The role of clips in preventing migration of fully covered metallic esophageal stents: a pilot comparative study.

Background: Migration is the most common complication of the fully covered metallic self-expanding esophageal stent (SEMS). This study aimed to determine the potential preventive effect of proximal fixation on the mucosa by clips for patients treated with fully covered SEMS.

Methods: In this study, 44 patients (25 males, 57%) were treated with fully covered SEMS including 22 patients with esophageal stricture (4 malignant obstructions, 6 anastomotic strictures, and 12 peptic strictures) and 22 patients with fistulas or perforations (10 anastomotic leaks, 4 perforations, and 8 postbariatric surgery fistulas).

Gas gangrene of the breast: management of a potential life-threatening infection.

Introduction: Gas gangrene of the breast is a rare infection and potentially mortal.

Case Report: We report a case of a fast extension of a painful right breast erythema whose starting point was a right parasternal cutaneous abscess. A diagnosis of gas gangrene of the right breast was made.

[Spontaneous rupture of the spleen in chronic calcifying pancreatitis: report of three cases].

Spontaneous rupture of the spleen is a rare complication of chronic calcifying pancreatitis. Anemia and hemorrhagic shock may not occur, making diagnosis more difficult. Favourable response to conservative treatment does not prevent the need for splenectomy, as calcifiying chronic pancreatitis may progress locally.

Laparoscopic repair of intrathoracic mesenterioaxial volvulus of the stomach in an adult: report of a case.

Intrathoracic gastric volvulus is an uncommon entity, in which the stomach undergoes organoaxial torsion occurring in the chest due to the concomitant presence of an enlargement of the hiatus. We herein report an unusual case of acute intrathoracic mesenterioaxial volvulus of the stomach. Gastric rotation occurred at the transverse axis and the mobile pylorus herniated in the chest through a large hiatal defect.

Therapeutic laparoscopy for blunt abdominal trauma with bowel injuries.

In the setting of abdominal trauma, laparoscopy is used mainly for diagnosis, and its role in definitive operative repair is still debated. We report the case of a 50-year-old woman who underwent diagnostic and therapeutic laparoscopy after being subjected to blunt abdominal trauma in a traffic accident. Multiple injuries to the small bowel and colon were repaired laparoscopically with a favorable outcome.

[Hemobilia due to pseudoaneurysm of the right hepatic artery following laparoscopic cholecystectomy].

Although laparoscopic cholecystectomy is considered to be the gold standard for treatment for symptomatic cholelithiasis, it is associated with an increased risk of biliary and vascular injury compared to the traditional technique. We report the case of a 36-year-old woman with haemobilia secondary to a pseudoaneurysm of the right branch of the hepatic artery, that occurred two months after laparoscopic cholecystectomy. The patient was successfully treated with embolisation of the right hepatic artery.