.

Splenic artery aneurysm rupture.

Background: Splenic artery aneurysms are uncommon even though they are second only to those of the aorto-iliac system. There is also controversy regarding their management.

Methods: We report the case of a 50-year-old patient with ruptured splenic artery aneurysm and review the literature regarding its diagnosis and management.

Respiratory failure after pneumonectomy in a patient with unknown hyperlipidemia.

We report the case of a patient who had increased lipids in his blood and who complained of dyspnea the first postoperative day after resection of his left lung. As the blood lipids were decreased, his respiration was improved. We conclude that when respiration deteriorates postoperatively, increased blood lipids should be considered as a cause.

[Surgical treatment of ruptures of hydatid cysts of the liver].

During the last 20 years (1972-1992), 421 patients underwent surgery for hydatid disease of the liver. 96 out of 421 patients had a rupture such as, intrabiliary rupture 49 patients, intrathoracic rupture 43 patients and free rupture in the peritoneal cavity 4 patients. The surgical treatment required a variety of procedures: 1) Prolonged tube drainage of the residual cavity and exploration of the common bile duct followed by either T tube drainage or sphincteroplasty or choledocho-duedonostomy if it was necessary, for intrabiliary rupture.